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Skin lesions are organized in a hierarchical way, which is taken into account by dermatologists when diagnosing them. However, automatic systems do not make use of this information, performing the diagnosis in a one-vs-all approach, where all types of lesions are considered. In this paper we propose to mimic the medical strategy and train a deep-learning architecture to perform a hierarchical diagnosis. Our results highlight the benefits of addressing the classification of dermoscopy images in a structured way. Additionally, we provide an extensive evaluation of criteria that must be taken into account in the development of diagnostic systems based on deep learning.
Barata et al. (Mon,) studied this question.
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