Assessment of hip displacement in children with cerebral palsy using machine learning approach.

Manual measurements of migration percentage (MP) on pelvis radiographs for assessing hip displacement are subjective and time consuming. A deep learning approach using convolution neural networks (CNNs) to automatically measure the MP was proposed. The pre-trained Inception ResNet v2 was fine tuned...

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Publicado en:Medical & Biological Engineering & Computing Vol. 59; no. 9; pp. 1877 - 1888
Autores principales: Pham, Thanh-Tu, Le, Minh-Binh, Le, Lawrence H., Andersen, John, Lou, Edmond
Formato: Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11517-021-02416-9
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        atl: Assessment of hip displacement in children with cerebral palsy using machine learning approach.
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          Pham, Thanh-Tu
          Le, Minh-Binh
          Le, Lawrence H.
          Andersen, John
          Lou, Edmond
        affil: Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada
      sug:
        subj:
          Cerebral Palsy
          Hip Dislocation
          Reproducibility of Results
          Radiography
          Child
          Child: 6-12 years
      ab: Manual measurements of migration percentage (MP) on pelvis radiographs for assessing hip displacement are subjective and time consuming. A deep learning approach using convolution neural networks (CNNs) to automatically measure the MP was proposed. The pre-trained Inception ResNet v2 was fine tuned to detect locations of the eight reference landmarks used for MP measurements. A second network, fine-tuned MobileNetV2, was trained on the regions of interest to obtain more precise landmarks' coordinates. The MP was calculated from the final estimated landmarks' locations. A total of 122 radiographs were divided into 57 for training, 10 for validation, and 55 for testing. The mean absolute difference (MAD) and intra-class correlation coefficient (ICC [2,1]) of the comparison for the MP on 110 measurements (left and right hips) were 4.5 [Formula: see text] 4.3% (95% CI, 3.7-5.3%) and 0.91, respectively. Sensitivity and specificity were 87.8% and 93.4% for the classification of hip displacement (MP-threshold of 30%), and 63.2% and 94.5% for the classification of surgery-needed hips (MP-threshold of 40%). The prediction results were returned within 5 s. The developed fine-tuned CNNs detected the landmarks and provided automatic MP measurements with high accuracy and excellent reliability, which can assist clinicians to diagnose hip displacement in children with CP.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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