README.md

---
license: other
configs:
- features:
  - name: case_id
    dtype: string
  - name: source
    dtype: string
  - name: release
    dtype: string
  - name: year
    dtype: int64
  - name: age_group
    dtype: string
  - name: sex_at_birth
    dtype: string
  - name: fitzpatrick_skin_type
    dtype: string
  - name: race_ethnicity_american_indian_or_alaska_native
    dtype: string
  - name: race_ethnicity_asian
    dtype: string
  - name: race_ethnicity_black_or_african_american
    dtype: string
  - name: race_ethnicity_hispanic_latino_or_spanish_origin
    dtype: string
  - name: race_ethnicity_middle_eastern_or_north_african
    dtype: string
  - name: race_ethnicity_native_hawaiian_or_pacific_islander
    dtype: string
  - name: race_ethnicity_white
    dtype: string
  - name: race_ethnicity_other_race
    dtype: string
  - name: race_ethnicity_prefer_not_to_answer
    dtype: string
  - name: textures_raised_or_bumpy
    dtype: string
  - name: textures_flat
    dtype: string
  - name: textures_rough_or_flaky
    dtype: string
  - name: textures_fluid_filled
    dtype: string
  - name: body_parts_head_or_neck
    dtype: string
  - name: body_parts_arm
    dtype: string
  - name: body_parts_palm
    dtype: string
  - name: body_parts_back_of_hand
    dtype: string
  - name: body_parts_torso_front
    dtype: string
  - name: body_parts_torso_back
    dtype: string
  - name: body_parts_genitalia_or_groin
    dtype: string
  - name: body_parts_buttocks
    dtype: string
  - name: body_parts_leg
    dtype: string
  - name: body_parts_foot_top_or_side
    dtype: string
  - name: body_parts_foot_sole
    dtype: string
  - name: body_parts_other
    dtype: string
  - name: condition_symptoms_bothersome_appearance
    dtype: string
  - name: condition_symptoms_bleeding
    dtype: string
  - name: condition_symptoms_increasing_size
    dtype: string
  - name: condition_symptoms_darkening
    dtype: string
  - name: condition_symptoms_itching
    dtype: string
  - name: condition_symptoms_burning
    dtype: string
  - name: condition_symptoms_pain
    dtype: string
  - name: condition_symptoms_no_relevant_experience
    dtype: string
  - name: other_symptoms_fever
    dtype: string
  - name: other_symptoms_chills
    dtype: string
  - name: other_symptoms_fatigue
    dtype: string
  - name: other_symptoms_joint_pain
    dtype: string
  - name: other_symptoms_mouth_sores
    dtype: string
  - name: other_symptoms_shortness_of_breath
    dtype: string
  - name: other_symptoms_no_relevant_symptoms
    dtype: string
  - name: related_category
    dtype: string
  - name: condition_duration
    dtype: string
  - name: image_1_path
    dtype: image
  - name: image_2_path
    dtype: image
  - name: image_3_path
    dtype: image
  - name: image_1_shot_type
    dtype: string
  - name: image_2_shot_type
    dtype: string
  - name: image_3_shot_type
    dtype: string
  - name: combined_race
    dtype: string
  - name: race_ethnicity_two_or_more_after_mitigation
    dtype: string
  - name: dermatologist_gradable_for_skin_condition_1
    dtype: string
  - name: dermatologist_gradable_for_skin_condition_2
    dtype: string
  - name: dermatologist_gradable_for_skin_condition_3
    dtype: string
  - name: dermatologist_skin_condition_on_label_name
    dtype: string
  - name: dermatologist_skin_condition_confidence
    dtype: string
  - name: weighted_skin_condition_label
    dtype: string
  - name: dermatologist_gradable_for_fitzpatrick_skin_type_1
    dtype: string
  - name: dermatologist_gradable_for_fitzpatrick_skin_type_2
    dtype: string
  - name: dermatologist_gradable_for_fitzpatrick_skin_type_3
    dtype: string
  - name: dermatologist_fitzpatrick_skin_type_label_1
    dtype: string
  - name: dermatologist_fitzpatrick_skin_type_label_2
    dtype: string
  - name: dermatologist_fitzpatrick_skin_type_label_3
    dtype: string
  - name: gradable_for_monk_skin_tone_india
    dtype: bool
  - name: gradable_for_monk_skin_tone_us
    dtype: bool
  - name: monk_skin_tone_label_india
    dtype: float64
  - name: monk_skin_tone_label_us
    dtype: float64
  config_name: train
  splits:
  - name: train
    num_bytes: 12606546552
    num_examples: 5033
  download_size: 12605798593
  dataset_size: 12606546552
dataset_name: SCIN
homepage: https://github.com/google-research-datasets/scin
paper: https://doi.org/10.1001/jamanetworkopen.2024.46615
---

# SCIN Dataset

The SCIN (Skin Condition Image Network) open access dataset aims to supplement publicly available dermatology datasets from health system sources with representative images from internet users. To this end, the SCIN dataset was collected from Google Search users in the United States through a voluntary, consented image donation application. The SCIN dataset is intended for health education and research, and to increase the diversity of dermatology images available for public use.

The SCIN dataset contains 5,000+ volunteer contributions (10,000+ images) of common dermatology conditions. Contributions include Images, self-reported demographic, history, and symptom information, and self-reported Fitzpatrick skin type (sFST). In addition, dermatologist labels of the skin condition and estimated Fitzpatrick skin type (eFST) and layperson estimated Monk Skin tone (eMST) labels are provided for each contribution.

Please note: This dataset contains images of medical conditions, some of which may be sensitive and/or graphic in nature.

## Dataset Structure & Fields
<details>
<summary>Click to view the detailed Dataset Schema</summary>

### `scin_cases.csv`

* **`case_id`** (`string`, always present): Identifier for the case. This ID should typically be stable across releases.
* **`source`** (`string`, always present): Value is "SCIN".
* **`release`** (`string`, always present): Identifier for the release this case is from (e.g., "1.0.0").
* **`year`** (`int`, always present): Year closest to the bulk of the data released.
* **`age_group`** (`enum`, sometimes present): The age provided by the user, mapped into ranges (e.g., `AGE_18_TO_29`, `AGE_30_TO_39`, etc.).
* **`sex_at_birth`** (`enum`, sometimes present): User-reported sex at birth (`FEMALE`, `MALE`, `OTHER_OR_UNSPECIFIED`).
* **`fitzpatrick_skin_type`** (`enum`, sometimes present): User-reported skin type (`FST1-6`, `NONE_SELECTED`), mapped from questions about sun exposure.
* **`race_ethnicity_*`** (`bool`, sometimes present): A set of boolean columns for user-reported race and/or ethnicity.
* **`textures_*`** (`bool`, sometimes present): A set of boolean columns for user-reported texture of the skin condition (e.g., `RAISED_OR_BUMPY`, `FLAT`).
* **`body_parts_*`** (`bool`, sometimes present): A set of boolean columns for user-reported affected body parts.
* **`condition_symptoms_*`** (`bool`, sometimes present): A set of boolean columns for user-reported symptoms related to the appearance and sensation of the skin condition.
* **`other_symptoms_*`** (`bool`, sometimes present): A set of boolean columns for user-reported symptoms that may also be related to the skin condition.
* **`related_category`** (`enum`, sometimes present): User-reported category that may be related (e.g., `ACNE`, `RASH`).
* **`condition_duration`** (`enum`, sometimes present): User-reported duration of the skin condition.
* **`image_\d_path`** (`string`, sometimes present): Path to the image storage location (up to 3 images per case).
* **`image_\d_shot_type`** (`enum`, sometimes present): Enum indicating the shot type (`CLOSE_UP`, `AT_AN_ANGLE`, `AT_DISTANCE`).

### `scin_labels.csv`

This file contains labels from dermatologists and trained laypeople.

* **`case_id`**: Same ID as in `scin_cases.csv`.
* **`dermatologist_gradable_for_skin_condition_\d`** (`bool`, sometimes present): Indicates if a dermatologist (`\d` from 1-3) could determine the skin condition from the images.
* **`dermatologist_skin_condition_label_name`** (`List[string]`, sometimes present): List of condition names from dermatologist labels.
* **`dermatologist_skin_condition_confidence`** (`List[int]`, sometimes present): Corresponding list of confidence scores (1-5) for each condition label.
* **`weighted_skin_condition_label`** (`Dict[string, float]`, sometimes present): A final differential diagnosis with normalized weights, derived from all dermatologist labels.
* **`dermatologist_gradable_for_fitzpatrick_skin_type_\d`** (`string`, sometimes present): "YES" or "NO", indicating if a dermatologist could estimate the FST.
* **`dermatologist_fitzpatrick_skin_type_label_\d`** (`enum`, sometimes present): The FST estimated by a dermatologist.
* **`gradable_for_monk_skin_tone_india`/`_us`** (`bool`, sometimes present): Indicates if a trained layperson could determine the Monk Skin Tone.
* **`monk_skin_tone_label_india`/`_us`** (`enum`, sometimes present): The MST value (1-10) assigned by a trained layperson.

</details>

## Known Issues

Please refer to the [GitHub issues page](https://github.com/google-research-datasets/scin/issues) for a list of known issues.

## Research Paper

To learn more about the dataset and methods, please see our paper [Creating an Empirical Dermatology Dataset Through Crowdsourcing With Web Search Advertisements](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2826506), in collaboration with physicians at Stanford Medicine.

## Citation

If you use this dataset in your work, please cite:
```bibtex
@article{{10.1001/jamanetworkopen.2024.46615,
    author = {{Ward, Abbi and Li, Jimmy and Wang, Julie and Lakshminarasimhan, Sriram and Carrick, Ashley and Campana, Bilson and Hartford, Jay and Sreenivasaiah, Pradeep K. and Tiyasirisokchai, Tiya and Virmani, Sunny and Wong, Renee and Matias, Yossi and Corrado, Greg S. and Webster, Dale R. and Smith, Margaret Ann and Siegel, Dawn and Lin, Steven and Ko, Justin and Karthikesalingam, Alan and Semturs, Christopher and Rao, Pooja}},
    title = {{Creating an Empirical Dermatology Dataset Through Crowdsourcing With Web Search Advertisements}},
    journal = {{JAMA Network Open}},
    volume = {{7}},
    number = {{11}},
    pages = {{e2446615-e2446615}},
    year = {{2024}},
    month = {{11}},
    issn = {{2574-3805}},
    doi = {{10.1001/jamanetworkopen.2024.46615}},
    url = {{[https://doi.org/10.1001/jamanetworkopen.2024.46615](https://doi.org/10.1001/jamanetworkopen.2024.46615)}}
}}
```

## Contact

To contact the team, please use this [contact form](https://docs.google.com/forms/d/e/1FAIpQLSdTSw-Vz1TcTv42_REzDIa28p9-xSbpvc3AttASqC0pzZdvOA/viewform).

## License

The SCIN Dataset is released under the SCIN Data Use License.

<details>
<summary>Click to view the full SCIN Data Use License</summary>

**SCIN Data Use License**

By exercising the Licensed Rights (defined below), You accept and agree to be bound by the terms and conditions of this Skin Condition Image Network (“SCIN”) Data Use Public License ("SCIN License"). 

To the extent this SCIN License may be interpreted as a contract, You are granted the Licensed Rights in consideration of Your acceptance of these terms and conditions, and the Licensor grants You such rights in consideration of benefits the Licensor receives from making the Licensed Material available under these terms and conditions.

**Section 1 -- Definitions.**

  a. “Adapted Material” means material subject to Copyright and Similar Rights derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor. 

  b. “Adapter's License” means the license You apply to Your Copyright and Similar Rights in Your contributions to Adapted Material in accordance with the terms and conditions of this SCIN License.

  c. “Copyright and Similar Rights” means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized. For purposes of this SCIN License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights.

  d. “Effective Technological Measures” means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.

  e. “Exceptions and Limitations” means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.

  f. “Licensed Material” means the images, labeling and other data contained within the database, or other material to which the Licensor applied this SCIN License.

  g. “Licensed Rights” means the rights granted to You subject to the terms and conditions of this SCIN License, which are limited to all Copyright and Similar Rights that apply to Your use of the Licensed Material and that the Licensor has authority to license.

  h. “Licensor” means the individual(s) or entity(ies) granting rights under this SCIN License.

  i. “Share” means to provide material to any third party, by any means or process that requires permission under the Licensed Rights, such as reproduction, public display, public performance, distribution, dissemination, communication, or importation, and to make material available to any such third party including in ways that such third parties or members of the public may access the material from a place and at a time individually chosen by them.

  j. “Sui Generis Database Rights” means rights other than copyright resulting from Directive 96/9/EC of the European Parliament and of the Council of 11 March 1996 on the legal protection of databases, as amended and/or succeeded, as well as other essentially equivalent rights anywhere in the world.

  k. “You” means the individual or entity exercising the Licensed Rights under this SCIN License. “Your” has a corresponding possessive meaning.

**Section 2 -- Scope.**

  a. License grant.

       1. Subject to the terms and conditions of this SCIN License, the Licensor hereby grants You a worldwide, royalty-free, non-sublicensable (except as set forth herein), non-exclusive, irrevocable license to exercise the Licensed Rights in the Licensed Material to:

            a. reproduce and Share the Licensed Material, in whole or in part; and

            b. produce, reproduce, and Share Adapted Material.

       2. Exceptions and Limitations. For the avoidance of doubt, where Exceptions and Limitations apply to Your use, this SCIN License does not apply, and You do not need to comply with its terms and conditions.

       3. Term. The term of this SCIN License is specified in Section 6(a).

       4. Media and formats; technical modifications allowed. The Licensor authorizes You to exercise the Licensed Rights in all media and formats whether now known or hereafter created, and to make technical modifications necessary to do so. The Licensor waives and/or agrees not to assert any right or authority to forbid You from making technical modifications necessary to exercise the Licensed Rights, including technical modifications necessary to circumvent Effective Technological Measures. For purposes of this SCIN License, simply making modifications authorized by this Section 2(a) (4) never produces Adapted Material.

       5. Downstream recipients.

            a. Offer from the Licensor -- Licensed Material. Every recipient of the Licensed Material automatically receives an offer from the Licensor to exercise the Licensed Rights under the terms and conditions of this SCIN License.

            b. No downstream restrictions. You may not offer or impose any additional or different terms or conditions on, or apply any Effective Technological Measures to, the Licensed Material and/or any Adapted Materials if doing so restricts exercise of the Licensed Rights by any recipient of the Licensed Material and/or any Adapted Materials.

       6. No endorsement. Nothing in this SCIN License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).

  b. Other rights.

       1. Moral rights, such as the right of integrity, are not licensed under this SCIN License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.

       2. Patent and trademark rights are not licensed under this SCIN License.

       3. To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties.


**Section 3 -- License Conditions.**

Your exercise of the Licensed Rights is expressly made subject to the following conditions.

  a. Attribution.

       1. If You Share the Licensed Material (including in modified form) or Adapted Materials,  You must:

            a. retain the following if it is supplied by the Licensor with the Licensed Material or Adapted Materials:

                 i. identification of the creator(s) of the Licensed Material and/or Adapted Materials and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);

                ii. a copyright notice;

               iii. a notice that refers to this SCIN License;

                iv. a notice that refers to the disclaimer of warranties;

                 v. a URI or hyperlink to the Licensed Material and/or Adapted Materials to the extent reasonably practicable;

            b. indicate if You modified the Licensed Material and/or Adapted Materials and retain an indication of any previous modifications;

            c. indicate the Licensed Material and/or Adapted Materials is licensed under and subject to the terms and conditions of this SCIN License, and include the text of, or the URI or hyperlink to, this SCIN License.

       2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material and/or Adapted Materials. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

       3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

       4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this SCIN License.

  b. Restrictions: You may not make any attempt to re-identify or re-link any of the individual data subjects whose data has been de-identified to create the Licensed Materials. Re-identification or re-linking of any such individual subjects is strictly prohibited and results in the immediate termination of all rights granted to the Licensed Materials and/or any Adapted Materials.

**Section 4 -- Sui Generis Database Rights.**

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material and/or Adapted Material:

  a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database;

  b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

  c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database. 

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this SCIN License where the Licensed Rights include other Copyright and Similar Rights.

**Section 5 -- Disclaimer of Warranties and Limitation of Liability.**

  a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE      EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

  b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS SCIN LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

  c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

**Section 6 -- Term and Termination.**

  a. This SCIN License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this SCIN License, then Your rights under this SCIN License terminate automatically.

  b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

       1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

       2. upon express reinstatement by the Licensor.

     For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this SCIN License.

  c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this SCIN License.

  d. Sections 1, 5, 6, 7, and 8 survive termination of this SCIN License.

**Section 7 -- Other Terms and Conditions.**

  a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

  b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this SCIN License.

**Section 8 -- Interpretation.**

  a. For the avoidance of doubt, this SCIN License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this SCIN License.

  b. To the extent possible, if any provision of this SCIN License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this SCIN License without affecting the enforceability of the remaining terms and conditions.

  c. No term or condition of this SCIN License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

  d. Nothing in this SCIN License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

</details>