Artificial Intelligence (AI) can be considered an option to help in the preliminary diagnosis of skin conditions where there is no reach of speciality doctors such as Dermatologists. The mission of “creating a way to reach the unreached”, a study presented at Dermacon International 2019 conference, Bangalore.
Dr. Dheeraj N. Rao resident dermatologist D. Y. Patil University – School of Medicine under the guidance of Dr Sharmila Patil – Prof & HOD Dermatology D Y Patil Medical College presented a study at DERMACON INTERNATIONAL 2019 – INDIA, being hosted by the vibrant team of Dermatologists of IADVL Karnataka. It was the 47th National Conference of Indian Association of Dermatologists, Venereologists & Leprologists and the first ever DERMACON with an international outreach – an “Indian mission with a global vision”, held between 17th to 20th January 2019.
The results?? Dr Dheeraj mentioned in the study that “Though AI needs an improvement, most of the Non-Dermatology Doctors were outperformed by the AI app Tibot.ai on diagnosing the skin condition,”.
The basic principle of Artificial Intelligence in the diagnosis of skin condition can be understood by taking an example of a trainee dermatologist. The accuracy of the trainee is enhanced by looking at multiple cases with similar patterns. The AI works on the same principle, the Deep Neural Network of AI takes an image, converts it into numerical forms and generate from its trained model a prediction of the diagnosis. The AI enabled application, Tibot, has the capacity to learn depending on the amount of data ( history & clinical images ) fed into it.
Using this AI application (app) a structured study was formulated following the institutions ethical guidelines that took place at multiple places comprising Dermatology OPD of a Tertiary Care Hospital and private clinics in rural and semi- urban settings, with an objective to analyze the accuracy of an Artificial Intelligence tool in diagnosing skin conditions in real-world Dermatological patients.
The study Involved the following Doctors – participants
- BHMS Doctor
- BAMS Doctor
- MBBS Doctor
- Medical Officer at Govt Hospital, MBBS
- Resident Dermatologist at DY Patil
- Dermatologist Professor at DY Patil
- AI app Tibot
The study sample had a total of 398 real world dermatology cases which were analysed by each doctors mentioned and also exposed to the AI application. Majority of the cases were dominated by the Fungal infections (Tinea) which was followed by Eczema, Alopecia, Acne, Pigmentation Disorder, Psoriasis, Infestations, Bacterial Skin Infection, Viral skin infection, Immunological and others.
When the diagnosis of different doctors who participated in the study was compared it was found that all the local doctors could diagnose the case within the range of min 47.00% to max 57.50% of accuracy, which was still less than the AI app whereas the accuracy of Resident Dermatologist was found to be 90.30% as compared to the gold standard of 100.00% by the Dermatologist professor
The study ended with a conclusion that though the accuracy of the current version of the app is still less than that of the Resident Dermatologist but it performed better than most of the Non-Dermatologist doctors in the semi-urban and rural area
Though in present scenario with current version Artificial Intelligence appears to lack diagnostic accuracy as compared to a dermatologist however in the future AI shall have a significant bearing on helping a dermatologist in cases of diagnostic dilemmas.
It is also considered that this AI enabled app will be useful as Education resource, as a assistance in clinical diagnosis especially in an institution with no dermatologist and to a non-dermatologist doctor who is attempting to triage the skin lesions. It will be useful to prevent the wrong diagnosis in such situations and thereby initiating the treatment in the right direction
With a belief that Artificial Intelligence will revolutionize the standard of care in dermatology Dr Dheeraj mentioned that this technology could potentially shift the full body screening to the primary care level, improving earlier detection of skin cancers and increasing appropriate referrals. Hence one should embrace AI and learn to integrate it into our patient care paradigms rather than fearing the futuristic robo-dermatologist he added.
About D Y Patil Hospital
D Y Patil Hospital or D.Y.P.H.R.C. is a charitable hospital in Navi Mumbai, India. It was founded in 2004 by His Excellency Padmashri Dnyandeo Yashwantrao Patil. It has 1500 beds dedicated to charity, a 100-bed ICU facility, 21 operation theatres, a
24×7 charitable casualty and trauma centre.
About Polyfins Technology Inc
Polyfins Technology Inc is a healthcare start up based in California using Artificial
Intelligence to help users manage their skin conditions. Website: https://tibot.ai/
Phone: +1 858 401 2332