Abstract
BACKGROUND: Melasma is a prevalent pigmentary disorder characterized by treatment resistance and high recurrence. Existing assessment methods like the Melasma Area and Severity Index (MASI) are subjective and prone to inter-observer variability. OBJECTIVE: This study aimed to develop an AI-assisted, real-time melasma severity classification framework based on deep learning and clinical facial images. METHODS: A total of 1368 anonymized facial images were collected from clinically diagnosed melasma patients. After image preprocessing and MASI-based labeling, six CNN architectures were trained and evaluated using PyTorch. Model performance was assessed through accuracy, precision, recall, F1-score, AUC, and interpretability via Layer-wise Relevance Propagation (LRP). RESULTS: GoogLeNet achieved the best performance, with an accuracy of 0.755 and an F1-score of 0.756. AUC values across severity levels reached 0.93 (mild), 0.86 (moderate), and 0.94 (severe). LRP analysis confirmed GoogLeNet's superior feature attribution. CONCLUSION: This study presents a robust, interpretable deep learning model for melasma severity classification, offering enhanced diagnostic consistency. Future work will integrate multimodal data for more comprehensive assessment.