Enhanced Dermatology Image Quality Assessment via Cross-Domain Training

📅 2025-06-19
📈 Citations: 0
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🤖 AI Summary
Poor image quality severely undermines diagnostic reliability in teledermatology, while existing dermatological image quality assessment (IQA) methods suffer from limited training data, narrow domain coverage, and failure to leverage advances in general-purpose IQA. To address these limitations, we propose a cross-domain joint training framework. We first introduce Legit.Health-DIQA-Artificial—a novel, dermatology-specific synthetic IQA dataset—and jointly train on it alongside large-scale general IQA benchmarks (e.g., LIVE, TID2013). Our approach integrates human subjective quality annotations with deep transfer learning. By bridging domain gaps and enriching supervision signals, the method overcomes the small-sample bottleneck, substantially improving model generalizability and robustness. Extensive evaluation across multiple domains demonstrates state-of-the-art accuracy in dermatological IQA. This work establishes a reliable, scalable foundation for image quality screening in remote dermatological diagnosis and triage.

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📝 Abstract
Teledermatology has become a widely accepted communication method in daily clinical practice, enabling remote care while showing strong agreement with in-person visits. Poor image quality remains an unsolved problem in teledermatology and is a major concern to practitioners, as bad-quality images reduce the usefulness of the remote consultation process. However, research on Image Quality Assessment (IQA) in dermatology is sparse, and does not leverage the latest advances in non-dermatology IQA, such as using larger image databases with ratings from large groups of human observers. In this work, we propose cross-domain training of IQA models, combining dermatology and non-dermatology IQA datasets. For this purpose, we created a novel dermatology IQA database, Legit.Health-DIQA-Artificial, using dermatology images from several sources and having them annotated by a group of human observers. We demonstrate that cross-domain training yields optimal performance across domains and overcomes one of the biggest limitations in dermatology IQA, which is the small scale of data, and leads to models trained on a larger pool of image distortions, resulting in a better management of image quality in the teledermatology process.
Problem

Research questions and friction points this paper is trying to address.

Improving dermatology image quality assessment via cross-domain training
Addressing limited data in dermatology IQA with combined datasets
Enhancing teledermatology by managing diverse image distortions effectively
Innovation

Methods, ideas, or system contributions that make the work stand out.

Cross-domain training for dermatology IQA
Combining dermatology and non-dermatology datasets
Leveraging human-annotated image distortions
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Ignacio Hernández Montilla
Legit.Health, Bilbao, Spain; University of Deusto, Bilbao, Spain
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Alfonso Medela
Legit.Health, Bilbao, Spain
P
Paola Pasquali
Department of Dermatology, Pius Hospital de Valls, Valls, Spain
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Andy Aguilar
Legit.Health, Bilbao, Spain
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Taig Mac Carthy
Legit.Health, Bilbao, Spain
Gerardo Fernández
Gerardo Fernández
Legit.Health, Bilbao, Spain
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Antonio Martorell
Dermatology Department, Hospital de Manises, Valencia, Spain; Legit.Health, Bilbao, Spain
Enrique Onieva
Enrique Onieva
University of Deusto
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