Accuracy of an Affordable Smartphone-Based Teledermoscopy System for Color Measurements in Canine Skin

Sensors (Basel). 2020 Oct 31;20(21):6234. doi: 10.3390/s20216234.

Abstract

Quality smartphone cameras and affordable dermatoscopes have enabled teledermoscopy to become a popular medical and veterinary tool for analyzing skin lesions such as melanoma and erythema. However, smartphones acquire images in an unknown RGB color space, which prevents a standardized colorimetric skin analysis. In this work, we supplemented a typical veterinary teledermoscopy system with a conventional color calibration procedure, and we studied two mid-priced smartphones in evaluating native and erythematous canine skin color. In a laboratory setting with the ColorChecker, the teledermoscopy system reached CIELAB-based color differences ΔE of 1.8-6.6 (CIE76) and 1.1-4.5 (CIE94). Intra- and inter-smartphone variability resulted in the color differences (CIE76) of 0.1, and 2.0-3.9, depending on the selected color range. Preliminary clinical measurements showed that canine skin is less red and yellow (lower a* and b* for ΔE of 10.7) than standard Caucasian human skin. Estimating the severity of skin erythema with an erythema index led to errors between 0.5-3%. After constructing a color calibration model for each smartphone, we expedited clinical measurements without losing colorimetric accuracy by introducing a simple image normalization on a white standard. To conclude, the calibrated teledermoscopy system is fast and accurate enough for various colorimetric applications in veterinary dermatology.

Keywords: CIELAB color space; canine skin; color calibration; color calibration target; color constancy; color correction; colorchecker; erythema index; smartphone teledermoscopy; veterinary dermatology.

MeSH terms

  • Animals
  • Color
  • Dermoscopy / instrumentation*
  • Dog Diseases / diagnostic imaging
  • Dogs
  • Erythema / diagnostic imaging
  • Erythema / veterinary*
  • Humans
  • Melanoma / diagnostic imaging
  • Melanoma / veterinary
  • Skin / diagnostic imaging*
  • Smartphone*