Diagnosis of Patellofemoral Pain Syndrome Based on a Multi-Input Convolutional Neural Network With Data Augmentation

Patellofemoral pain syndrome (PFPS) is a common disease of the knee. Despite its high incidence rate, its specific cause remains unclear. The artificial neural network model can be used for computer-aided diagnosis. Traditional diagnostic methods usually only consider a single factor. However, PFPS involves different biomechanical characteristics of the lower limbs. Thus, multiple biomechanical characteristics must be considered in the neural network model. The data distribution between different characteristic dimensions is different. Thus, preprocessing is necessary to make the different characteristic dimensions comparable. However, a general rule to follow in the selection of biomechanical data preprocessing methods is lacking, and different preprocessing methods have their own advantages and disadvantages. Therefore, this paper proposes a multi-input convolutional neural network (MI-CNN) method that uses two input channels to mine the information of lower limb biomechanical data from two mainstream data preprocessing methods (standardization and normalization) to diagnose PFPS. Data were augmented by horizontally flipping the multi-dimensional time-series signal to prevent network overfitting and improve model accuracy. The proposed method was tested on the walking and running datasets of 41 subjects (26 patients with PFPS and 15 pain-free controls). Three joint angles of the lower limbs and surface electromyography signals of seven muscles around the knee joint were used as input. MI-CNN was used to automatically extract features to classify patients with PFPS and pain-free controls. Compared with the traditional single-input convolutional neural network (SI-CNN) model and previous methods, the proposed MI-CNN method achieved a higher detection sensitivity of 97.6%, a specificity of 76.0%, and an accuracy of 89.0% on the running dataset. The accuracy of SI-CNN in the running dataset was about 82.5%. The results prove that combining the appropriate neural network model and biomechanical analysis can establish an accurate, convenient, and real-time auxiliary diagnosis system for PFPS to prevent misdiagnosis.

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Auxiliary Diagnostic Method for Patellofemoral Pain Syndrome Based on One-Dimensional Convolutional Neural Network

Frontiers in Public Health ◽

10.3389/fpubh.2021.615597 ◽

2021 ◽

Vol 9 ◽

Author(s):

Wuxiang Shi ◽

Yurong Li ◽

Dujian Xu ◽

Chen Lin ◽

Junlin Lan ◽

...

Keyword(s):

Neural Network ◽

Convolutional Neural Network ◽

Diagnostic Method ◽

Pain Syndrome ◽

Patellofemoral Pain Syndrome ◽

Patellofemoral Pain ◽

Flexion Angle ◽

Data Set ◽

One Dimensional ◽

Semg Signals

Early accurate diagnosis of patellofemoral pain syndrome (PFPS) is important to prevent the further development of the disease. However, traditional diagnostic methods for PFPS mostly rely on the subjective experience of doctors and subjective feelings of the patient, which do not have an accurate-unified standard, and the clinical accuracy is not high. With the development of artificial intelligence technology, artificial neural networks are increasingly applied in medical treatment to assist doctors in diagnosis, but selecting a suitable neural network model must be considered. In this paper, an intelligent diagnostic method for PFPS was proposed on the basis of a one-dimensional convolutional neural network (1D CNN), which used surface electromyography (sEMG) signals and lower limb joint angles as inputs, and discussed the model from three aspects, namely, accuracy, interpretability, and practicability. This article utilized the running and walking data of 41 subjects at their selected speed, including 26 PFPS patients (16 females and 10 males) and 16 painless controls (8 females and 7 males). In the proposed method, the knee flexion angle, hip flexion angle, ankle dorsiflexion angle, and sEMG signals of the seven muscles around the knee of three different data sets (walking data set, running data set, and walking and running mixed data set) were used as input of the 1D CNN. Focal loss function was introduced to the network to solve the problem of imbalance between positive and negative samples in the data set and make the network focus on learning the difficult-to-predict samples. Meanwhile, the attention mechanism was added to the network to observe the dimension feature that the network pays more attention to, thereby increasing the interpretability of the model. Finally, the depth features extracted by 1D CNN were combined with the traditional gender features to improve the accuracy of the model. After verification, the 1D CNN had the best performance on the running data set (accuracy = 92.4%, sensitivity = 97%, specificity = 84%). Compared with other methods, this method could provide new ideas for the development of models that assisted doctors in diagnosing PFPS without using complex biomechanical modeling and with high objective accuracy.

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KLASIFIKASI CITRA GENUS PANTHERA MENGGUNAKAN METODE CONVOLUTIONAL NEURAL NETWORK (CNN)

Jurnal Ilmiah Informatika Komputer ◽

10.35760/ik.2019.v24i3.2364 ◽

2019 ◽

Vol 24 (3) ◽

pp. 220-228

Author(s):

Gusti Alfahmi Anwar ◽

Desti Riminarsih

Keyword(s):

Neural Network ◽

Convolutional Neural Network ◽

Network Model ◽

Neural Network Model ◽

Input Layer ◽

Fully Connected

Panthera merupakan genus dari keluarga kucing yang memiliki empat spesies popular yaitu, harimau, jaguar, macan tutul, singa. Singa memiliki warna keemasan dan tidak memilki motif, harimau memiliki motif loreng dengan garis-garis panjang, jaguar memiliki tubuh yang lebih besar dari pada macan tutul serta memiliki motif tutul yang lebih lebar, sedangkan macan tutul memiliki tubuh yang sedikit lebih ramping dari pada jaguar dan memiliki tutul yang tidak terlalu lebar. Pada penelitian ini dilakukan klasifikasi genus panther yaitu harimau, jaguar, macan tutul, dan singa menggunakan metode Convolutional Neural Network. Model Convolutional Neural Network yang digunakan memiliki 1 input layer, 5 convolution layer, dan 2 fully connected layer. Dataset yang digunakan berupa citra harimau, jaguar, macan tutul, dan singa. Data training terdiri dari 3840 citra, data validasi sebanyak 960 citra, dan data testing sebanyak 800 citra. Hasil akurasi dari pelatihan model untuk training yaitu 92,31% dan validasi yaitu 81,88%, pengujian model menggunakan dataset testing mendapatan hasil 68%. Hasil akurasi prediksi didapatkan dari nilai F1-Score pada pengujian didapatkan sebesar 78% untuk harimau, 70% untuk jaguar, 37% untuk macan tutul, 74% untuk singa. Macan tutul mendapatkan akurasi terendah dibandingkan 3 hewan lainnya tetapi lebih baik dibandingkan hasil penelitian sebelumnya.

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