Accurate Segmentation and Registration of Skin Lesion Images to Evaluate Lesion Change

Skin cancer is a major health problem. There are several techniques to help diagnose skin lesions from a captured image. Computer-aided diagnosis (CAD) systems operate on single images of skin lesions, extracting lesion features to further classify them and help the specialists. Accurate feature extraction, which later on depends on precise lesion segmentation, is key for the performance of these systems. In this paper, we present a skin lesion segmentation algorithm based on a novel adaptation of superpixels techniques and achieve the best reported results for the ISIC 2017 challenge dataset. Additionally, CAD systems have paid little attention to a critical criterion in skin lesion diagnosis: the lesion's evolution. This requires operating on two or more images of the same lesion, captured at different times but with a comparable scale, orientation, and point of view; in other words, an image registration process should first be performed. We also propose in this work, an image registration approach that outperforms top image registration techniques. Combined with the proposed lesion segmentation algorithm, this allows for the accurate extraction of features to assess the evolution of the lesion. We present a case study with the lesion-size feature, paving the way for the development of automatic systems to easily evaluate skin lesion evolution.