PIPages
Labs

Mackenzie Wehner

University of Texas MD Anderson Cancer Center, TX·Medicine & Clinical Research·Early-career

Actinic keratoses are rough, scaly patches caused by years of sun exposure. They affect tens of millions of people in the United States each year.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Topics

actinic keratosis

cutaneous squamous cell carcinoma

cSCC

Grants
2 known grants, through May 2031

What they work on

  1. Test whether a 4-day course of 5-fluorouracil plus calcipotriene, a vitamin D analog, is non-inferior to 2–4 weeks of 5-fluorouracil alone, in a two-site randomized trial of patients with multiple actinic keratoses.
  2. Compare patient satisfaction, side effects, adherence and new squamous cell carcinomas between the short combination and standard 5-fluorouracil treatment of actinic keratoses.
  3. Compare in-person actinic keratosis counts with counts from standardized digital photographs. Explore whether an AI image segmentation algorithm can automate the counting.
  4. Assess whether vision-language models, AI that interprets images alongside text, can reliably grade the severity of precancerous skin conditions for telemonitoring.
  5. Measure the absolute risks of melanoma, basal cell carcinoma and squamous cell carcinoma over time in patients with actinic keratoses, using large administrative datasets.
  6. Characterize current skin cancer follow-up care for patients with actinic keratoses and develop the first skin cancer risk prediction model for this group.

More about the research

Some turn into cutaneous squamous cell carcinoma, the second most common cancer in the country. Treating them well, and knowing which patients face the highest cancer risk, could prevent many skin cancers. This work tackles both questions. One project is a clinical trial of a shorter, gentler cream treatment. The other uses large health datasets to measure and predict skin cancer risk in people with these lesions.

Why it matters

People with actinic keratoses are a large, high-risk group, yet there are no specific guidelines for their skin cancer screening. Risk estimates and a prediction model could form the basis for such recommendations. A shorter, more tolerable treatment could lead more patients to accept preventive therapy and so prevent squamous cell carcinomas. Photo-based, AI-assisted lesion counting could support remote follow-up and make skin trials more efficient.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Topical Therapy for Cutaneous Precancerous Lesions: a Digitally-enabled Randomized Controlled Trial of Fluorouracil compared with Fluorouracil/Calcipotriene

NIH · Jun 2026 – May 2031

Skin Cancer Risks and Risk Prediction in Patients with Actinic Keratosis

NIH · Apr 2022 – Mar 2027

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The school

University of Texas MD Anderson Cancer Center: 23 labs on PI Pages, $1.4B a year on research.

More about University of Texas MD Anderson Cancer Center

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