Abstract: |
The Reflectance Confocal Microscopy – Optical Coherence Tomography (RCM-OCT) device has demonstrated its effectiveness in the in vivo detection a nd depth a ssessment of basal cell ca rcinoma (BCC), though its interpretation can be cha llenging for novices. Artificia l intelligence (AI) has the potential to a ssist in identifying BCC and measuring its depth in these images. Our goa l wa s to develop an AI model capable of generating 3D volumetric representations of BCC to enhance its detection and depth measurement. We developed AI models tra ined on OCT images of biopsyconfirmed BCC to detect BCC, generate 3D volumetric representations, and automatically a ssess tumor depth. These models were then tested on a separate dataset containing images of B CC, benign lesions, a nd normal skin. The effectiveness of the AI models wa s evaluated through a blinded reader study a nd by comparing tumor depth mea surements with those obtained from histopathology. The a ddition of AI-generated 3D renders of BCC improved BCC detection ra tes, with sensitivity increasing from 73.3% to 86.7% a nd specificity from 45.5% to 48.5%. A Pea rson Correla tion coefficient r2 = 0.59 (p=0.02) wa s a chieved in comparing tumor depth measurements between AI -generated renders a nd histopathology slides. Incorporating AI-generated 3D renders has the potential to improve the diagnosis of BCC a nd the automated measurement of tumor depth in OCT ima ges, reducing rea der dependent variability and sta ndardizing dia gnostic a ccuracy. © 2024 SPIE. |