Region-Specific Calibration Achieves Excellent Inter-Device Reliability for Smartphone Dermatology: A Multi-Device Benchmark on Korean Facial Skin

Background: Smartphone-based dermatology requires inter-device colorimetric reliability that holds across calibration regimes, yet quantitative multi-device benchmarks remain scarce. Materials and Methods: We analyzed matched facial images from 965 Korean subjects captured by a digital single-lens reflex (DSLR) camera, a consumer tablet, and a consumer smartphone, and evaluated two calibration methods against the DSLR reference. The methods are standard global linear Color Correction Matrix (CCM) normalization and region-specific CCM trained per anatomical region, both applied in Commission Internationale de l'Eclairage Lab* (CIELAB) space. Results: Linear CCM reduced inter-device color differences by 61-74% and placed both Melanin Index (intraclass correlation coefficient [ICC] = 0.80) and Individual Typology Angle (ITA, ICC = 0.78) in the good reliability band. Region-specific CCM raised both indices into the excellent reliability band (MI ICC = 0.95, ITA ICC = 0.93), with anatomical region exceeding the source device as the largest pre-calibration variance contributor (analysis-of-variance η2 = 0.18 versus 0.12). Conclusion: Consumer-device skin colorimetry therefore achieves clinically useful inter-device reliability using standard calibration, with region-aware calibration the largest remaining source of improvement.