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Skin cancers are the most cancers diagnosed worldwide, with an estimated > 1.5 million new cases in 2020. Use of computer-aided diagnosis (CAD) systems for early detection and classification of skin lesions helps reduce skin cancer mortality rates. Inspired by the success of the transformer network in natural language processing (NLP) and the deep convolutional neural network (DCNN) in computer vision, we propose an end-to-end CNN transformer hybrid model with a focal loss (FL) function to classify skin lesion images. First, the CNN extracts low-level, local feature maps from the dermoscopic images. In the second stage, the vision transformer (ViT) globally models these features, then extracts abstract and high-level semantic information, and finally sends this to the multi-layer perceptron (MLP) head for classification. Based on an evaluation of three different loss functions, the FL-based algorithm is aimed to improve the extreme class imbalance that exists in the International Skin Imaging Collaboration (ISIC) 2018 dataset. The experimental analysis demonstrates that impressive results of skin lesion classification are achieved by employing the hybrid model and FL strategy, which shows significantly high performance and outperforms the existing work.

Skin cancer is one of the most threatening cancers, which spreads to the other parts of the body if not caught and treated early. During the last few years, the integration of deep learning into skin cancer has been a milestone in health care, and dermoscopic images are right at the center of this revolution. This review study focuses on the state-of-the-art automatic diagnosis of skin cancer from dermoscopic images based on deep learning. This work thoroughly explores the existing deep learning and its application in diagnosing dermoscopic images. This study aims to present and summarize the latest methodology in melanoma classification and the techniques to improve this. We discuss advancements in deep learning-based solutions to diagnose skin cancer, along with some challenges and future opportunities to strengthen these automatic systems to support dermatologists and enhance their ability to diagnose skin cancer. Author

Since early-stage skin cancer identification can improve melanoma prognosis and significantly reduce treatment costs, AI-based diagnosis systems might greatly benefit patients suffering from suspicious skin lesions. The study proposes a cosine cyclical learning rate with a skin cancer classification model to improve melanoma prediction. The contributions of models involve three critical CNNs, which are standard deep feature extraction modules for the skin cancer classification in this study (Vgg19, ResNet101 and InceptionV3). Each CNN model applies three different learning rates: fixed learning rate(LR), Cosine Annealing LR, and Cosine Annealing with WarmRestarts. HAM10000 is a large collection of publicly available dermoscopic images dataset used for our experiments. The performance of the proposed approach was appraised through comparative experiments. The outcome has indicated that the proposed method has high efficiency in diagnosing skin lesions with a cosine cyclical learning rate.

Deep Convolution Neural Networks (CNN) enable advanced methods to predict the skin cancer classes through the automatic analysis of digital dermoscopic images. However, small datasets' availability often allows the models to be characterized by low prediction accuracy and poor generalization ability, which significantly influences clinical decisions. This paper proposes to use an original ensembling of multiple CNNs as feature extractors able to detect and measure skin lesions atypical criteria according to the well-known diagnostic method 7-Point Check List. The experimental results show that the Artificial Intelligence-based model can suitably manage the classification uncertainty of the single CNNs and finally distinguish melanomas from benignant nevi. Diagnostic performance is promising in terms of sensitivity and specificity towards a decision-supporting system used by a dermatologist with low experience during clinical practice.