Optical Spectroscopy as a Method for Skin Cancer Risk Assessment
- PMID: 31287160
- DOI: 10.1111/php.13140
Optical Spectroscopy as a Method for Skin Cancer Risk Assessment
Abstract
Skin cancer is the most prevalent cancer, and its assessment remains a challenge for physicians. This study reports the application of an optical sensing method, elastic scattering spectroscopy (ESS), coupled with a classifier that was developed with machine learning, to assist in the discrimination of skin lesions that are concerning for malignancy. The method requires no special skin preparation, is non-invasive, easy to administer with minimal training, and allows rapid lesion classification. This novel approach was tested for all common forms of skin cancer. ESS spectra from a total of 1307 lesions were analyzed in a multi-center, non-randomized clinical trial. The classification algorithm was developed on a 950-lesion training dataset, and its diagnostic performance was evaluated against a 357-lesion testing dataset that was independent of the training dataset. The observed sensitivity was 100% (14/14) for melanoma and 94% (105/112) for non-melanoma skin cancer. The overall observed specificity was 36% (84/231). ESS has potential, as an adjunctive assessment tool, to assist physicians to differentiate between common benign and malignant skin lesions.
© 2019 American Society for Photobiology.
Similar articles
-
Clinical Utility of an AI-powered, Handheld Elastic Scattering Spectroscopy Device on the Diagnosis and Management of Skin Cancer by Primary Care Physicians.J Prim Care Community Health. 2023 Jan-Dec;14:21501319231205979. doi: 10.1177/21501319231205979. J Prim Care Community Health. 2023. PMID: 37933569 Free PMC article.
-
Elastic scattering spectroscopy in assessing skin lesions: an "in vivo" study.Photodiagnosis Photodyn Ther. 2012 Jun;9(2):132-41. doi: 10.1016/j.pdpdt.2011.12.003. Epub 2011 Dec 27. Photodiagnosis Photodyn Ther. 2012. PMID: 22594983
-
Diagnosis and demarcation of skin malignancy using elastic light single-scattering spectroscopy: a pilot study.Dermatol Surg. 2012 Feb;38(2):215-23. doi: 10.1111/j.1524-4725.2011.02174.x. Epub 2011 Oct 14. Dermatol Surg. 2012. PMID: 22093365
-
Role of In Vivo Reflectance Confocal Microscopy in the Analysis of Melanocytic Lesions.Acta Dermatovenerol Croat. 2018 Apr;26(1):64-67. Acta Dermatovenerol Croat. 2018. PMID: 29782304 Review.
-
Skin Cancer Detection Technology.Dermatol Clin. 2019 Oct;37(4):527-536. doi: 10.1016/j.det.2019.05.010. Epub 2019 Jul 10. Dermatol Clin. 2019. PMID: 31466592 Review.
Cited by
-
Multicenter prospective blinded melanoma detection study with a handheld elastic scattering spectroscopy device.JAAD Int. 2023 Nov 15;15:24-31. doi: 10.1016/j.jdin.2023.10.011. eCollection 2024 Jun. JAAD Int. 2023. PMID: 38371666 Free PMC article.
-
Clinical Utility of an AI-powered, Handheld Elastic Scattering Spectroscopy Device on the Diagnosis and Management of Skin Cancer by Primary Care Physicians.J Prim Care Community Health. 2023 Jan-Dec;14:21501319231205979. doi: 10.1177/21501319231205979. J Prim Care Community Health. 2023. PMID: 37933569 Free PMC article.
-
Comparative Analysis of Diagnostic Techniques for Melanoma Detection: A Systematic Review of Diagnostic Test Accuracy Studies and Meta-Analysis.Front Med (Lausanne). 2021 Apr 21;8:637069. doi: 10.3389/fmed.2021.637069. eCollection 2021. Front Med (Lausanne). 2021. PMID: 33968951 Free PMC article.
-
Advanced endoscopic imaging for detecting and guiding therapy of early neoplasias of the esophagus.Ann N Y Acad Sci. 2020 Dec;1482(1):61-76. doi: 10.1111/nyas.14523. Epub 2020 Nov 12. Ann N Y Acad Sci. 2020. PMID: 33184872 Free PMC article. Review.
References
-
- Wilson, R. L., B. A. Yentzer, S. P. Isom, S. R. Feldman and A. B. Jr Fleischer (2012) How good are US dermatologists at discriminating skin cancers? A number-needed-to-treat analysis J. Dermatolog. Treat. 23, 65-69.
-
- Argenziano, G., L. Cerroni, I. Zalaudek, S. Staibano, R. Hofmann-Wellenhof, N. Arpaia, R. M. Bakos, B. Balme, J. Bandic, R. Bandelloni and A. M. Brunasso (2012) Accuracy in melanoma detection: A 10-year multicenter survey. J. Am. Acad. Dermatol. 67, 54-59.
-
- Robertson, F. M. and L. Fitzgerald (2017) Skin cancer in the youth population of the United Kingdom. J. Cancer Policy 12, 67-71.
-
- Lomas, A., J. Leonardi-Bee and F. Bath-Hextall (2012) A systematic review of worldwide incidence of nonmelanoma skin cancer. Br. J. Dermatol. 166, 1069-1080.
-
- Ackermann, E., D. Askew, I. D. Williams, P. Byrnes and G. K. Mitchell (2007) Management of skin cancer in Australia: A comparison of general practice and skin cancer clinics. Aust. Fam. Physician 36, 1073-1075.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical