Evidence map›Paper›PMID 42763653›Full record

ArticleClinical, cosmetic and investigational dermatology2026

Automated Quantification of Shedding Hairs from Smartphone Photographs Using an AI Tool for Alopecia Monitoring.

Shiwen Zhang, Yujing Zhang, Xiangqian Li, Pingxin Han, Xinfeng Li, Cheng Zhou

Abstract read
In one paragraph

Article in Clinical, cosmetic and investigational dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shiwen Zhang *Department of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.
Yujing Zhang *Department of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.ORCID 0009-0005-9535-5502
Xiangqian LiDepartment of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.ORCID 0000-0002-0825-8327
Pingxin HanYonghe Medical Group Co, Ltd, Beijing, People's Republic of China.
Xinfeng LiYonghe Medical Group Co, Ltd, Beijing, People's Republic of China.
Cheng ZhouDepartment of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Objective shed-hair counts can support clinical assessment, longitudinal monitoring, and evaluation of treatment response. Manual counting is time-consuming, whereas visual estimates vary between observers. We developed an artificial intelligence (AI) model to count shedding hairs from ordinary smartphone photographs. Methods: Thirty volunteers acquired 5630 home smartphone photographs of dark shedding hairs on light backgrounds, and paired manual counts served as the reference standard. Images were assigned by participant into training/internal validation (24 volunteers, 4509 images) and independent testing (6 volunteers, 1121 images). A weakly supervised density-regression model was trained with image-level counts. A blinded reader study compared AI with visual estimates from 15 readers across 56 paired image sets. A non-randomized sequential refined wash test (RWT) comparison evaluated completion and usable quantitative data in historical manual and subsequent AI-assisted cohorts. Results: In independent testing, AI achieved a mean absolute error (MAE) of 5.4 hairs and a mean absolute percentage error (MAPE) of 7.0%. The mean model-minus-reference bias was -0.8 hairs (95% LoA, -17.0 to 15.4 hairs). In the blinded comparison, AI had lower error than all visual estimation methods (MAE, 6.99 hairs; MAPE, 6.15%; P < 0.001). Median total AI workflow time was 24.5 seconds versus 123.0 seconds for manual counting. Usable RWT data were available for 14 of 48 patients (29.2%) in the historical manual cohort and 23 of 30 (76.7%) in the subsequent AI-assisted cohort (P < 0.001). Conclusion: Under the evaluated dark-hair and light-background conditions, AI provided low-error counts and lower error than human visual estimation. The subsequent AI-assisted RWT cohort more often provided usable quantitative data than the historical manual cohort in this non-randomized sequential comparison. Prospective studies are needed to evaluate workflow feasibility and potential benefits for clinical monitoring and patient outcomes.

Indexed as

alopeciaartificial intelligencehair sheddingrefined wash test

Identifiers

PMID42763653
PMCPMC13589520

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.