Terminology Working Group

Goal

Considerable variability exists in the application of terms to describe the anatomic sites, diagnoses, and morphology (clinical, dermoscopic. and histologic) depicted in skin images. A lexicon of standardized terminology will facilitate teaching, content-based-image-retrieval, and consistent application of ground truth for training and implementing AI algorithms. The goal of the ISIC Terminology Working Group is to derive consensus lexicons that are consistent with broader medical ontologies based on input from the clinical and industry stakeholders, disseminate the consensus lexicons, and encourage adoption of same.

Accomplishments

Publications

Kittler, Harald, et al. "Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy." Journal of the American Academy of Dermatology 74.6 (2016): 1093-1106.

Kenneweg, Katherine A., et al. "Developing an international standard for the classification of surface anatomic location for use in clinical practice and epidemiologic research." Journal of the American Academy of Dermatology 80.6 (2019): 1564-1584.

Navarrete‐Dechent, Cristian, et al. "Human surface anatomy terminology for dermatology: a Delphi consensus from the International Skin Imaging Collaboration." Journal of the European Academy of Dermatology and Venereology 34.11 (2020): 2659-2663.

Terminology Consensus

The Terminology Working Group has, through a series of Delphi projects and consensus meetings developed lexicons for neoplastic dermoscopic morphology, skin surface anatomy, and clinically relevant pathology diagnoses for cutaneous malignancy. The dermoscopy consensus terminology has been published and is undergoing revision based on original research by the members of the Working Group which has quantified the interobserver reproducibility of the terminology in the the Expert Agreement Study on Dermoscopy of Melanocytic Lesions. The surface anatomy lexicon has been published and incorporated into the most recent edition of ICD (International Classification of Diseases) codes. The pathology lexicon has been completed and is undergoing peer review.

Goal

The AI working group's goal is to promote the development of accurate and effective computerized systems to aid melanoma diagnosis and clinical decision support by creating resources for and engaging the dermatology and computer science communities.

We engage our stakeholder communities through meetings, publications and conferences. We also host AI grand and live challenges.

Publications

Kittler, Harald, et al. "Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy." Journal of the American Academy of Dermatology 74.6 (2016): 1093-1106.

Kenneweg, Katherine A., et al. "Developing an international standard for the classification of surface anatomic location for use in clinical practice and epidemiologic research." Journal of the American Academy of Dermatology 80.6 (2019): 1564-1584.

Navarrete‐Dechent, Cristian, et al. "Human surface anatomy terminology for dermatology: a Delphi consensus from the International Skin Imaging Collaboration." Journal of the European Academy of Dermatology and Venereology 34.11 (2020): 2659-2663.

Terminology Consensus

The Terminology Working Group has, through a series of Delphi projects and consensus meetings developed lexicons for neoplastic dermoscopic morphology, skin surface anatomy, and clinically relevant pathology diagnoses for cutaneous malignancy. The dermoscopy consensus terminology has been published and is undergoing revision based on original research by the members of the Working Group which has quantified the interobserver reproducibility of the terminology in the the Expert Agreement Study on Dermoscopy of Melanocytic Lesions. The surface anatomy lexicon has been published and incorporated into the most recent edition of ICD (International Classification of Diseases) codes. The pathology lexicon has been completed and is undergoing peer review.

Accomplishments

Leader

Harald Kittler, MD

Medical University of Vienna

Vienna, Austria

Medical University of Vienna

Harald Kittler, MD

Leader

Working Group Members

Arisedale S. Maria Nuova

Reggio Emilia, Italy

Guiseppe Argenziano, MD

University Hosptial Zurich

Zurich, Switzerland

Ralph P. Braun, MD

Medical University of Graz

Graz, Austria

Rainer Hofmann Wellenhof, MD

University of Sydney at the Sydney Cancer Centre

Sydney, Australia

Scott W. Menzies, MD

Pontificia Universidad Catlica

Santiago, Chile

Cristian Navarrete, MD

Hospital Clinical of Barcelona

Barcelona, Spain

Susana Puig, MD

Sheba Medical Center

Tel Aviv, Israel

Alon Scope, MD

New York University

New York, NY, USA

Jennifer Stein, MD

Munich Municipal Hospital Group

Germany

Wilhelm Stolz, MD

University Claude Bernard

Lyon, France

Luc Thomas, MD, PhD

Ohio State University

Columbus, OH, USA

Shannon Trotter, DO

Medical University of Graz

Graz, Austria

Iris Zalaudek, MD

Memorial Sloan Kettering Cancer Center

New York, NY, USA

Ashfaq Marghoob, MD

The University of Queensland

Brisbane, Australia

H. Peter Soyer, MD, PhD

Medical University of Vienna, Vienna, Austria

Vienna, Austria

Philipp Tschandl, MD, PhD

Andreas Sygros Hospital of Skin and Venereological Disease

Athens, Greece

Konstantinos Liopyris, MD

Anatomy Mapper, Bravia Dermatology, Molenda Consulting

Toledo, OH, USA

Matt Molenda, MD

University of Missouri Health System

USA

William Stoecker, MD

Next Steps

Collaborate with the International Dermoscopy Society to refine the lexicon for dermoscopy terminology based on the results of the Expert Agreement Study on Dermoscopy of Melanocytic Lesions.
Define the boundaries of each anatomic region with methods that can be applied to both 2D and 3D skin images.