ResearchResearch paperComputer Vision1 source · Oct 6, 2026

Less Is More: A Leakage-Controlled Study of Dermoscopic Preprocessing for Joint Skin Lesion Classification and Segmentation with YOLO26

This study presents a leakage-controlled, lesion-disjoint evaluation of dermoscopic preprocessing and augmentation for joint multi-class lesion classification and instance segmentation using a fixed nano-scale YOLO26 segmentation model (YOLO26n-seg).

Key points

  • Handcrafted preprocessing is widely employed in automated dermoscopic analysis to suppress imaging artifacts and enhance lesion visibility.
  • With the architecture, resolution, training budget, and evaluation protocol held fixed, we compare minimally processed images plus online augmentation against offline class balancing, DullRazor-CLAHE preprocessing, and raw-processed hybrid views, over three random seeds.
  • On the lesion-disjoint test set, the raw baseline achieves a mask mAP${50:95}$ of $0.5636 \pm 0.0234$, a Dice score of $0.9356 \pm 0.0024$, and a macro-F1 score of $0.6917 \pm 0.0202$.
  • Under a leakage-controlled, lesion-disjoint protocol with all non-input factors held fixed, minimally processed dermoscopic images combined with standard online augmentation deliver a better accuracy-efficiency trade-off than increasingly complex deterministic preprocessing, which yields no consistent joint benefit across three seeds on HAM10000.

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