دورية أكاديمية
A survey of skin tone assessment in prospective research.
| العنوان: | A survey of skin tone assessment in prospective research. |
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| المؤلفون: | Weir VR; Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Dempsey K; Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA., Gichoya JW; Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA., Rotemberg V; Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA. rotembev@mskcc.org., Wong AI; Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA. a.ian.wong@duke.edu.; Department of Biostatistics and Bioinformatics, Division of Translational Biomedical Informatics, Duke University, Durham, NC, USA. a.ian.wong@duke.edu. |
| المصدر: | NPJ digital medicine [NPJ Digit Med] 2024 Jul 17; Vol. 7 (1), pp. 191. Date of Electronic Publication: 2024 Jul 17. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101731738 Publication Model: Electronic Cited Medium: Internet ISSN: 2398-6352 (Electronic) Linking ISSN: 23986352 NLM ISO Abbreviation: NPJ Digit Med Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] ; New York : Nature Publishing Group, [2018]- |
| مستخلص: | Increasing evidence supports reduced accuracy of noninvasive assessment tools, such as pulse oximetry, temperature probes, and AI skin diagnosis benchmarks, in patients with darker skin tones. The FDA is exploring potential strategies for device regulation to improve performance across diverse skin tones by including skin tone criteria. However, there is no consensus about how prospective studies should perform skin tone assessment in order to take this bias into account. There are several tools available to conduct skin tone assessments including administered visual scales (e.g., Fitzpatrick Skin Type, Pantone, Monk Skin Tone) and color measurement tools (e.g., reflectance colorimeters, reflectance spectrophotometers, cameras), although none are consistently used or validated across multiple medical domains. Accurate and consistent skin tone measurement depends on many factors including standardized environments, lighting, body parts assessed, patient conditions, and choice of skin tone assessment tool(s). As race and ethnicity are inadequate proxies for skin tone, these considerations can be helpful in standardizing the effect of skin tone on studies such as AI dermatology diagnoses, pulse oximetry, and temporal thermometers. Skin tone bias in medical devices is likely due to systemic factors that lead to inadequate validation across diverse skin tones. There is an opportunity for researchers to use skin tone assessment methods with standardized considerations in prospective studies of noninvasive tools that may be affected by skin tone. We propose considerations that researchers must take in order to improve device robustness to skin tone bias. (© 2024. The Author(s).) |
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| معلومات مُعتمدة: | UL1TR002553 U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS); R01 HL167811 United States HL NHLBI NIH HHS; 75N92020C00021 United States HL NHLBI NIH HHS; P30 CA008748 United States CA NCI NIH HHS; U54MD012530 U.S. Department of Health & Human Services | NIH | National Institute on Minority Health and Health Disparities (NIMHD); UL1 TR002553 United States TR NCATS NIH HHS; 75N92020C00008 United States HL NHLBI NIH HHS; U54 MD012530 United States MD NIMHD NIH HHS |
| تواريخ الأحداث: | Date Created: 20240716 Latest Revision: 20240719 |
| رمز التحديث: | 20240719 |
| مُعرف محوري في PubMed: | PMC11252344 |
| DOI: | 10.1038/s41746-024-01176-8 |
| PMID: | 39014060 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2398-6352 |
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| DOI: | 10.1038/s41746-024-01176-8 |