Dermatologist versus artificial intelligence confidence in dermoscopy diagnosis: Complementary information that may affect decision-making.

In dermatology, deep learning may be applied for skin lesion classification. However, for a given input image, a neural network only outputs a label, obtained using the class probabilities, which do not model uncertainty. Our group developed a novel method to quantify uncertainty in stochastic neural networks. In this study, we aimed to train such network for skin lesion classification and evaluate its diagnostic performance and uncertainty, and compare the results to the assessments by a group of dermatologists. By passing duplicates of an image through such a stochastic neural network, we obtained distributions per class, rather than a single probability value. We interpreted the overlap between these distributions as the output uncertainty, where a high overlap indicated a high uncertainty, and vice versa. We had 29 dermatologists diagnose a series of skin lesions and rate their confidence. We compared these results to those of the network. The network achieved a sensitivity and specificity of 50% and 88%, comparable to the average dermatologist (respectively 68% and 73%). Higher confidence/less uncertainty was associated with better diagnostic performance both in the neural network and in dermatologists. We found no correlation between the uncertainty of the neural network and the confidence of dermatologists (R = -0.06, p = 0.77). Dermatologists should not blindly trust the output of a neural network, especially when its uncertainty is high. The addition of an uncertainty score may stimulate the human-computer interaction.

Data-Efficient Sensor Upgrade Path Using Knowledge Distillation.

Deep neural networks have achieved state-of-the-art performance in image classification. Due to this success, deep learning is now also being applied to other data modalities such as multispectral images, lidar and radar data. However, successfully training a deep neural network requires a large reddataset. Therefore, transitioning to a new sensor modality (e.g., from regular camera images to multispectral camera images) might result in a drop in performance, due to the limited availability of data in the new modality. This might hinder the adoption rate and time to market for new sensor technologies. In this paper, we present an approach to leverage the knowledge of a teacher network, that was trained using the original data modality, to improve the performance of a student network on a new data modality: a technique known in literature as knowledge distillation. By applying knowledge distillation to the problem of sensor transition, we can greatly speed up this process. We validate this approach using a multimodal version of the MNIST dataset. Especially when little data is available in the new modality (i.e., 10 images), training with additional teacher supervision results in increased performance, with the student network scoring a test set accuracy of 0.77, compared to an accuracy of 0.37 for the baseline. We also explore two extensions to the default method of knowledge distillation, which we evaluate on a multimodal version of the CIFAR-10 dataset: an annealing scheme for the hyperparameter α and selective knowledge distillation. Of these two, the first yields the best results. Choosing the optimal annealing scheme results in an increase in test set accuracy of 6%. Finally, we apply our method to the real-world use case of skin lesion classification.