Artificial intelligence algorithms and three-dimensional volumetric rendering for basal cell carcinoma detection and tumour depth assessment in reflectance confocal microscopy-optical coherence tomography images: A pilot study Journal Article


Authors: Pan, A.; de Carvalho, N.; Silva, L.; Harris, U.; Dusza, S.; Sahu, A.; Kose, K.; Monnier, J.; Chen, C. S.; Jain, M.
Article Title: Artificial intelligence algorithms and three-dimensional volumetric rendering for basal cell carcinoma detection and tumour depth assessment in reflectance confocal microscopy-optical coherence tomography images: A pilot study
Abstract: The reflectance confocal microscopy (RCM)-optical coherence tomography (OCT) device has shown utility in detecting and assessing the depth of basal cell carcinoma (BCC) in vivo but is challenging for novices to interpret. Artificial intelligence (AI) applied to RCM-OCT could aid readers. We trained AI models, using OCT rasters of biopsy-confirmed BCC, to detect BCC, create three-dimensional rendering and automatically measure tumour depth. Trained AI models were applied to a separate test set containing rasters of BCC, benign lesions, and healthy skin. Blinded reader analysis and tumour depth correlation with histopathology were conducted. BCC detection improved from viewing OCT rasters only (sensitivity 73.3%, specificity 45.5%) to viewing rasters with AI-generated BCC rendering (sensitivity 86.7%, specificity 48.5%). A Pearson correlation r2 = 0.59 (P = 0.02) was achieved for the tumour depth measurement between AI and histological measured depths. Thus, addition of AI to the RCM-OCT device may expand its utility widely. We created artificial intelligence (AI) models to detect and measure the tumour depth of basal cell carcinoma in vivo from noninvasive reflectance confocal microscopy-optical coherence tomography images. A blinded reader test showed improved detection of basal cell carcinoma with the assistance of AI. The measured depths of the tumour from AI and histopathology were positively correlated.
Keywords: classification
Journal Title: Clinical and Experimental Dermatology
Volume: 49
Issue: 11
ISSN: 0307-6938
Publisher: Wiley Blackwell  
Date Published: 2024-11-01
Start Page: 1420
End Page: 1423
Language: English
ACCESSION: WOS:001294664200001
DOI: 10.1093/ced/llae213
PROVIDER: wos
PMCID: PMC11500700
PUBMED: 38779905
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Manu Jain -- Source: Wos
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MSK Authors
  1. Stephen Dusza
    291 Dusza
  2. Chih-Shan Jason Chen
    56 Chen
  3. Kivanc Kose
    83 Kose
  4. Manu   Jain
    79 Jain
  5. Aditi Kamlesh Sahu
    30 Sahu
  6. Ucalene Geneisha Harris
    30 Harris
  7. Alexander Pan
    13 Pan
  8. Luisa Victoria Silva
    2 Silva