• Chinese Journal of Lasers
  • Vol. 51, Issue 9, 0907021 (2024)
Zhongliang Lang1、2, Fan Zhang3, Bingxuan Wu3, Pengfei Shao3, Shuwei Shen4, Peng Yao5, Peng Liu4、**, and Xiaorong Xu1、3、4、*
Author Affiliations
  • 1School of Biomedical Engineering, University of Science and Technology of China, Hefei 230026, Anhui, China
  • 2Department of Plastic Surgery, The First Affiliated Hospital of USTC (Anhui Provincial Hospital), University of Science and Technology of China, Hefei 230001, Anhui, China
  • 3Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei 230027, Anhui, China
  • 4Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou 215123, Jiangsu, China
  • 5Department of Electronic Science and Technology, University of Science and Technology of China, Hefei 230026, Anhui, China
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    DOI: 10.3788/CJL231326 Cite this Article Set citation alerts
    Zhongliang Lang, Fan Zhang, Bingxuan Wu, Pengfei Shao, Shuwei Shen, Peng Yao, Peng Liu, Xiaorong Xu. Intelligent Teleconsultation System for Skin Tumor[J]. Chinese Journal of Lasers, 2024, 51(9): 0907021 Copy Citation Text show less
    Schematics of typical application scenarios of intelligence teleconsultation system for skin tumors built by our team. (a) Skin tumor self-screening; (b) tele-consultation
    Fig. 1. Schematics of typical application scenarios of intelligence teleconsultation system for skin tumors built by our team. (a) Skin tumor self-screening; (b) tele-consultation
    Intelligence teleconsultation system for skin tumors. (a) System hardware composition; (b) schematic of AI-CPI module; (c) schematic of principle
    Fig. 2. Intelligence teleconsultation system for skin tumors. (a) System hardware composition; (b) schematic of AI-CPI module; (c) schematic of principle
    Software design of intelligence teleconsultation system for skin tumors. (a) User interface; (b) workflow under network condition
    Fig. 3. Software design of intelligence teleconsultation system for skin tumors. (a) User interface; (b) workflow under network condition
    Quantification experiment of projection accuracy of AI-CPI module. (a) Schematic of experiment; (b) projection errors at different working distances; (c) projection errors at different working angles
    Fig. 4. Quantification experiment of projection accuracy of AI-CPI module. (a) Schematic of experiment; (b) projection errors at different working distances; (c) projection errors at different working angles
    Quantification experiment of resolution and color accuracy of AI-CPI module. (a) USAF 1951 resolution target plate captured by camera; (b) re-projected target plate; (c) changes in intensity of two regions of interest (ROI) along dotted line; (d) X-rite color card images taken by camera; (e) color card images after color calibration; (f) CIEDE2000 histogram before and after color correction
    Fig. 5. Quantification experiment of resolution and color accuracy of AI-CPI module. (a) USAF 1951 resolution target plate captured by camera; (b) re-projected target plate; (c) changes in intensity of two regions of interest (ROI) along dotted line; (d) X-rite color card images taken by camera; (e) color card images after color calibration; (f) CIEDE2000 histogram before and after color correction
    Teleconsultation experiment of skin tumor using proposed system. (a) Subject and system at local site; (b) experienced expert is viewing images of skin tumor; (c) deep learning algorithm deployed in system diagnoses lesion as basal cell carcinoma through dermoscopic images; (d) expert confirms that diagnosis result of algorithm is correct, and draws annotations to discuss surgical plan; annotations projected on subject skin surface by proposed system are used to indicate (e) area of tissue removed and (f) area of skin flap reconstruction
    Fig. 6. Teleconsultation experiment of skin tumor using proposed system. (a) Subject and system at local site; (b) experienced expert is viewing images of skin tumor; (c) deep learning algorithm deployed in system diagnoses lesion as basal cell carcinoma through dermoscopic images; (d) expert confirms that diagnosis result of algorithm is correct, and draws annotations to discuss surgical plan; annotations projected on subject skin surface by proposed system are used to indicate (e) area of tissue removed and (f) area of skin flap reconstruction
    MetricRegNetY-800MDermatologistp value
    Balanced accuracy0.742±0.0320.749±0.016p>0.05
    AUC0.899±0.0160.926±0.001p>0.05
    Accuracy0.727±0.0380.740±0.001p>0.05
    Specificity0.928±0.0090.932±0.001p>0.05
    Precision0.730±0.0490.752±0.011p>0.05
    Table 1. Comparison of diagnosis results of algorithm in system with those of three dermatologists
    Metric

    Dermatologist

    without AI

    Dermatologist

    with AI

    p value
    Balanced accuracy0.776±0.0110.816±0.016p<0.05
    Accuracy0.740±0.0010.780±0.016p<0.05
    AUC0.942±0.0030.949±0.004p>0.05
    Specificity0.931±0.0010.940±0.005p>0.05
    Precision0.751±0.0120.807±0.015p<0.05
    Diagnostic time(12.9±0.4)s(10.0±0.8)sp<0.05
    Table 2. Comparison of diagnostic results of dermatologists in two groups with or without AI prompts
    Zhongliang Lang, Fan Zhang, Bingxuan Wu, Pengfei Shao, Shuwei Shen, Peng Yao, Peng Liu, Xiaorong Xu. Intelligent Teleconsultation System for Skin Tumor[J]. Chinese Journal of Lasers, 2024, 51(9): 0907021
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