Prediction of ambulatory outcome in patients with corona radiata infarction using deep learning.

Journal: Scientific reports
Published Date:

Abstract

Deep learning (DL) is an advanced machine learning approach used in diverse areas such as bioinformatics, image analysis, and natural language processing. Here, using brain magnetic resonance imaging (MRI) data obtained at early stages of infarcts, we attempted to develop a convolutional neural network (CNN) to predict the ambulatory outcome of corona radiata infarction at six months after onset. We retrospectively recruited 221 patients with corona radiata infarcts. A favorable outcome of ambulatory function was defined as a functional ambulation category (FAC) score of ≥ 4 (able to walk without a guardian's assistance), and a poor outcome of ambulatory function was defined as an FAC score of < 4. We used a CNN algorithm. Of the included subjects, 69.7% (n = 154) were assigned randomly to the training set and the remaining 30.3% (n = 67) were assigned to the validation set to measure the model performance. The area under the curve was 0.751 (95% CI 0.649-0.852) for the prediction of ambulatory function with the validation dataset using the CNN model. We demonstrated that a CNN model trained using brain MRIs captured at an early stage after corona radiata infarction could be helpful in predicting long-term ambulatory outcomes.

Authors

  • Jeoung Kun Kim
    Department of Business Administration, School of Business, Yeungnam University, Gyeongsan-si, Republic of Korea.
  • Yoo Jin Choo
    Department of Physical Medicine and Rehabilitation, College of Medicine, Yeoungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea.
  • Hyunkwang Shin
    Department of Information and Communication Engineering, Yeungnam University, Gyeongsan-si, Republic of Korea.
  • Gyu Sang Choi
    Department of Information & Communication Engineering, Yeungnam University, Gyeongsan, Gyeongbuk, Korea.
  • Min Cheol Chang
    Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Republic of Korea. Electronic address: wheel633@ynu.ac.kr.