Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy

The early diagnosis of cerebral palsy is an area which has recently seen significant multi-disciplinary research. Diagnostic tools such as the General Movements Assessment (GMA), have produced some very promising results, however these manual methods can be laborious. The prospect of automating thes...

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Main Authors: Dimitrios Sakkos, Kevin D. Mccay, Claire Marcroft, Nicholas D. Embleton, Samiran Chattopadhyay, Edmond S. L. Ho
Format: Article
Language:English
Published: IEEE 2021-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9467286/
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spelling doaj-f306b953fbdd4db486eb81b67dbb3f6f2021-07-08T23:00:11ZengIEEEIEEE Access2169-35362021-01-019942819429210.1109/ACCESS.2021.30934699467286Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral PalsyDimitrios Sakkos0https://orcid.org/0000-0002-2382-8244Kevin D. Mccay1https://orcid.org/0000-0002-3790-1043Claire Marcroft2https://orcid.org/0000-0002-5445-621XNicholas D. Embleton3https://orcid.org/0000-0003-3750-5566Samiran Chattopadhyay4https://orcid.org/0000-0002-8929-9605Edmond S. L. Ho5https://orcid.org/0000-0001-5862-106XDepartment of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, U.K.Department of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, U.K.Newcastle Neonatal Services, Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne, U.K.Newcastle Neonatal Services, Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne, U.K.Department of Information Technology, Jadavpur University, Kolkata, IndiaDepartment of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, U.K.The early diagnosis of cerebral palsy is an area which has recently seen significant multi-disciplinary research. Diagnostic tools such as the General Movements Assessment (GMA), have produced some very promising results, however these manual methods can be laborious. The prospect of automating these processes is seen as key in advancing this field of study. In our previous works, we examined the viability of using pose-based features extracted from RGB video sequences to undertake classification of infant body movements based upon the GMA. In this paper, we propose a new deep learning framework for this classification task. We also propose a visualization framework which identifies body-parts with the greatest contribution towards a classification decision. The inclusion of a visualization framework is an important step towards automation as it helps make the decisions made by the machine learning framework interpretable. We directly compare the proposed framework’s classification with several other methods from the literature using two independent datasets. Our experimental results show that the proposed method performs more consistently and more robustly than our previous pose-based techniques as well as other features from related works in this setting. We also find that our visualization framework helps provide greater interpretability, enhancing the likelihood of the adoption of these technologies within the medical domain.https://ieeexplore.ieee.org/document/9467286/Cerebral palsydeep learningearly diagnosisexplainable AIgeneral movements assessmentinterpretable AI
collection DOAJ
language English
format Article
sources DOAJ
author Dimitrios Sakkos
Kevin D. Mccay
Claire Marcroft
Nicholas D. Embleton
Samiran Chattopadhyay
Edmond S. L. Ho
spellingShingle Dimitrios Sakkos
Kevin D. Mccay
Claire Marcroft
Nicholas D. Embleton
Samiran Chattopadhyay
Edmond S. L. Ho
Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
IEEE Access
Cerebral palsy
deep learning
early diagnosis
explainable AI
general movements assessment
interpretable AI
author_facet Dimitrios Sakkos
Kevin D. Mccay
Claire Marcroft
Nicholas D. Embleton
Samiran Chattopadhyay
Edmond S. L. Ho
author_sort Dimitrios Sakkos
title Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
title_short Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
title_full Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
title_fullStr Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
title_full_unstemmed Identification of Abnormal Movements in Infants: A Deep Neural Network for Body Part-Based Prediction of Cerebral Palsy
title_sort identification of abnormal movements in infants: a deep neural network for body part-based prediction of cerebral palsy
publisher IEEE
series IEEE Access
issn 2169-3536
publishDate 2021-01-01
description The early diagnosis of cerebral palsy is an area which has recently seen significant multi-disciplinary research. Diagnostic tools such as the General Movements Assessment (GMA), have produced some very promising results, however these manual methods can be laborious. The prospect of automating these processes is seen as key in advancing this field of study. In our previous works, we examined the viability of using pose-based features extracted from RGB video sequences to undertake classification of infant body movements based upon the GMA. In this paper, we propose a new deep learning framework for this classification task. We also propose a visualization framework which identifies body-parts with the greatest contribution towards a classification decision. The inclusion of a visualization framework is an important step towards automation as it helps make the decisions made by the machine learning framework interpretable. We directly compare the proposed framework’s classification with several other methods from the literature using two independent datasets. Our experimental results show that the proposed method performs more consistently and more robustly than our previous pose-based techniques as well as other features from related works in this setting. We also find that our visualization framework helps provide greater interpretability, enhancing the likelihood of the adoption of these technologies within the medical domain.
topic Cerebral palsy
deep learning
early diagnosis
explainable AI
general movements assessment
interpretable AI
url https://ieeexplore.ieee.org/document/9467286/
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