Multimodal models for skin cancer classification using clinical freetext and dermatoscopic images

This work benchmarks clinical freetext inclusion in skin lesion classification, demonstrating that clinical text contributes predictive value beyond that available in images alone. The model's high performance on unfiltered clinical text highlights the high levels of bias, and possible shortcutting, present in this text which may make it unsuitable for inclusion in some ML models. By systematically filtering clinical notes via our proposed technique, we show that multimodal models retain improved accuracy while reducing bias. These results provide practical guidance for integrating clinical text into real-world skin cancer detection systems and establish a foundation for future multimodal research in dermatology.