Propensity of skin diseases to manifest in a variety of forms, lack and maldistribution of qualified dermatologists, and exigency of timely and accurate diagnosis call for automated Computer-Aided Diagnosis (CAD). This study aims at extending previous works on CAD for dermatology by exploring the potential of Deep Learning to classify hundreds of skin diseases, improving classification performance, and utilizing disease taxonomy. We trained state-of-the-art Deep Neural Networks on two of the largest publicly available skin image datasets, namely DermNet and ISIC Archive, and also leveraged disease taxonomy, where available, to improve classification performance of these models. On DermNet we establish new state-of-the-art with 80% accuracy and 98% Area Under the Curve (AUC) for classification of 23 diseases. We also set precedence for classifying all 622 unique sub-classes in this dataset and achieved 67% accuracy and 98% AUC. On ISIC Archive we classified all 7 diseases with 93% average accuracy and 99% AUC. This study shows that Deep Learning has great potential to classify a vast array of skin diseases with near-human accuracy and far better reproducibility. It can have a promising role in practical real-time skin disease diagnosis by assisting physicians in large-scale screening using clinical or dermoscopic images.

With the advancement of powerful image processing and machine learning techniques, Computer Aided Diagnosis has become ever more prevalent in all fields of medicine including ophthalmology. These methods continue to provide reliable and standardized large scale screening of various image modalities to assist clinicians in identifying diseases. Since optic disc is the most important part of retinal fundus image for glaucoma detection, this paper proposes a two-stage framework that first detects and localizes optic disc and then classifies it into healthy or glaucomatous. The first stage is based on Regions with Convolutional Neural Network (RCNN) and is responsible for localizing and extracting optic disc from a retinal fundus image while the second stage uses Deep Convolutional Neural Network to classify the extracted disc into healthy or glaucomatous. Unfortunately, none of the publicly available retinal fundus image datasets provides any bounding box ground truth required for disc localization. Therefore, in addition to the proposed solution, we also developed a rule-based semi-automatic ground truth generation method that provides necessary annotations for training RCNN based model for automated disc localization. The proposed method is evaluated on seven publicly available datasets for disc localization and on ORIGA dataset, which is the largest publicly available dataset with healthy and glaucoma labels, for glaucoma classification. The results of automatic localization mark new state-of-the-art on six datasets with accuracy reaching 100% on four of them. For glaucoma classification we achieved Area Under the Receiver Operating Characteristic Curve equal to 0.874 which is 2.7% relative improvement over the state-of-the-art results previously obtained for classification on ORIGA dataset. Once trained on carefully annotated data, Deep Learning based methods for optic disc detection and localization are not only robust, accurate and fully automated but also eliminates the need for dataset-dependent heuristic algorithms. Our empirical evaluation of glaucoma classification on ORIGA reveals that reporting only Area Under the Curve, for datasets with class imbalance and without pre-defined train and test splits, does not portray true picture of the classifier’s performance and calls for additional performance metrics to substantiate the results.

Following publication of the original article