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Article

Deep Ensemble Learning for Multiclass Skin Lesion Classification

1
School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
2
Department of Dermatology, Chung Shan Medical University Hospital, Taichung 402, Taiwan
3
Department of Biomedical Sciences and Engineering, National Central University, Taoyuan 320, Taiwan
4
Information Technology Office, Chung Shan Medical University Hospital, Taichung 402, Taiwan
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Bioengineering 2025, 12(9), 934; https://doi.org/10.3390/bioengineering12090934
Submission received: 13 July 2025 / Revised: 25 August 2025 / Accepted: 28 August 2025 / Published: 29 August 2025
(This article belongs to the Special Issue Mathematical Models for Medical Diagnosis and Testing)

Abstract

The skin, the largest organ of the body, acts as a protective shield against external stimuli. Skin lesions, which can be the result of inflammation, infection, tumors, or autoimmune conditions, can appear as rashes, spots, lumps, or scales, or remain asymptomatic until they become severe. Conventional diagnostic approaches such as visual inspection and palpation often lack accuracy. Artificial intelligence (AI) improves diagnostic precision by analyzing large volumes of skin images to detect subtle patterns that clinicians may not recognize. This study presents a multiclass skin lesion diagnostic model developed using the CSMUH dataset, which focuses on the Eastern population. The dataset was categorized into seven disease classes for model training. A total of 25 pre-trained models, including convolutional neural networks (CNNs) and vision transformers (ViTs), were fine-tuned. The top three models were combined into an ensemble using the hard and soft voting methods. To ensure reliability, the model was tested through five randomized experiments and validated using the holdout technique. The proposed ensemble model, Swin-ViT-EfficientNetB4, achieved the highest test accuracy of 98.5%, demonstrating strong potential for accurate and early skin lesion diagnosis.
Keywords: skin lesions; dermoscopic images; ensemble learning; CNN; ViT; Swin skin lesions; dermoscopic images; ensemble learning; CNN; ViT; Swin

Share and Cite

MDPI and ACS Style

Chiu, T.-M.; Chi, I.-C.; Li, Y.-C.; Tseng, M.-H. Deep Ensemble Learning for Multiclass Skin Lesion Classification. Bioengineering 2025, 12, 934. https://doi.org/10.3390/bioengineering12090934

AMA Style

Chiu T-M, Chi I-C, Li Y-C, Tseng M-H. Deep Ensemble Learning for Multiclass Skin Lesion Classification. Bioengineering. 2025; 12(9):934. https://doi.org/10.3390/bioengineering12090934

Chicago/Turabian Style

Chiu, Tsu-Man, I-Chun Chi, Yun-Chang Li, and Ming-Hseng Tseng. 2025. "Deep Ensemble Learning for Multiclass Skin Lesion Classification" Bioengineering 12, no. 9: 934. https://doi.org/10.3390/bioengineering12090934

APA Style

Chiu, T.-M., Chi, I.-C., Li, Y.-C., & Tseng, M.-H. (2025). Deep Ensemble Learning for Multiclass Skin Lesion Classification. Bioengineering, 12(9), 934. https://doi.org/10.3390/bioengineering12090934

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