A Robust Ensemble Deep Learning Framework for Highly Sensitive and Interpretable Detection of Basal Cell Carcinoma in Dermoscopic Images
摘要
Basal cell carcinoma (BCC) is the most prevalent type of skin cancer, and its early detection is critical for reducing morbidity. This paper presents a novel ensemble deep learning framework that integrates three high-performance convolutional neural networks—EfficientNet-B3, DenseNet-201, and Inception-ResNet-V2—for accurate BCC detection in dermoscopic images. The ensemble utilizes a soft voting strategy to combine the predictive strengths of each model. Evaluated on the HAM10000 dataset, the proposed model achieved an accuracy of 98.4%, a sensitivity of 100%, and an area under the ROC curve (AUC) of 0.9983—outperforming state-of-the-art approaches. Importantly, the framework operates without handcrafted features or metadata, providing a deployable, patient-agnostic solution. Interpretability is ensured through Grad-CAM visualizations, with a thorough comparative evaluation and discussion on ethical implications for clinical integration. These results support a no-miss strategy for BCC detection and establish a foundation for trustworthy AI-assisted dermatological screening.