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RETRACTION: The Causal Relationships of Granulocytes and Melanoma Skin Cancer: A Univariable and Multivariable Mendelian Randomization Study. 撤回:粒细胞与黑色素瘤皮肤癌的因果关系:单变量和多变量孟德尔随机化研究。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70263
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引用次数: 0
RETRACTION: Explore the Genetic Exposure to Alopecia Areata. 摘要:探讨斑秃的遗传暴露。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70269
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引用次数: 0
RETRACTION: Unraveling the Causative Connection between Urticaria, Inflammatory Cytokines, and Mental Disorders: Perspectives from Genetic Evidence. 撤回:揭示荨麻疹、炎症细胞因子和精神障碍之间的因果关系:来自遗传证据的观点。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70267
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引用次数: 0
RETRACTION: Association of Vitamin D With Risk of Warts: A Retrospective and Mendelian Randomization Study. 撤回:维生素D与疣风险的关系:一项回顾性和孟德尔随机研究。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70250
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引用次数: 0
RETRACTION: Effect of Minoxidil Combined With Triamcinolone Acetonide on Alopecia Areata by Microneedle Injection. 缩回:米诺地尔联合曲安奈德微针注射治疗斑秃的疗效。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70280
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引用次数: 0
Concordance in Basal Cell Carcinoma Diagnosis. Building a Proper Standard Reference to Train Artificial Intelligence Tools. 基底细胞癌诊断的一致性。为训练人工智能工具建立适当的标准参考。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70277
Francisca Silva-Clavería, Carmen Serrano, Iván Matas, Amalia Serrano, Tomás Toledo-Pastrana, Begoña Acha

Background: Reliable labels are essential when training Artificial Intelligence (AI) tools. Whereas some diseases allow biopsy-based labeling, others rely on subjective criteria. For the diagnosis of basal cell carcinoma (BCC), dermatologists detect certain dermoscopic criteria, whose presence (or absence) serves as the basis for determining a diagnosis of BCC. Therefore, an AI tool assisting in BCC diagnosis should provide such criteria to explain its output.

Materials and methods: This study analyzes the agreement among four dermatologists in detecting dermoscopic criteria and compares the performance of an AI model trained with labels from a single dermatologist versus a consensus-based standard. A total of1230 dermoscopic images, collected in around 60 primary health centers, sent via teledermatology, and diagnosed by four dermatologists, were used to train an AI tool. They were randomly selected from the teledermatology platform (2019-2021). Subsequently, 204 new images were used to test the AI tool prospectively. A standard reference (SR) was built using Expectation Maximization on the four diagnoses. The performance of the AI tool trained using the reference standard of one dermatologist versus the reference standard statistically inferred from the consensus of four dermatologists was analyzed using McNemar's test and Hamming distance.

Results: Agreement among dermatologists was high for BCC versus non-BCC (Kappa = 0.9079; PPV = 0.9670), but lower for specific criteria. Statistical differences were found in the performance of AI models trained with individual and consensus labels.

Conclusion: Deriving an SR from multiple expert opinions mitigates individual bias and enhances AI interpretability, key for its clinical adoption.

背景:在训练人工智能(AI)工具时,可靠的标签是必不可少的。尽管一些疾病允许基于活检的标记,但其他疾病依赖于主观标准。对于基底细胞癌(BCC)的诊断,皮肤科医生检测某些皮肤镜标准,其存在(或不存在)作为确定基底细胞癌诊断的基础。因此,辅助BCC诊断的人工智能工具应该提供这样的标准来解释其输出。材料和方法:本研究分析了四位皮肤科医生在检测皮肤镜标准方面的一致性,并比较了使用单个皮肤科医生的标签训练的人工智能模型与基于共识的标准的性能。在大约60个初级卫生中心收集了1230张皮肤镜图像,通过远程皮肤病学发送,并由四名皮肤科医生诊断,用于训练人工智能工具。他们是从远程皮肤科平台(2019-2021年)随机选择的。随后,使用204张新图像对人工智能工具进行前瞻性测试。采用期望最大化法建立标准参比(SR)。使用McNemar测试和Hamming距离分析使用一位皮肤科医生的参考标准与从四位皮肤科医生的共识统计推断的参考标准训练的人工智能工具的性能。结果:皮肤科医生对BCC与非BCC的一致性较高(Kappa = 0.9079; PPV = 0.9670),但对特定标准的一致性较低。在使用个人标签和共识标签训练的人工智能模型的性能中发现了统计差异。结论:从多个专家意见中得出的人工智能评价减轻了个体偏见,提高了人工智能的可解释性,这是其临床应用的关键。
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引用次数: 0
RETRACTION: Roles of Negative Emotions and Personality Traits in Psoriasis Vulgaris: A Mendelian Randomization Study. 撤回:消极情绪和人格特质在寻常型银屑病中的作用:一项孟德尔随机研究。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70260
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引用次数: 0
RETRACTION: Genetic Causality and Metabolite Pathway Identifying the Relationship of Blood Metabolites and Psoriasis. 摘要:血液代谢物与银屑病的遗传因果关系和代谢物途径。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70253
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引用次数: 0
RETRACTION: A Two-Sample Mendelian Randomization Study of Mutual Relations of Six Types of Diets in Atopic Dermatitis. 撤回:一项关于六种饮食在特应性皮炎中的相互关系的双样本孟德尔随机研究。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70249
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引用次数: 0
RETRACTION: Causal Role of Immune Cells in Alopecia Areata: A Two-Sample Mendelian Randomization Study. 撤回:免疫细胞在斑秃中的因果作用:一项双样本孟德尔随机研究。
IF 3.2 4区 医学 Q3 DERMATOLOGY Pub Date : 2025-10-01 DOI: 10.1111/srt.70261
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引用次数: 0
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