Skin cancer is the cancer type with the highest incidence in the world. Its diagnosis requires a specialist physician, with expertise in skin diagnostics. Thermography is a noninvasive technique based on the detection of infrared emission that is completely safe to humans. In this study, thermal images of clinically similar lesions were registered and analyzed aiming to provide a noninvasive diagnostic information for discrimination of: basal cell carcinoma versus intradermal nevus, squamous cell carcinoma versus actinic keratosis, and melanoma versus pigmented seborrheic keratosis. Thermal images were analyzed using a MATLAB® routine to evaluate statistical, histogram, and filtering metrics of each image, and a support vector machine classifier was used to discriminate the lesions based on those metrics values. Actinic keratoses and squamous cell carcinoma showed distinct average temperatures, whereas the other pairs of lesions presented similar temperatures. Nevertheless, the benign lesions showed higher definition of borders detection than malignant lesions, as a general rule. The results showed that support vector machine classifier has great ability for discrimination of clinically similar lesions based on their thermal images, suggesting that the thermography can be used as an auxiliary tool for the diagnosis of skin malignant lesions.

1.
A.
Lomas
,
J.
Leonardi-Bee
, and
F.
Bath-Hextall
, “
A systematic review of worldwide incidence of nonmelanoma skin cancer
,”
Br. J. Dermatol.
166
(
5
),
1069
1080
(
2012
).
2.
See http://www1.inca.gov.br/english for incidence of melanoma and deaths due to the disease in Brazil.
3.
R.
Marks
, “
Squamous cell carcinoma
,”
Lancet
347
,
735
738
(
1996
).
4.
R. L.
Moy
, “
Clinical presentation of actinic keratoses and squamous cell carcinoma
,”
J. Am. Acad. Dermatol.
42
(
1
),
S8
S10
(
2000
).
5.
M. T.
Fernández-Figueras
,
C.
Carrato
,
X.
Sáenz
,
L.
Puig
,
E.
Mausulen
,
C.
Ferrándiz
, and
A.
Ariza
, “
Actinic keratosis with atypical basal cells (AK I) is the most common lesion associated with invasive squamous cell carcinoma of the skin
,”
J. European Acad. Dermatol. Venereol.
29
,
991
997
(
2015
).
6.
Z.
Jiyad
,
P. O.
Rourke
,
H. P.
Soyer
, and
A. C.
Green
, “
Actinic keratosis-related signs predictive of squamous cell carcinoma in renal transplant recipients: A nested case-control study
,”
Br. J. Dermatol.
176
,
965
970
(
2017
).
7.
S. L.
Winsey
,
N. A.
Haldar
,
H. P.
Marsh
,
M.
Bunce
,
S. E.
Marshall
,
A. L.
Harris
,
F.
Wojnarowska
, and
K. I.
Welsh
, “
A variant within the DNA repair gene XRCC3 is associated with the development of melanoma skin cancer
,”
Cancer Res.
60
(2),
5612
5616
(
2000
).
8.
V.
De Giorgi
,
D.
Massi
,
M.
Stante
, and
P.
Carli
, “
False ‘melanocytic’ parameters shown by pigmented seborrheic keratoses: A finding which is not uncommon in dermoscopy
,”
Dermatol. Surg.
28
(8),
776
779
(
2002
).
9.
H.
Kittler
,
H.
Pehamberger
,
K.
Wolff
, and
M.
Binder
, “
Diagnostic accuracy of dermoscopy
,”
Lancet Oncol.
3
,
159
165
(
2002
).
10.
A.
Sorensen
,
S.
Wolter
,
N.
Patel
,
R.
Hansen
, and
H.
Price
, “
Dermoscopy for identification of basal cell carcinomas in basal cell nevus syndrome during carbon dioxide laser surgery
,”
Pediatr. Dermatol.
33
(
1
),
109
111
(
2016
).
11.
G. G.
Rezze
,
B. C. S.
De Sá
, and
R. I.
Neves
, “
Dermoscopy: The pattern analysis
,”
An. Bras. Dermatol.
81
(
3
),
261
268
(
2006
).
12.
Estadão
, “
Mais da metade dos pacientes precisa sair de suas cidades para fazer exames no Brasil
,” p.
1750647
, see http://brasil.estadao.com.br/noticias/geral,mais-da-metade-dos-pacientes-precisa-sair-de-suas-cidades-para-fazer-exames-no-brasil (last accessed January 13,
2017
).
13.
J. R.
Lacowicz
,
Principles of Fluorescence Spectroscopy
, 2nd ed. (
Plenum
,
New York
,
1999
).
14.
C. T.
Andrade
,
J. D.
Vollet-Filho
,
A. G.
Salvio
,
V. S.
Bagnato
, and
C.
Kurachi
, “
Identification of skin lesions through aminolevulinic acid-mediated photodynamic detection
,”
Photodiagn. Photodyn. Ther.
11
(
3
),
409
415
(
2014
).
15.
W. M.
White
,
M.
Rajadhyaksha
,
S.
Gonzalez
,
R. L.
Fabian
, and
R. R.
Anderson
, “
Noninvasive imaging of human oral mucosa in vivo by confocal reflectance microscopy
,” Trans.
Am. Laryngol. Rhinol. Otol. Soc.
109
(10),
1709
1717
(
1999
).
16.
S.
González
and
Z.
Tannous
, “
Real-time, in vivo confocal reflectance microscopy of basal cell carcinoma
,”
J. Am. Acad. Dermatol.
47
,
869
874
(
2002
).
17.
R.
Haddad
,
A.
Blumenfeld
,
A.
Siegal
,
O.
Kaplan
,
M.
Cohen
,
Y.
Skornick
, and
H.
Kashtan
, “
In vitro and in vivo effects of photodynamic therapy on murine malignant melanoma
,”
Ann. Surg. Oncol.
5
(
3
),
241
247
(
1998
).
18.
N.
Arora
,
D.
Martins
,
D.
Ruggerio
,
E.
Tousimis
,
A. J.
Swistel
,
M. P.
Osborne
, and
R. M.
Simmons
, “
Effectiveness of a noninvasive digital infrared thermal imaging system in the detection of breast cancer
,”
Am. J. Surg.
196
,
523
526
(
2008
).
19.
T. M.
Buzug
,
S.
Schumann
,
L.
Pfaffmann
,
U.
Reinhold
, and
J.
Ruhlmann
, “
Functional infrared imaging for skin-cancer screening
,” in
Proceedings of Annu. Int. Conf. on IEEE Eng. Med. Biol.
(
2006
), pp.
2766
2769
.
20.
D. A.
Kennedy
,
T.
Lee
, and
D.
Seely
, “
A comparative review of thermography as a breast cancer screening technique
,”
Integr. Cancer Ther.
8
(
1
),
9
16
(
2009
).
21.
B. F.
Jones
, “
A reappraisal of the use of infrared thermal image analysis in medicine
,”
IEEE Trans. Med. Imaging
17
(
6
),
1019
1027
(
1998
).
22.
J.
Kerr
and
N.
Zealand
, “
Review of the effectiveness of infrared thermal imaging (thermography) for population screening and diagnostic testing of breast cancer
,” in
New Zealand Health Technology Assessment
, Brief Series (NZHTA,
2004
), Vol.
3
, Issue
3
.
23.
R.
Gade
and
T. B.
Moeslund
, “
Thermal cameras and applications: A survey
,”
Mach. Vision Appl.
25
,
245
262
(
2014
).
24.
S. E.
Godoy
,
D. A.
Ramirez
,
S. A.
Myers
,
G.
Von Winckel
,
S.
Krishna
,
M.
Berwick
,
R. S.
Padilla
,
P.
Sen
, and
S.
Krishna
, “Dynamic infrared imaging skin cancer screening,”
Infrared Phys. Technol.
70
,
147
152
(
2015
).
25.
A. L.
Shada
,
L. T.
Dengel
,
G. R.
Petroni
,
M. E.
Smolkin
,
S.
Acton
, and
C. L.
Slingluff
, “
Infrared thermography of cutaneous melanoma metastases
,”
J. Surg. Res.
182
(
1
),
e9
e14
(
2013
).
26.
I.
El-naqa
,
S.
Member
,
Y.
Yang
,
M. N.
Wernick
,
S.
Member
,
N. P.
Galatsanos
,
S.
Member
, and
R. M.
Nishikawa
,
IEEE Trans. Med. Imaging
21
(
12
),
1552
1563
(
2002
).
27.
S.
Chaplot
,
L. M.
Patnaik
, and
N. R.
Jagannathan
, “
Classification of magnetic resonance brain images using wavelets as input to support vector machine and neural network
,”
Biomed. Signal Process. Control
1
,
86
92
(
2006
).
28.
E.
Ricci
and
R.
Perfetti
, “
Retinal blood vessel segmentation using line operators and support vector classification
,”
IEEE Trans. Med. Imaging
26
(
10
),
1357
1365
(
2007
).
29.
Fluke®
, “
Fluke Ti400 infrared camera
,” see http://en-us.fluke.com/products/infrared-cameras/fluke-ti400-infrared-camera.html. (last accessed September 29,
2016
).
30.
R. C.
Gonzales
and
R. E.
Woods
,
Digital Image Processing
(
Addison-Wesley Publishing Company
,
1993
).
31.
T.
Acharya
and
A. K.
Ray
,
Image Processing Principle and Applications
(
John Wiley & Sons
,
2005
).
32.
L.
da
,
F.
da Costa
, and
R. M.
Cesar
, Jr.
,
Shape Analysis and Classification: Theory and Practice
(
CRC Press, Inc.
,
2000
).
33.
R. M.
Haralick
,
K.
Shanmugam
, and
I.
Dinstein
, “
Textural features for image classification
,”
IEEE Trans. Syst., Man, Cybern.
3
(
6
),
610
621
(
1973
).
34.
MathWorks®
, “
Graycoprops
,” see http://www.mathworks.com/help/images/ref/graycoprops.html (last accessed September 29,
2016
).
35.
C.
Cortes
and
V.
Vapnik
, “
Support-vector networks
,”
Mach. Learn.
20
(
3
),
273
297
(
1995
).
36.
D. G.
Altman
and
J. M.
Bland
, “
Diagnostic tests 1: Sensitivity and specificity
,”
Br. Med. J.
308
,
1552
(
1994
).
37.
D. M. W.
Powers
, “
Evaluation: From precision, recall and F-factor To ROC, informedness, markedness & correlation
,”
J. Mach. Learn. Technol.
2
(1),
37
63
(
2011
).
38.
T.
Fawcett
, “
An introduction to ROC analysis
,”
Pattern Recognit. Lett.
27
,
861
874
(
2006
).
39.
A.
Lallas
,
J.
Pyne
,
A.
Kyrgidis
,
S.
Andreani
,
G.
Argenziano
,
A.
Cavaller
,
J.
Giacomel
,
C.
Longo
,
A.
Malvestiti
,
E.
Moscarella
,
S.
Piana
,
F.
Specchio
,
R.
Hofmann-Wellenhof
, and
I.
Zalaudek
, “
The clinical and dermoscopic features of invasive cutaneous squamous cell carcinoma depend on the histopathological grade of differentiation
,”
Br. J. Dermatol.
172
(
5
),
1308
1315
(
2015
).
40.
M. T.
Dornelas
,
M. F.
Rodrigues
,
D. C.
Machado
,
Â. M.
Gollner
, and
A. P.
Ferreira
, “
Expressão de marcadores de proliferação celular e apoptose no carcinoma espinocelular de pele e ceratose actínica
,”
An. Bras. Dermatol.
84
(
5
),
469
475
(
2009
).
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