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Comment on Artificial Intelligence in Trichology.

Ralph Michel Trüeb1

  • 1Center for Dermatology and Hair Diseases Professor Trüeb, University of Zurich, Zurich, Switzerland.

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|December 5, 2025
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Summary
This summary is machine-generated.

Artificial intelligence (AI) shows promise in trichoscopy for automated image analysis. However, its current effectiveness in medical practice is limited, and AI should not replace physician expertise.

Keywords:
Algorithmsartificial intelligenceautomated image analysistrichoscopy

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Area of Science:

  • Dermatology
  • Trichology
  • Medical Informatics

Background:

  • Artificial intelligence (AI) has evolved significantly since its inception, influencing automation and data-driven decisions in healthcare.
  • The European Academy of Dermatology and Venereology Spring Symposium 2024 highlighted AI's role in dermatology, particularly in trichoscopy.
  • Trichoscopic images are of interest for AI-driven automated medical image analysis due to standardized imaging and limited diagnoses.

Purpose of the Study:

  • To evaluate the contribution and practical utility of AI in trichoscopy.
  • To discuss the impact of AI-driven diagnostic algorithms on physician clinical reasoning.
  • To assess the readiness of AI technology for widespread adoption in medical practice.

Main Methods:

  • Review of AI applications in trichoscopy and dermoscopy.
  • Analysis of the effectiveness of computer-assisted diagnostic tools.
  • Discussion on the integration of AI into clinical workflows and its impact on physician decision-making.

Main Results:

  • AI shows potential in automated analysis of trichoscopic images.
  • Costly, multi-parameter AI analysis in trichoscopy is currently least effective in medical practice.
  • Diagnostic algorithms may discourage independent physician thinking and creativity.

Conclusions:

  • AI's utility in trichoscopy requires further experimentation and practical experience before widespread adoption.
  • Machines cannot replace the critical thinking and diagnostic acumen of a physician.
  • Over-reliance on AI may erode physician confidence and the art of medical practice.