A two-stage workflow for vitiligo diagnosis: clinical characteristic classification and large language model (LLM)–based report generation - Report - MDSpire

A two-stage workflow for vitiligo diagnosis: clinical characteristic classification and large language model (LLM)–based report generation

  • By

  • Kaiqiao He

  • Tianle Xu

  • Yining Feng

  • Yafei Lu

  • Xinju Wang

  • Linhan Jiang

  • Sen Guo

  • Yuanmin He

  • Wei Dai

  • Wei Zhang

  • Jianglin Zhang

  • Hongbing Lu

  • Dong Huang

  • Shuli Li

  • June 1, 2026

  • 0 min

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Clinical Report: A Dual-Phase Approach for Diagnosing Vitiligo

Overview

Revise to emphasize the AI system's role in enhancing diagnostic accuracy and transparency.

Background

Vitiligo is a prevalent depigmenting disorder often misdiagnosed due to its similarity to other skin conditions. Accurate diagnosis is crucial as it directly impacts treatment strategies and patient outcomes. The integration of AI in dermatology has the potential to improve diagnostic precision and support clinicians in decision-making.

Data Highlights

MetricValue
AUC0.9906 (95% CI: 0.9844–0.9968)
Sensitivity98.29%
Specificity93.73%
Accuracy (Location)88.12%
Accuracy (Edge Morphology)86.78%

Key Findings

  • The AI model achieved an AUC of 0.9906 for distinguishing vitiligo.
  • Sensitivity was recorded at 98.29%, and specificity at 93.73%.
  • Accurate classification of typical location and edge morphology was achieved with 88.12% and 86.78% accuracy, respectively.
  • The AI model significantly outperformed dermatologists in diagnostic sensitivity using an independent image set.
  • Structured clinical reports generated by the LLM included diagnostic suggestions and treatment plans.

Clinical Implications

The AI-assisted diagnostic system can enhance the accuracy of vitiligo diagnosis, particularly in settings with limited resources. By providing interpretable reports, it supports clinicians in making informed decisions regarding patient management.

Conclusion

Highlight the implications for patient outcomes and suggest areas for future research.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Evaluation of multimodal large language models for psoriasis diagnosis, severity grading, and treatment recommendations from clinical photographs: ChatGPT shows superior performance compared to other large language models
  2. npj Digital Medicine, 2026 -- CancerLLM: a large language model in cancer domain
  3. npj Digital Medicine, 2025 -- Utilizing Large Language Models to Enhance Diagnosis of Language Disorders Linked to Autism and Recognize Unique Characteristics
  4. Int. Journal of Computer Assisted Radiology and Surgery, 2026 -- Estimation of histopathological types from breast MRI findings using a large language model
  5. British Journal of Dermatology, 2021 -- British Association of Dermatologists guidelines for the management of people with vitiligo
  6. New England Journal of Medicine, 2022 -- Two Phase 3, Randomized, Controlled Trials of Ruxolitinib Cream for Vitiligo
  7. British Association of Dermatologists guidelines for the management of people with vitiligo 2021
  8. Two Phase 3, Randomized, Controlled Trials of Ruxolitinib Cream for Vitiligo | New England Journal of Medicine

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