Background: Deep neural networks (DNN) has been applied to many kinds of skin diseases in experimental settings. Objective: The objective of this study is to confirm the augmentation of deep neural networks for the diagnosis of skin diseases in non-dermatologist physicians in a real-world setting. Methods: A total of 40 non-dermatologist physicians in a single tertiary care hospital will be enrolled. They will be randomized to a DNN group and control group. By comparing two groups, the investigators will estimate the effect of using deep neural networks on the diagnosis of skin disease in terms of accuracy.
In the DNN group and control group, these steps are the same process. 1. Routine exam and capture photographs of skin lesions for all eligible consecutive series patient. 2. Make a clinical diagnosis (BEFORE-DX) 3. Make a clinical diagnosis (AFTER-DX) 4. consult to dermatologist In the DNN group, after making the BEFORE-DX, physicians use deep neural networks and make an AFTER-DX considering the results of the deep neural networks (Model Dermatology, build 2020). In the control group, after making the BEFORE-DX, physicians make an AFTER-DX after reviewing the pictures of skin lesions once more. Ground truth will be based on the biopsy if available, or the consensus diagnosis of the dermatologists. The investigators will compare the accuracy between the DNN group and control group after 6 consecutive months study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
55
Physicians in the DNN group take pictures of the skin lesion and use the algorithm by uploading pictures.
Seoul National University Hospital
Seoul, South Korea
Top-1 diagnostic accuracy
frequency of correct Top-1 prediction
Time frame: 6 consecutive months
Top-2 and 3 diagnostic accuracy
frequency of correct Top-2 and 3 prediction
Time frame: 6 consecutive months
Infection sensitivity
positive rate of infection diagnosis
Time frame: 6 consecutive months
Malignancy sensitivity
Positive rate of malignancy diagnosis
Time frame: 6 consecutive months
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