The Mole Is Not the Model: Dermoscopy AI Needs a Chain of Custody
TL;DR for operators This paper is not trying to win a skin-lesion classification leaderboard. Good. We have enough leaderboards already, many of them decorated with the usual confetti of optimistic AUCs and conveniently unexamined data provenance. The real contribution is a reproducible mechanism for constructing a clinically verified dermoscopic image dataset: standardized mobile-image acquisition, a structured 16-field metadata model, multi-stage diagnostic label verification, deduplication by cryptographic hash, and normalized diagnostic categories.1 The authors then demonstrate the method by building a dataset of 1026 unique dermoscopic images from 443 patients collected in Russian outpatient practice between June 2025 and May 2026. The malignant cases are small in number—39 images—but all are histologically verified. ...