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" ... But a larger and looming issue with the dataset that Google based their algorithm on relates to labeling of the images. Daneshjou explains in a separate tweet that “the images in the original paper were largely labeled by consensus of dermatologists,” offering that “MOST cutaneous malignancies were not labeled based on biopsy results”— adding that “only 6 of the melanomas in the test set were biopsy-proven.” She further qualified that “the number needed to biopsy for a dermatologist to find a melanoma is about 7.5, so there are likely many training and testing images labeled as melanoma...that are not melanoma.” ... "