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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>IDDM'</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <contrib-group>
        <aff id="aff0">
          <label>0</label>
          <institution>Healthy Face Clinic</institution>
          ,
          <addr-line>Stepana Bandery str., 5a, Khmelnytskyi, 29000</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Khmelnytskyi National University</institution>
          ,
          <addr-line>Institutska str., 11, Khmelnytskyi, 29016</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Olga Pavlova</institution>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2024</year>
      </pub-date>
      <volume>7</volume>
      <fpage>14</fpage>
      <lpage>16</lpage>
      <abstract>
        <p>The skin of the face is a complex organ, the condition of which can vary due to various factors such as genetics, lifestyle, environmental conditions and age. An accurate assessment of the condition of the skin is critical for the correct selection of care and treatment methods, which stimulates the development of technologies for its analysis. Recent advances in artificial intelligence (AI) provide new opportunities for automated skin analysis, which improves the accuracy of diagnosis and the efficiency of procedures. This work focuses on the review and analysis of the application of facial skin analysis systems integrated with artificial intelligence algorithms. It is important to understand the working principles of such systems and their potential in practical application both in cosmetology and in other medical fields. The purpose of this work is to study the technical aspects of creating such skin analyzers, in particular their software part, and to evaluate their practical effectiveness based on modern machine learning algorithms.</p>
      </abstract>
      <kwd-group>
        <kwd>1 Artificial Intelligence (AI)</kwd>
        <kwd>facial diagnostic</kwd>
        <kwd>decision support</kwd>
        <kwd>IT solutions for medicine</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>Skin health is a critical aspect of overall well-being, and early detection of skin conditions plays a
vital role in effective treatment and prevention. Facial skin, in particular, is highly susceptible to
various dermatological issues, such as acne, hyperpigmentation, dryness, and signs of aging.
Traditional skin diagnostic methods often require clinical expertise, specialized equipment, and
time-consuming procedures. In recent years, advancements in artificial intelligence (AI) have
offered new opportunities to enhance skin diagnostic processes, providing efficient and accurate
solutions. Artificial intelligence, in particular machine learning, is opening new horizons in skin
diagnostics, allowing the creation of systems capable of analyzing skin images and making
recommendations for care and treatment based on identified problems.</p>
      <p>At this stage of technology development, there are already devices that allow you to assess the
condition of the skin, both companies and science offer new approaches to facial skin diagnostics.
This paper proposes an AI-based method for face skin diagnostics, utilizing data obtained from a
smart skin analyser. The smart skin analyser collects comprehensive facial skin data, including
moisture levels, pigmentation patterns, pore size, and other relevant features. By integrating this
data with AI algorithms, the proposed method aims to automate and optimize the diagnostic
process, delivering reliable and consistent results.</p>
      <p>Our approach leverages neural network application and image processing algorithms to analyse
the facial skin's characteristics. The proposed method identifies various skin conditions and
provides personalized recommendations based on the analysed data and offers a non-invasive,
efficient, and accessible solution for users seeking professional-level skin analysis and care in
realtime.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related works</title>
      <p>In the course of the study, an analysis of the latest scientific publications in the field of skin
diagnostic was carried out.</p>
      <p>
        In [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] AI-based facial skin diagnosis system (Dr. AMORE®) uses facial images of Korean women
to analyse wrinkles, pigmentation, skin pores, and other skin red spots. The system is trained using
clinical expert evaluations and deep learning.
      </p>
      <p>
        The aim of [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] is to evaluate the current state of AI-based techniques used in combination with
non-invasive diagnostic imaging modalities including reflectance confocal microscopy (RCM),
optical coherence tomography (OCT), and dermoscopy. It also aimed to determine whether the
application of AI-based techniques can lead to improved diagnostic accuracy of melanoma.
      </p>
      <p>
        The objective of [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] is to design a system that combines metaheuristic optimizers with various
AI based classifiers to detect and diagnose skin diseases. In order to accomplish this objective,
numerical and image datasets have been taken, pre-processed, and visually analysed in order to
comprehend their patterns.
      </p>
      <p>
        In [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] the propensity of skin cancer to metastasize highlights the importance of early detection
for successful treatment. This narrative review explores the evolving role of artificial intelligence
(AI) in diagnosing head and neck skin cancers from both radiological and pathological perspectives.
      </p>
      <p>
        The proposed in [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] model has the potential to aid qualified healthcare professionals in the
diagnosis of melanoma. Furthermore, the authors propose a mobile application to facilitate
melanoma detection in home environments, providing added convenience and accessibility.
      </p>
      <p>
        The paper [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] delves into unimodal models’ methodologies, applications, and shortcomings
while exploring how multimodal models can enhance accuracy and reliability.
      </p>
      <p>
        The study [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] presents an automated skin lesion detection and classification technique utilizing
optimized stacked sparse autoencoder (OSSAE) based feature extractor with backpropagation
neural network (BPNN), named the OSSAE-BPNN technique.
      </p>
      <p>
        The insights in [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] demonstrate the bias towards deep learning methods and the shortage of
studies on rare and precancerous skin lesions.
      </p>
      <p>
        In paper [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] five different algorithms of artificial intelligence have been selected and used to
skin disease dataset.
      </p>
      <p>
        The purpose of the study [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] was to assess the diagnostic accuracy of the teledermoscopy
method using the FotoFinder device as well as the Moleanalyzer Pro artificial intelligence (AI)
Assistant and to compare them with the face-to-face clinical examination for the diagnosis of
melanoma confirmed with histopathology.
      </p>
      <p>
        In [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] we propose a methodology for consideration of civil-legal grounds in medical
decisionmaking process.
      </p>
      <p>
        The paper [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] proposes a health recommender system for smart cities. The methodology
proposes the smart distribution of healthcare institutions which are located the closest to the
patient.
      </p>
      <p>It is impossible not to notice that along with scientific developments, many new devices are
appearing on the market that allow to measure skin parameters and even predict the result after
surgical correction in plastic surgery.</p>
      <p>
        For example, the VECTRA H2 imaging system [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ] is a portable hardware skin diagnosis system
with volumetric body imaging for use in cosmetology, aesthetic medicine, and dermatology. The
features of VECTRA H2 from Canfield Scientific:
- Automatic merging: three face or body shots are automatically merged into one 3D image
by VECTRA software.
- Accurate assessment of contours: the gray visualization mode allows you to evaluate the
contours of the face and body without being distracted by color when planning and
studying the result of corrective procedures.
- Face and body measurement in automatic mode: volumetric visualization (3D mode) and
digital data help your patients understand the underlying problems.
- Breast Sculptor software application: technology for creating three-dimensional breast
models, based on selected implants, taking into account gravity, shape and location.
- Visual comparison: visualization of several breast augmentation surgery scenarios by
parameters, sizes and style of implants.
- Visualization of expectations: illustrative display of benefits after breast augmentation
surgery.
- Mastopexy program. A software application for simulating lifting operations taking into
account areas of skin excision.
- Volumetric measurements of the body: automatic measurement of the circumference and
volume of body contours.
- Quantification of the subcutaneous structures of the face: Canfield's patented technology
shares the unique color shades of red and brown facial skin. This allows you to get a
complete picture of the skin condition and improve the quality of imaging.
- Measurement of volume change: volume data is automatically measured with one click of
the mouse in grayscale mode with parallel color display of changes in facial contours.
- Markerless tracking: a dynamic assessment of changes in the surface of the facial skin is
carried out: alignment, direction and final result.
- Full picture of changes: the program creates a holistic picture of change, reflecting all the
hopes and expectations of your patient.
      </p>
      <p>
        3D LifeViz® Mini [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ] is the most compact 3D system for skin analysis and modelling, a
convenient solution for cosmetologists, dermatologists, cosmetic and plastic surgeons. Analyses the
condition of the patient's skin according to 6 parameters and reproduces the image of the face on
the screen in 3D format. The patient can see what his face could look like after contour plastic
surgery or surgery. The system is based on a special type of stereophotogrammetry, where 2D
images are automatically combined into a three-dimensional representation.
      </p>
      <p>
        LifeViz® technology allows you to quantitatively change the volume and determine the small
details of the skin surface with extreme accuracy. An example of an image created by 3D LifeViz®
is presented in Figure 1.
Taking into account the relevance of the problem of application modern information technologies
in medical area, namely, analysis of the results taken from the Smart skin analyzer [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ] for facial
skin defects detection it was decided to develop a methodology of neural network application for
solving this issue.
      </p>
      <p>Therefore, the purpose of the research is:
1) to consider convolutional neural network architectures for medical image analysis;
2) to evaluate the effectiveness of models for the task of detecting and classifying skin defects;
3) to consider possible ways of improving the performance of models by changing the input
parameters.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Methodology</title>
      <p>
        The data for the experiment were obtained using the skin analyzer AISIA [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], which is presented
in Figure 2. It provides the analysis of the skin according to the following parameters:
- Pore ​ ​ size (spectral visualization of RGB pores).
- The presence of blackheads and postacne: an analysis of all spots of a round shape with a
color darker than usual.
- Age changes: the degree of wrinkles and the depth of creases.
- Skin texture: imaging changes in relief, texture of the dermis, as well as predicting the
degree of future changes.
- The level of secretion of sebum and the localization of black spots.
- Pigmentation zones: an image not only of the actual state, but also of forecasting future
formations.
- Hydration.
- Areas of sensitivity: determination of zonal sensitivity, its susceptibility to allergic reactions.
- Brown zones: an image of metabolic processes in cells, areas of current recovery.
- Injury by UV rays: an image of pigmentation at different levels of the epidermis. Fixation of
the size and depth of such spots.
- Diagnosis of age-related changes: a picture of the future aging of the dermis, wrinkles, if the
client does not change his care.
During the research, a wide range of methods was used, including general scientific methods:
theoretical (modeling, analysis, synthesis), empirical (observation, comparison, experiment).
Medical diagnostic methods were also used to form the dataset, and artificial intelligence tools
were used, in particular, machine learning models for image analysis.
      </p>
      <p>
        As machine learning technologies demonstrate their effectiveness in the analysis of medical
images [
        <xref ref-type="bibr" rid="ref16 ref17">16,17</xref>
        ], we consider it appropriate to consider basic convolutional neural network (CNN)
models for facial skin defect detection.
3.1.
      </p>
      <sec id="sec-3-1">
        <title>Residual Networks</title>
        <p>
          The main idea of ResNet is to learn the residual mapping [
          <xref ref-type="bibr" rid="ref22">22</xref>
          ]:
where:
F(x) – residual mapping,
H(x) – desired mapping,
x – input.
        </p>
        <p>Thus, H(x) from formula (1) can be represented as:</p>
        <p>F(x) = H(x) − x,
H(x) = F(x) + x,
(1)
(2)</p>
        <p>A typical residual block consists of two or more convolutional layers with batch normalization
(BN) and ReLU activation:</p>
        <p>y = F(x; {Wi}) + x,
where:
Wi – weights of the convolutional layers;
y – output of the block.</p>
        <p>Key Properties of ResNet are Identity Mapping and Training Deep Networks. The skip
connections enable identity mapping, facilitating gradient flow and addressing the vanishing
gradient problem. ResNets can have hundreds or thousands of layers while remaining easier to
train compared to traditional deep networks.
3.2.</p>
      </sec>
      <sec id="sec-3-2">
        <title>Dense Convolutional Network</title>
        <p>In DenseNet, each layer receives inputs from all preceding layers. The output of layer can be
computed as:
=</p>
        <p>( 0, 1, . . . , −1),
where:
Hl – operations performed by the layer;
xi – feature maps from all preceding layers.</p>
        <p>Instead of adding the inputs as in ResNet, DenseNet concatenates feature maps:</p>
        <p>= −1, −2, . . . , 0, (5)</p>
        <p>
          Key Properties of DenseNet are Feature Reuse and Gradient Flow [
          <xref ref-type="bibr" rid="ref18">18</xref>
          ]. DenseNet emphasizes
feature reuse, which reduces the number of parameters while still maintaining high accuracy. The
dense connectivity pattern allows gradients to flow through many paths during backpropagation,
enhancing learning.
3.3.
        </p>
      </sec>
      <sec id="sec-3-3">
        <title>EfficientNet</title>
        <p>EfficientNet uses a compound scaling method, which balances the scaling of depth d, width w, and
resolution r. The scaling can be defined as:
=
,
=
, =
,
where:
k – constant;
α, β, γ – scaling coefficients.</p>
        <p>EfficientNet starts from a baseline model and scales it. For instance, the total number of
parameters P in the model can be expressed as:</p>
        <p>= ∙ 2 ∙ 2, (7)
where c – constant that defines the efficiency of the architecture.</p>
        <p>
          Key Properties of EfficientNet are Optimized Architecture and Efficiency. The architecture is
optimized through neural architecture search, allowing for a balance between model size and
performance. EfficientNet achieves state-of-the-art accuracy with fewer parameters compared to
previous models [
          <xref ref-type="bibr" rid="ref19">19</xref>
          ].
3.4.
        </p>
      </sec>
      <sec id="sec-3-4">
        <title>MobileNet</title>
        <p>
          MobileNet introduces depthwise separable convolutions, which factor the standard convolution
into two separate layers: Depthwise Convolution and Pointwise Convolution [
          <xref ref-type="bibr" rid="ref20">20</xref>
          ].
        </p>
        <p>Depthwise Convolution can be represented as a single filter, which is applied to each input
channel.</p>
        <p>= ⊙ , (8)</p>
        <p>Pointwise Convolution can be represented as a 1×1 convolution that combines the output from
the depthwise layer.</p>
        <p>= ( ) = ∙ , (9)</p>
        <p>Key Properties of MobileNet are Efficiency and Width Multiplier. The reduction in the number
of parameters and computations compared to standard convolutions makes MobileNet highly
(3)
(4)
(6)
suitable for mobile and edge devices. MobileNet allows for a width multiplier α to reduce the
number of channels in each layer, further optimizing the model size.
3.5.</p>
      </sec>
      <sec id="sec-3-5">
        <title>Dataset Structure</title>
        <p>
          The Skin Disease Classification Dataset from Kaggle [
          <xref ref-type="bibr" rid="ref21">21</xref>
          ] was used to test the performance of the
models. This dataset contains a collection of photographs of human faces divided into three distinct
classes: acne, bags under the eyes, and facial redness. To ensure a comprehensive presentation and
accurate classification, it is advisable to consider three photos for each person. These images
include a front view along with side profiles on both the right and left. This multi-angle approach
not only increases the variability of the data, but also helps the models learn to identify and
differentiate the subtle nuances of skin diseases that may be missed in a single photo. The dataset's
structured format and comprehensive documentation make it an invaluable resource for
developing, training, and fine-tuning machine learning algorithms aimed at classifying skin
diseases, ultimately contributing to advances in dermatology diagnostics and personalized skin
care solutions. All data are presented in a generalized form and used exclusively within the scope
of scientific research. The work used data from open resources, supplemented with medical data
from clinical practice. Before using medical data, permission for their use was obtained from each
of the patients. The research provides the principles of responsible artificial intelligence.
Confidentiality of information is guaranteed.
        </p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Models’ comparison</title>
      <p>For detecting skin defects such as acne, redness, etc., the choice of CNN architecture will depend
on factors such as dataset size, problem complexity, and available computing resources. The most
commonly used CNN architectures include:
– Residual Networks (ResNet);
– Dense Convolutional Network (DenseNet);
– EfficientNet;
– MobileNet.</p>
      <p>Table 1 shows a comparison of the capabilities of the presented architectures.</p>
      <p>Using ResNet enables deep learning, thanks to the use of residual connections, which allows
you to train deeper networks without facing the gradient vanishing problem. This can help the
model capture more complex patterns in skin texture and blemishes. The model shows high
performance in the analysis of medical images.</p>
      <p>Pre-trained ResNet models (such as ResNet-50 or ResNet-101) can be fine-tuned on datasets to
improve performance, especially when using limited datasets.</p>
      <p>This model is recommended for complex tasks where high accuracy is required.</p>
      <p>DenseNet connects each layer to all other layers, which promotes feature reuse and results in
stronger gradients. This is useful when detecting subtle skin imperfections such as acne or
discoloration.</p>
      <p>Compared with ResNet, DenseNet achieves high accuracy using fewer parameters, which can
reduce training time while maintaining high performance.</p>
      <p>DenseNet is widely used in medical image classification tasks, so the model can be effective for
dermatological image analysis.</p>
      <p>The model is recommended for medium and large data sets with a focus on achieving high
accuracy, especially in conditions of limited computing resources.</p>
      <p>EfficientNet has high performance while using less computation. The model systematically
scales width, depth, and resolution, making it extremely efficient in terms of both accuracy and
computational resources.</p>
      <p>The EfficientNet pre-trained models are very effective, when fine-tuned, for medical imaging
tasks, including skin defect detection. EfficientNet has been proven to outperform models such as
ResNet and DenseNet in various medical image classification tasks and, at the same time, is more
resource efficient.</p>
      <p>The use of the model is recommended for projects that require a balance between high accuracy
and efficiency, especially when working with large-scale images or in cases of limited computing
power.</p>
      <p>MobileNet is a lightweight and fast model optimized for efficiency and ideal for real-time detection
of skin defects on mobile or embedded devices.</p>
      <p>The model has low computational requirements because it uses depth-separated convolutions,
greatly reducing the number of parameters. Thus, the model is ideal for applications where
computing resources are limited.</p>
      <p>Based on the above, it can be concluded that the model is suitable for deployment on mobile
platforms and is an excellent solution for applications that detect skin defects using a smartphone
camera.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Experiments &amp; Results</title>
      <p>Testing of the proposed models revealed that the ResNet and EfficientNet models demonstrate low
results on the test sample, while DenseNet and MobileNet perform the task of recognizing skin
defects with high accuracy (Figure 3).</p>
      <sec id="sec-5-1">
        <title>Avoids vanishing</title>
        <p>gradients.</p>
        <p>Deeper networks
improve
performance.</p>
        <p>Robust and widely
used.</p>
        <p>Reduces number of
parameters.</p>
        <p>Efficient feature
reuse and learning.
Good for small
datasets.</p>
      </sec>
      <sec id="sec-5-2">
        <title>Good accuracy with</title>
        <p>less computation.
Flexible
architecture for
different
constraints.</p>
        <p>Scalable.</p>
        <p>Highly efficient on
resourceconstrained
devices.</p>
        <p>Lightweight and
fast.</p>
        <p>Suitable for mobile
applications.</p>
      </sec>
      <sec id="sec-5-3">
        <title>Disadvantages</title>
      </sec>
      <sec id="sec-5-4">
        <title>Large parameter</title>
        <p>size for deeper
versions.</p>
        <p>Computationally
intensive on larger
ResNet variants.</p>
      </sec>
      <sec id="sec-5-5">
        <title>High</title>
        <p>computational cost
in memory due to
dense connections.
More prone to
overfitting on small
data.</p>
      </sec>
      <sec id="sec-5-6">
        <title>Complex design.</title>
        <p>Heavier versions
still require
substantial
computational
power.
– Lower accuracy
compared to larger
networks.
– Limited model
capacity for
complex tasks.</p>
      </sec>
      <sec id="sec-5-7">
        <title>Common</title>
        <p>Applications
Image
classification,
object
detection, face
recognition</p>
      </sec>
      <sec id="sec-5-8">
        <title>Image classification, medical image analysis</title>
      </sec>
      <sec id="sec-5-9">
        <title>Mobile vision, image classification, object detection</title>
      </sec>
      <sec id="sec-5-10">
        <title>Mobile vision, real-time image processing</title>
        <p>The loss rate quantifies the error the model makes on the test set. Usually reflects how well the
predicted probabilities agree with the actual values. This indicator was the lowest for MobileNet,
and DenseNet was somewhat inferior (Figure 4). The loss indicators for ResNet and EfficientNet
turned out to be too high, so it was concluded that it is not appropriate to use these models for the
task of classifying skin defects.</p>
        <p>Although the models show high accuracy and low loss on the training data set, on the
validation set the accuracy is slightly lower and the loss is higher, indicating overfitting of the
model. Thus, we propose to change the approach to the formation of the dataset, by including more
parameters, in particular, adding images made using the ultraviolet spectrum, as well as converting
images into heat maps. This will allow for a more qualitative assessment of the image and
contribute to a more accurate determination of the nature of the defect. In addition, it is advisable
to use sensors to determine skin moisture. The main parameters of the proposed dataset are listed
in Table 2.</p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>6. Conclusions &amp; Future work</title>
      <p>Skin health is an essential component of overall well-being, and the early identification of skin
conditions is crucial for effective treatment and prevention. The facial skin, in particular, is
especially prone to various dermatological concerns, including acne, hyperpigmentation, dryness,
and signs of aging.</p>
      <p>In the course of this study the main models of convolutional neural networks are considered,
the peculiarities of their application in the tasks of medical image analysis, in particular for the
detection of facial skin defects, are analyzed. The advantages and disadvantages of the most widely
used architectures, as well as the features of their application, are described. The models were
tested on a dataset including medical images. The effectiveness of the models was evaluated
according to the accuracy and loss metrics. On the basis of the conducted research, the structure of
the dataset is proposed, based on a larger number of parameters, which will significantly improve
the accuracy of the models by selecting the most relevant features and analyzing them.</p>
      <p>For further research, there are plans to systematically identify and extract the key features that
are critical for effectively classifying skin defects through the application of Convolutional Neural
Networks (CNNs). This involves conducting an in-depth analysis of the various characteristics
present in the dataset, such as texture, color variations, and the specific patterns associated with
each skin condition. By leveraging techniques like feature extraction and selection, we aim to
isolate the most informative attributes that contribute to the accurate identification of skin defects.
This process will not only enhance the performance of the CNN models but also improve their
interpretability, allowing for better understanding and insight into how these models make
classification decisions. Furthermore, this feature extraction phase will enable us to refine the
model architectures and optimize hyperparameters, leading to more robust and generalizable
outcomes. Ultimately, this research will contribute to the development of more precise and reliable
diagnostic tools in dermatology, potentially transforming the way skin conditions are assessed and
treated in clinical practice.</p>
    </sec>
    <sec id="sec-7">
      <title>7. Acknowledgements</title>
      <p>The authors would like to thank Healthy Face Clinic and Dr. Vladyslav Karabaiev for providing the
equipment for data gathering that made the experiments and this work possible.</p>
    </sec>
    <sec id="sec-8">
      <title>8. Declaration on Generative AI</title>
      <p>It was used ChatGPT and Microsoft Copilot to rephrase sentences to improve style. The text was
carefully checked by the authors after using these software. The authors take full responsibility for
the publication.
9. References</p>
    </sec>
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