Are Mole-Checking Apps Actually Accurate?

Photo: Pexels

Is that mole looking suspicious? You can download an app to check out an individual mole, or to keep track of the moles on your body, but none of these apps can substitute for getting checked out by an actual dermatologist.

Know how the app works

Apps that claim to analyse your moles or help you figure out which necessitate a trip to the doctor tend to come in three flavours:

  • Apps that let you take a photo and send it to a dermatologist, usually for a fee. Examples: First Derm, DermatologistOnCall. (These are often for any skin condition, not just moles or suspected cancer)

  • Apps that analyse a photo of a mole, and give an automatic assessment of whether it’s likely to be high or low risk for cancer. Example: SkinVision.

  • Apps that don’t judge your moles, but allow you to compare over time. Some of these let you take a photo of a large area of skin, such as your entire back, to compare over time. Examples: MiiSkin, UMSkinCheck.

Some apps combine the functions, but it’s important to know what the app will actually do for you. One that consults a real-world dermatologist is likely to be more trustworthy than one that analyses a photo with algorithms, but it’s still not as good as visiting a dermatologist in person. Apps that let you track your own moles require more attention and judgment calls from you.

The app can be wrong

Nobody’s perfect, and that’s true of medical screening tests in general. Apps add a few extra layers of uncertainty.

First, no matter how advanced the “AI” or “machine learning” or “fractal analysis” an app boasts, it can still be wrong. One study found that the apps that used real dermatologists were right about 88% of cancerous moles and 97% of benign ones.

That sounds pretty good at first glance, but it means that three per cent of people without skin cancer could be told that they have it; and that 12 per cent of people who do need to get checked out would be told that they’re probably fine. And that’s just the apps that sent photos to dermatologists. Apps that analysed photos automatically had an even lower success rate.

Your phone camera isn’t as good as a dermatologist’s eyes

While algorithms can be okay at identifying typical-looking moles, they don’t always know what to do with images that don’t look like the benign or cancerous examples they’ve been trained on.

Your phone camera is another issue. While cameras are pretty good, they don’t provide as detailed a view as the dermatoscope that a dermatologist would use. (You can, however, buy an at-home camera called a MoleScope.)

There’s also the fact that you’re snapping pictures of individual moles instead of being in the room with an actual dermatologist. You might be worried about a mole on your arm, but the doctor notices a different spot on your back.

You still have to rely on your own judgement

Although apps can hint at whether a mole is likely to be problematic, ultimately you’re making your own judgement call about whether to snap a picture in the first place, and whether to seek professional help.

For those reasons, it’s important to know what you’re looking for in a mole. The ABCDE mnemonic can help: look for asymmetry, the shape of the border, the colour of the mole, its diameter (aka size), and whether it seems to be evolving, or changing over time.

Photo tracking apps like MiiSkin and UMSkinCheck can help you track that last one, whether the mole changes over time, but they don’t diagnose skin conditions for you. And if you look at the fine print on any of these apps, none of them claim to be able to replace a doctor.

So pay attention to those moles, wear your sunscreen, and get checked out by an actual human being when you can.


Comments

    I think of mole-checking apps, I automatically assume three scenarios:

    1)
    App: "All clear!"
    Me: "Oh good!"
    YOU DIED

    2)
    App: "CANCER."
    Me: "Ohdang!"
    Doctor: "All clear! Pay at reception."
    Me: "Ohdang?"

    3)
    App: "CANCER."
    Doctor: "CANCER."
    Me: "Ohdang. Also, you have the worst bedside manner."

    Doctors seem to hate these apps, because they're not perfect. Well guess what: doing nothing isn't perfect either.

    I wish these had existed and were widely used 10 years ago. Then someone I know might not have died from a large melanoma that was only discovered because a stranger pointed it out to her on holiday.

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