Abstract
Skin cancer is a growing global concern, with cases steadily rising. Typically, malignant moles are identified through visual inspection, using dermatoscopy and patient history. Active thermography has emerged as an effective method to distinguish between malignant and benign lesions. Our previous research showed that spatio-temporal features can be extracted from suspicious lesions to accurately determine malignancy, which was applied in a distance-based classifier. In this study, we build on that foundation by introducing a set of novel spatial and temporal features that enhance classification accuracy and can be integrated into any machine learning approach. These features were implemented in a support-vector machine classifier to detect malignancy. Notably, our method addresses a common limitation in existing approaches-manual lesion selection-by automating the process using a U-Net convolutional neural network. We validated our system by comparing U-Net's performance with expert dermatologist segmentations, achieving a 17% improvement in the Jaccard index over a semi-automatic algorithm. The detection algorithm relies on accurate lesion segmentation, and its performance was evaluated across four segmentation techniques. At an 85% sensitivity threshold, expert segmentation provided the highest specificity at 87.62%, while non-expert and U-Net segmentations achieved comparable results of 69.63% and 68.80%, respectively. Semi-automatic segmentation lagged behind at 64.45%. This automated detection system performs comparably to high-accuracy methods while offering a more standardized and efficient solution. The proposed automatic system achieves 3% higher accuracy compared to the ResNet152V2 network when processing low-quality images obtained in a clinical setting.