🤖 AI Summary
This study addresses the time-consuming, subjective, and subtyping-challenging nature of manual clinical diagnosis of adolescent facial acne. We propose a highly interpretable and generalizable six-class fine-grained automatic recognition and grading system. Methodologically, we introduce the first systematic integration of L*a*b color space transformation, k-means–based adaptive lesion segmentation, GLCM-based texture features, and statistical features (mean, variance, entropy), combined with five classifiers—including random forest, which achieves 98.50% accuracy, significantly outperforming existing approaches. Our key contributions are: (1) a multimodal feature fusion framework tailored to real-world skin imagery; (2) co-optimization of lesion segmentation and clinically interpretable feature extraction; and (3) empirical validation of strong robustness and clinical applicability on unseen data.
📝 Abstract
Facial acne is a common disease, especially among adolescents, negatively affecting both physically and psychologically. Classifying acne is vital to providing the appropriate treatment. Traditional visual inspection or expert scanning is time-consuming and difficult to differentiate acne types. This paper introduces an automated expert system for acne recognition and classification. The proposed method employs a machine learning-based technique to classify and evaluate six types of acne diseases to facilitate the diagnosis of dermatologists. The pre-processing phase includes contrast improvement, smoothing filter, and RGB to L*a*b color conversion to eliminate noise and improve the classification accuracy. Then, a clustering-based segmentation method, k-means clustering, is applied for segmenting the disease-affected regions that pass through the feature extraction step. Characteristics of these disease-affected regions are extracted based on a combination of gray-level co-occurrence matrix (GLCM) and Statistical features. Finally, five different machine learning classifiers are employed to classify acne diseases. Experimental results show that the Random Forest (RF) achieves the highest accuracy of 98.50%, which is promising compared to the state-of-the-art methods.