There are a
handful of apps that claim to be able to monitor and identify signs of
skin cancer, but the latest may be the most scientifically accurate to
date.
SkinVision
uses an algorithm that was developed over two years, using 4,000 images
from 500 live dermatological evaluations - and has an accuracy of up to
90 per cent.
Its
makers stress that the app doesn't offer a full diagnosis, and
shouldn't replace medical advice, but it can identify skin lesions as
high risk if they show signs associated with the disease.
SkinVision
was designed to help users keep track of their moles and learn how at
risk they are from melanoma skin cancer using photos of their lesions.
Once an image has been uploaded, a mathematical algorithm analyses it and provides a risk classification.
If it
detects characteristics that could potentially indicate ‘abnormal or
dangerous’ skin growth, the app will display a warning.
SKINVISION'S RISK CATEGORIES
There are three types of lesions analysed by the SkinVision app.
High-risk lesion: This lesion should be seen by a specialist immediately in order to establish if an excision is necessary.
Medium-risk lesion: This lesion should be tracked closely to determine if changes occur and your dermatologist should be aware of it.
Low-risk lesion: No immediate action is required, however a medical opinion at some point is always recommended.
If
the app detects characteristics that could potentially indicate
‘abnormal or dangerous’ skin growth, it will display a warning.
Medium and high-risk patients are then given details of nearby dermatologists and doctors through the app.
Users can additionally track how their moles evolve over time.
The
algorithm was developed by a team of board-certified dermatologists,
including Kostas Konstantinos and Cristina Cotruță, mathematicians and
image analysis experts.
Its
skin pattern recognition is based on fractal analysis, which calculates
patterns and dimensions of both a skin lesion and its surrounding
tissue.
By
calculating the fractal dimension of both the skin and the lesion, the
analysis algorithm detects any abnormal growth patterns, or behaviour.
Over
4,000 images were reviewed and peer reviewed by dermatologists, and
more than 500 live patients were assessed to establish the basis of the
algorithm.
The
algorithm is also involved in clinical studies to compare it to a
dermatologist’s evaluation of the same lesion and dermoscopy results.
When compared to the live evaluations, the algorithm matched the results and was accurate in 74 per cent of cases.
This rose to 90 per cent sensitivity when compared to demoscopy results.
But its
makers stress it is not a substitute for medical advice, and concerned
users should always get skin lesions checked out by a professional.
As a result, users are directed towards nearby dermatologists and doctors through the app.
‘Skin
conditions, in general and skin cancer (melanoma in particular), almost
always have a cause related to lifestyle,’ said the firm.
The app costs £2.99 in the UK and
$4.99 in the US, plus a monthly subscription starting at £2.99 ($4.99)
for one month, up to £17.49 ($28) for a year
‘[Our]
goal is to help change those lifestyles so that more people stay
healthy and the ones that need treatment receive it in time.’
The
app costs £2.99 in the UK and $4.99 in the US, plus a monthly
subscription starting at £2.99 ($4.99) for one month, up to £17.49 ($28)
for a year.
A nevus is a benign, or non-cancerous, melanocytic tumor, more commonly called a mole.
The
majority of moles will never cause problems, but atypical or
‘dysplastic’ moles have a higher risk of developing melanoma - the most
aggressive form of skin cancer.
About 65 per cent of melanoma cases can be attributed to ultraviolet radiation from the sun.
In
addition, SkinVision also tracks local UV exposure, on a daily basis,
to help users learn more about the dangers and the risks.
‘SkinVision does not intend to provide medical advice or replace a dermatologist’s opinion,’ said Mr Konstantinos.
‘It does not provide information on whether the mole is a malignant melanoma or a benign pigmented lesion.
‘This is why risk classifications that SkinVision provides, always carry an element of physician referral.
‘Through
skin type assessment and behavioural data, SkinVision offers tools that
allow users to better understand and track their skin health, bring
more fact-based information to their next GP or dermatologist visit and
make healthy skin part of their day-to-day lifestyle,’ said the firm.
Matt
Gass from the British Association of Dermatologists told MailOnline:
'Anything that encourages people to examine their skin is welcome,
however apps purporting to provide a treatment or diagnosis should be
looked at with a high degree of caution.
'There
is a real danger that not only will un-evaluated mole screening apps
over-diagnose, but that they may also under-diagnose and falsely
reassure the customer, who then does not seek referral for a changing
mole.
'Any
commercial mole checking devices, particularly those as accessible as
apps, must be scientifically evaluated before they can be considered
safe.
'Any new device to help distinguish worrying moles from harmless moles should be subject to rigorous assessment and evaluation.
'The danger is that commercial incentives will get in the way of patient safety and good medicine.'
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