Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network

<h3>Objective</h3><p dir="ltr">Skin diseases, caused by various pathogens including bacteria, viruses, and fungi, are prevalent globally and significantly affect patients’ physical, emotional, and social well-being. Early and accurate detection of such conditions is criti...

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Main Author: Khadija Manzoor (22565369) (author)
Other Authors: Nauman U Gilal (22565372) (author), Marco Agus (8032898) (author), Jens Schneider (16885948) (author)
Published: 2025
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author Khadija Manzoor (22565369)
author2 Nauman U Gilal (22565372)
Marco Agus (8032898)
Jens Schneider (16885948)
author2_role author
author
author
author_facet Khadija Manzoor (22565369)
Nauman U Gilal (22565372)
Marco Agus (8032898)
Jens Schneider (16885948)
author_role author
dc.creator.none.fl_str_mv Khadija Manzoor (22565369)
Nauman U Gilal (22565372)
Marco Agus (8032898)
Jens Schneider (16885948)
dc.date.none.fl_str_mv 2025-07-13T09:00:00Z
dc.identifier.none.fl_str_mv 10.1177/20552076251351858
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Dual-stage_segmentation_and_classification_framework_for_skin_lesion_analysis_using_deep_neural_network/30541355
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Engineering
Biomedical engineering
Health sciences
Health services and systems
Information and computing sciences
Artificial intelligence
Skin lesion segmentation
deep learning
image augmentation
skin disease classification
skin cancer
dc.title.none.fl_str_mv Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objective</h3><p dir="ltr">Skin diseases, caused by various pathogens including bacteria, viruses, and fungi, are prevalent globally and significantly affect patients’ physical, emotional, and social well-being. Early and accurate detection of such conditions is critical to prevent progression, especially in cases of malignant skin lesions. This study aims to develop a dual-stage deep learning framework for the segmentation and classification of skin lesions, addressing challenges such as imbalanced data, lesion variability, and low contrast.</p><h3>Methods</h3><p dir="ltr">We propose a two-phase framework: (i) Precise instance segmentation using U-Net with a Visual Geometry Group (VGG16 encoder) to isolate skin lesions and (ii) classification using EfficientFormer and SwiftFormer networks to evaluate performance on both balanced and imbalanced datasets. Experiments were conducted on three benchmark datasets: Human against machine with 10,000 training images (HAM10000), International Skin Imaging Collaboration (ISIC) 2018, and the newly released ISIC 2024 SLICE-3D dataset. For SLICE-3D, we evaluated both tabular-only and image + metadata fusion approaches using XGBoost classifier and ResNet-based classifier, respectively.</p><h3>Results</h3><p dir="ltr">On the balanced HAM10000 dataset, EfficientFormerV2 achieved 97.11% accuracy, a 97.14% F 1 -score, 96.85% sensitivity, and 96.70% specificity. On the ISIC 2018 dataset, the segmentation model achieved 97.59% accuracy, 89.12% Jaccard index, and 94.24% Dice similarity coefficient. For the ISIC 2024 SLICE-3D challenge, the tabular-only XGBoost classifier achieved a partial area under the receiver operating characteristic curve score of 0.16752, while the image + tabular fusion model achieved a score of 0.15792 using ResNet, demonstrating competitive performance in a highly imbalanced and clinically realistic setting.</p><h3>Conclusion</h3><p dir="ltr">The proposed dual-stage deep learning framework demonstrates high accuracy and robustness across segmentation and classification tasks on diverse datasets. Its adaptability to large-scale, non-dermoscopic data such as SLICE-3D confirms its potential for deployment in real-world skin cancer triage and teledermatology applications.</p><h2>Other Information</h2><p dir="ltr">Published in: DIGITAL HEALTH<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/20552076251351858" target="_blank">https://dx.doi.org/10.1177/20552076251351858</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1177/20552076251351858
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/30541355
publishDate 2025
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spelling Dual-stage segmentation and classification framework for skin lesion analysis using deep neural networkKhadija Manzoor (22565369)Nauman U Gilal (22565372)Marco Agus (8032898)Jens Schneider (16885948)EngineeringBiomedical engineeringHealth sciencesHealth services and systemsInformation and computing sciencesArtificial intelligenceSkin lesion segmentationdeep learningimage augmentationskin disease classificationskin cancer<h3>Objective</h3><p dir="ltr">Skin diseases, caused by various pathogens including bacteria, viruses, and fungi, are prevalent globally and significantly affect patients’ physical, emotional, and social well-being. Early and accurate detection of such conditions is critical to prevent progression, especially in cases of malignant skin lesions. This study aims to develop a dual-stage deep learning framework for the segmentation and classification of skin lesions, addressing challenges such as imbalanced data, lesion variability, and low contrast.</p><h3>Methods</h3><p dir="ltr">We propose a two-phase framework: (i) Precise instance segmentation using U-Net with a Visual Geometry Group (VGG16 encoder) to isolate skin lesions and (ii) classification using EfficientFormer and SwiftFormer networks to evaluate performance on both balanced and imbalanced datasets. Experiments were conducted on three benchmark datasets: Human against machine with 10,000 training images (HAM10000), International Skin Imaging Collaboration (ISIC) 2018, and the newly released ISIC 2024 SLICE-3D dataset. For SLICE-3D, we evaluated both tabular-only and image + metadata fusion approaches using XGBoost classifier and ResNet-based classifier, respectively.</p><h3>Results</h3><p dir="ltr">On the balanced HAM10000 dataset, EfficientFormerV2 achieved 97.11% accuracy, a 97.14% F 1 -score, 96.85% sensitivity, and 96.70% specificity. On the ISIC 2018 dataset, the segmentation model achieved 97.59% accuracy, 89.12% Jaccard index, and 94.24% Dice similarity coefficient. For the ISIC 2024 SLICE-3D challenge, the tabular-only XGBoost classifier achieved a partial area under the receiver operating characteristic curve score of 0.16752, while the image + tabular fusion model achieved a score of 0.15792 using ResNet, demonstrating competitive performance in a highly imbalanced and clinically realistic setting.</p><h3>Conclusion</h3><p dir="ltr">The proposed dual-stage deep learning framework demonstrates high accuracy and robustness across segmentation and classification tasks on diverse datasets. Its adaptability to large-scale, non-dermoscopic data such as SLICE-3D confirms its potential for deployment in real-world skin cancer triage and teledermatology applications.</p><h2>Other Information</h2><p dir="ltr">Published in: DIGITAL HEALTH<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/20552076251351858" target="_blank">https://dx.doi.org/10.1177/20552076251351858</a></p>2025-07-13T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1177/20552076251351858https://figshare.com/articles/journal_contribution/Dual-stage_segmentation_and_classification_framework_for_skin_lesion_analysis_using_deep_neural_network/30541355CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/305413552025-07-13T09:00:00Z
spellingShingle Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
Khadija Manzoor (22565369)
Engineering
Biomedical engineering
Health sciences
Health services and systems
Information and computing sciences
Artificial intelligence
Skin lesion segmentation
deep learning
image augmentation
skin disease classification
skin cancer
status_str publishedVersion
title Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
title_full Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
title_fullStr Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
title_full_unstemmed Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
title_short Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
title_sort Dual-stage segmentation and classification framework for skin lesion analysis using deep neural network
topic Engineering
Biomedical engineering
Health sciences
Health services and systems
Information and computing sciences
Artificial intelligence
Skin lesion segmentation
deep learning
image augmentation
skin disease classification
skin cancer