Short-Term Lesion Change Detection for Melanoma Screening With Novel Siamese Neural Network.

Short-term monitoring of lesion changes has been a widely accepted clinical guideline for melanoma screening. When there is a significant change of a melanocytic lesion at three months, the lesion will be excised to exclude melanoma. However, the decision on change or no-change heavily depends on the experience and bias of individual clinicians, which is subjective. For the first time, a novel deep learning based method is developed in this paper for automatically detecting short-term lesion changes in melanoma screening. The lesion change detection is formulated as a task measuring the similarity between two dermoscopy images taken for a lesion in a short time-frame, and a novel Siamese structure based deep network is proposed to produce the decision: changed (i.e. not similar) or unchanged (i.e. similar enough). Under the Siamese framework, a novel structure, namely Tensorial Regression Process, is proposed to extract the global features of lesion images, in addition to deep convolutional features. In order to mimic the decision-making process of clinicians who often focus more on regions with specific patterns when comparing a pair of lesion images, a segmentation loss (SegLoss) is further devised and incorporated into the proposed network as a regularization term. To evaluate the proposed method, an in-house dataset with 1,000 pairs of lesion images taken in a short time-frame at a clinical melanoma centre was established. Experimental results on this first-of-a-kind large dataset indicate that the proposed model is promising in detecting the short-term lesion change for objective melanoma screening.