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Position statement of the EADV Artificial Intelligence ( AI ) Task Force on AI ‐assisted smartphone apps and web‐based services for skin disease

Journal of the European Academy of Dermatology and Venereology, vol. 38, pp. 22–30

Abstract

BACKGROUND: As the use of smartphones continues to surge globally, mobile applications (apps) have become a powerful tool for healthcare engagement. Prominent among these are dermatology apps powered by Artificial Intelligence (AI), which provide immediate diagnostic guidance and educational resources for skin diseases, including skin cancer. OBJECTIVE: This article, authored by the EADV AI Task Force, seeks to offer insights and recommendations for the present and future deployment of AI-assisted smartphone applications (apps) and web-based services for skin diseases with emphasis on skin cancer detection. METHODS: An initial position statement was drafted on a comprehensive literature review, which was subsequently refined through two rounds of digital discussions and meticulous feedback by the EADV AI Task Force, ensuring its accuracy, clarity and relevance. RESULTS: Eight key considerations were identified, including risks associated with inaccuracy and improper user education, a decline in professional skills, the influence of non-medical commercial interests, data security, direct and indirect costs, regulatory approval and the necessity of multidisciplinary implementation. Following these considerations, three main recommendations were formulated: (1) to ensure user trust, app developers should prioritize transparency in data quality, accuracy, intended use, privacy and costs; (2) Apps and web-based services should ensure a uniform user experience for diverse groups of patients; (3) European authorities should adopt a rigorous and consistent regulatory framework for dermatology apps to ensure their safety and accuracy for users. CONCLUSIONS: The utilisation of AI-assisted smartphone apps and web-based services in diagnosing and treating skin diseases has the potential to greatly benefit patients in their dermatology journeys. By prioritising innovation, fostering collaboration and implementing effective regulations, we can ensure the successful integration of these apps into clinical practice.

Authors 20

  1. Leiden University Medical Center

    Affiliation as printed

    Department of Dermatology Leiden University Medical Center Leiden The Netherlands

    Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands

  2. Medical University of Vienna

    Affiliation as printed

    Department of Dermatology Medical University of Vienna Vienna Austria

    Department of Dermatology, Medical University of Vienna, Vienna, Austria

  3. Affiliation as printed

    Public, Private and Teaching Practice of Dermatology Konstanz Konstanz Germany

    Public, Private and Teaching Practice of Dermatology Konstanz, Konstanz, Germany

  4. University Hospital Zurich

    Affiliation as printed

    Department of Dermatology University Hospital Zurich Zurich Switzerland

    Department of Dermatology, University Hospital Zurich, Zurich, Switzerland

  5. University of Lisbon · Instituto Superior Técnico · Laboratório de Robótica e Sistemas de Engenharia

    Affiliation as printed

    Institute for Systems and Robotics, LARSyS, Instituto Superior Técnico Universidade de Lisboa Lisboa Portugal

  6. University of Siena

    Affiliation as printed

    Department of Medical Biotechnologies University of Siena Siena Italy

    Department of Medical Biotechnologies, University of Siena, Siena, Italy

  7. Affiliation as printed

    Kenko.ai Barcelona Spain

    Kenko.ai, Barcelona, Spain

  8. Whittington Hospital · Whittington Health NHS Trust

    Affiliation as printed

    Department of Dermatology Whittington NHS Trust London UK

    Department of Dermatology, Whittington NHS Trust, London, UK

  9. The University of Sydney · Royal Prince Alfred Hospital · Melanoma Institute Australia

    Affiliation as printed

    Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia

    Melanoma Institute Australia The University of Sydney Sydney New South Wales Australia

    Sydney Melanoma Diagnostic Centre Royal Prince Alfred Hospital Camperdown New South Wales Australia

    Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia

    Melanoma Institute Australia, The University of Sydney, Sydney, New South Wales, Australia

    Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia

  10. Heidelberg University · University Hospital Heidelberg

    Affiliation as printed

    Department of Dermatology Heidelberg University Medical Center Heidelberg Germany

    Department of Dermatology, Heidelberg University Medical Center, Heidelberg, Germany

  11. Herlev Hospital

    Affiliation as printed

    Department of Plastic Surgery Herlev Hospital Herlev Denmark

    Department of Plastic Surgery, Herlev Hospital, Herlev, Denmark

  12. Aristotle University of Thessaloniki

    Affiliation as printed

    First Department of Dermatology, Faculty of Health Sciences, School of Medicine Aristotle University Thessaloniki Greece

    First Department of Dermatology, Faculty of Health Sciences, School of Medicine, Aristotle University, Thessaloniki, Greece

  13. Pontificia Universidad Católica de Chile

    Affiliation as printed

    Melanoma and Skin Cancer Unit, Department of Dermatology, Escuela de Medicina Pontifica Universidad Catolica de Chile Santiago Chile

    Melanoma and Skin Cancer Unit, Department of Dermatology, Escuela de Medicina, Pontifica Universidad Catolica de Chile, Santiago, Chile

  14. University of Basel · University Hospital of Basel

    Affiliation as printed

    Department of Dermatology and Department of Biomedical Engineering University Hospital of Basel Basel Switzerland

    Department of Dermatology and Department of Biomedical Engineering, University Hospital of Basel, Basel, Switzerland

  15. Hospital Clínic de Barcelona · Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Universitat de Barcelona

    Affiliation as printed

    Department of Dermatology, Hospital Clínic University of Barcelona Barcelona Spain

    Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Barcelona Spain

  16. Memorial Sloan Kettering Cancer Center

    Affiliation as printed

    Division of Dermatology, Department of Medicine Memorial Sloan Kettering Cancer Center New York New York USA

    Division of Dermatology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA

  17. The University of Queensland

    Affiliation as printed

    Frazer Institute, Dermatology Research Centre The University of Queensland Brisbane Queensland Australia

    Frazer Institute, Dermatology Research Centre, The University of Queensland, Brisbane, Queensland, Australia

  18. University of Siena

    Affiliation as printed

    Dermatology Unit, Department of Medical, Surgical and Neurosciences University of Siena Siena Italy

    Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy

  19. Medical University of Vienna

    Affiliation as printed

    Department of Dermatology Medical University of Vienna Vienna Austria

    Department of Dermatology, Medical University of Vienna, Vienna, Austria

  20. Centre for Biomedical Network Research on Rare Diseases · Hospital Clínic de Barcelona · Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Universitat de Barcelona

    Affiliation as printed

    Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) Barcelona Spain

    Melanoma Unit, Dermatology Department, Hospital Clínic de Barcelona, IDIBAPS Universitat de Barcelona Barcelona Spain

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References 31