Deep Learning-Based Quantitative Analyses of Spontaneous Movements and Their Association With Early Neurological Development in Preterm Infants

Author(s):  
Hyun Iee Shin ◽  
Hyung-Ik Shin ◽  
Moon Suk Bang ◽  
Don-Kyu Kim ◽  
Seung Han Shin ◽  
...  

Abstract This study aimed to develop quantitative assessments of spontaneous movements in high-risk preterm infants based on a deep learning algorithm. Video images of spontaneous movements were recorded in very preterm infants at the term-equivalent age. The Hammersmith Infant Neurological Examination (HINE) was performed in infants at 4 months of corrected age. Joint positional data were extracted using a pretrained pose-estimation model. Similarity and complexity indices of joint angle and angular velocity were compared between the infants with HINE <60 and ≥60. Video images of spontaneous movements were recorded in 65 preterm infants at term-equivalent age. Complexity indices of joint angles and angular velocities differed between the infants with HINE<60 and ≥60 and correlated positively with HINE scores in most of the joints at the upper and lower extremities (p<0.05). Similarity indices between each joint angle or joint angular velocity did not differ between the two groups in most of the joints at the upper and lower extremities. Quantitative assessments of spontaneous movements in preterm infants are feasible using a deep learning algorithm. The results indicated that complexity indices of joint movements at both the upper and lower extremities can be potential candidates for detecting cerebral palsy in preterm infants.

2021 ◽  
Vol 13 (9) ◽  
pp. 1779
Author(s):  
Xiaoyan Yin ◽  
Zhiqun Hu ◽  
Jiafeng Zheng ◽  
Boyong Li ◽  
Yuanyuan Zuo

Radar beam blockage is an important error source that affects the quality of weather radar data. An echo-filling network (EFnet) is proposed based on a deep learning algorithm to correct the echo intensity under the occlusion area in the Nanjing S-band new-generation weather radar (CINRAD/SA). The training dataset is constructed by the labels, which are the echo intensity at the 0.5° elevation in the unblocked area, and by the input features, which are the intensity in the cube including multiple elevations and gates corresponding to the location of bottom labels. Two loss functions are applied to compile the network: one is the common mean square error (MSE), and the other is a self-defined loss function that increases the weight of strong echoes. Considering that the radar beam broadens with distance and height, the 0.5° elevation scan is divided into six range bands every 25 km to train different models. The models are evaluated by three indicators: explained variance (EVar), mean absolute error (MAE), and correlation coefficient (CC). Two cases are demonstrated to compare the effect of the echo-filling model by different loss functions. The results suggest that EFnet can effectively correct the echo reflectivity and improve the data quality in the occlusion area, and there are better results for strong echoes when the self-defined loss function is used.


Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1127
Author(s):  
Ji Hyung Nam ◽  
Dong Jun Oh ◽  
Sumin Lee ◽  
Hyun Joo Song ◽  
Yun Jeong Lim

Capsule endoscopy (CE) quality control requires an objective scoring system to evaluate the preparation of the small bowel (SB). We propose a deep learning algorithm to calculate SB cleansing scores and verify the algorithm’s performance. A 5-point scoring system based on clarity of mucosal visualization was used to develop the deep learning algorithm (400,000 frames; 280,000 for training and 120,000 for testing). External validation was performed using additional CE cases (n = 50), and average cleansing scores (1.0 to 5.0) calculated using the algorithm were compared to clinical grades (A to C) assigned by clinicians. Test results obtained using 120,000 frames exhibited 93% accuracy. The separate CE case exhibited substantial agreement between the deep learning algorithm scores and clinicians’ assessments (Cohen’s kappa: 0.672). In the external validation, the cleansing score decreased with worsening clinical grade (scores of 3.9, 3.2, and 2.5 for grades A, B, and C, respectively, p < 0.001). Receiver operating characteristic curve analysis revealed that a cleansing score cut-off of 2.95 indicated clinically adequate preparation. This algorithm provides an objective and automated cleansing score for evaluating SB preparation for CE. The results of this study will serve as clinical evidence supporting the practical use of deep learning algorithms for evaluating SB preparation quality.


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