The Herald

Aiming to diagnose skin cancer within 25 minutes

- COLIN MORTON Dr Colin Morton is Lead Consultant Dermatolog­ist at NHS Forth Valley Agenda is a forum for outside contributo­rs. Contact: agenda@theherald.co.uk

CANCER remains one of the leading global causes of death, and skin cancer is among the most common types. In fact, melanoma is the most frequent cancer killer in young adults in Scotland. It also has a major impact on health services, as diagnosis and management of suspected skin cancer represents more than 50 per cent of a specialist dermatolog­y service workload. Around one in five GP consultati­ons concern skin disease.

Catching skin cancer at an early stage is therefore vital and comprehens­ive, personalis­ed treatment must start with an accurate, thorough diagnosis. Yet, the Covid-19 pandemic has undoubtedl­y had a significan­t impact on cancer diagnosis rates. Public Health Scotland (PHS) figures indicate cancer diagnoses fell by about 4,000 between March and June 2019 when compared with the previous year. The obvious factor behind this was patients with possible symptoms not going to their GP because they were concerned about catching Covid. In the case of skin cancer, it continues to be a worrying trend. The five-year survival rate for someone with a melanoma caught early is approximat­ely 95 per cent. If a melanoma is not caught early, the five-year survival rate can drop to approximat­ely 50%.

In order to address this, an ambitious national consortium, led by NHS Scotland and supported by the Chief Scientist Office (CSO), will embrace industry and academia with the aim of achieving rapid diagnosis.

The goal is to achieve an indicative diagnosis of skin cancer within just 25 minutes by combining imaging of skin cancer with world-leading artificial intelligen­ce embedded within healthcare services.

THE consortium is already exploring aspects of bringing AI into healthcare, including data mining and image recognitio­n. We plan to share more details during a virtual event on March 4, entitled Healthcare Innovation Live – Maximising the Future of Life Sciences and Healthcare.

The aim is to combine cuttingedg­e AI systems with services provided by healthcare profession­als to promote rapid diagnosis and early treatment of skin cancer with better informatio­n for patients. This includes work to develop a new national database of skin cancer images that will underpin AI training and testing.

There are also multiple opportunit­ies for digital solution companies to co-develop Ai-driven products in collaborat­ion with NHS Scotland. This approach provides access to safe havens within NHS Scotland, a secure environmen­t where health data can be made available in a de-identified form for analysis to facilitate research and develop solutions. It is a method of applying new technology in a way that has not been done before by bringing together the skills and expertise of NHS, industry, and academia.

Bringing the proposed approach to life will include a programme of innovation challenge competitio­ns, research and developmen­t projects, and plans to work with accelerato­rs.

“25 by 25” is undoubtedl­y ambitious, but we believe the greatest opportunit­y to improve patient survival lies in heightened innovation through collaborat­ion. Technology holds the power to transform skin cancer care with faster, more reliable diagnosis – and, most importantl­y, to make a major difference to patients’ lives.

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