A Study on the Screening of Children at Risk for Developmental Disabilities Using Facial Landmarks Derived From a Mobile-Based Application
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Early detection and intervention of developmental disabilities (DDs) are critical to improving the long-term outcomes of afflicted children. In this study, our objective was to utilize facial landmark features from mobile application to distinguish between children with DDs and typically developing (TD) children.Methods The present study recruited 89 children, including 33 diagnosed with DD, and 56 TD children. The aim was to examine the effectiveness of a deep learning classification model using facial video collected from children through mobile-based application. The study participants underwent comprehensive developmental assessments, which included the child completion of the Korean Psychoeducational Profile-Revised and caregiver completing the Korean versions of Vineland Adaptive Behavior Scale, Korean version of the Childhood Autism Rating Scale, Social Responsiveness Scale, and Child Behavior Checklist. We extracted facial landmarks from recorded videos using mobile application and performed DDs classification using long short-term memory with stratified 5-fold cross-validation.Results The classification model shows an average accuracy of 0.88 (range: 0.78–1.00), an average precision of 0.91 (range: 0.75–1.00), and an average F1-score of 0.80 (range: 0.60–1.00). Upon interpreting prediction results using SHapley Additive exPlanations (SHAP), we verified that the most crucial variable was the nodding head angle variable, with a median SHAP score of 2.6. All the top 10 contributing variables exhibited significant differences in distribution between children with DD and TD (p<0.05).Conclusion The results of this study provide evidence that facial landmarks, utilizing readily available mobile-based video data, can be used to detect DD at an early stage.
Abstract
Objective Early detection and intervention of developmental disabilities (DDs) are critical to improving the long-term outcomes of afflicted children. In this study, our objective was to utilize facial landmark features from mobile application to distinguish between children with DDs and typically developing (TD) children.Methods The present study recruited 89 children, including 33 diagnosed with DD, and 56 TD children. The aim was to examine the effectiveness of a deep learning classification model using facial video collected from children through mobile-based application. The study participants underwent comprehensive developmental assessments, which included the child completion of the Korean Psychoeducational Profile-Revised and caregiver completing the Korean versions of Vineland Adaptive Behavior Scale, Korean version of the Childhood Autism Rating Scale, Social Responsiveness Scale, and Child Behavior Checklist. We extracted facial landmarks from recorded videos using mobile application and performed DDs classification using long short-term memory with stratified 5-fold cross-validation.Results The classification model shows an average accuracy of 0.88 (range: 0.78–1.00), an average precision of 0.91 (range: 0.75–1.00), and an average F1-score of 0.80 (range: 0.60–1.00). Upon interpreting prediction results using SHapley Additive exPlanations (SHAP), we verified that the most crucial variable was the nodding head angle variable, with a median SHAP score of 2.6. All the top 10 contributing variables exhibited significant differences in distribution between children with DD and TD (p<0.05).Conclusion The results of this study provide evidence that facial landmarks, utilizing readily available mobile-based video data, can be used to detect DD at an early stage.
참고문헌 (51)
- Rubin IL, "Developmental disabilities: delivery of medical care for children and adults" (1989), Lea & Febiger
- Zablotsky B, "Prevalence and trends of developmental disabilities among children in the United States : 2009-2017", Pediatrics, 144, pp.e20190811~ (2019)
- Rah SS, "Prevalence and incidence of developmental disorders in Korea : a nationwide population-based study", J Autism Dev Disord, 50, pp.4504~4511 (2020)
- Rattaz C, "Quality of life in par ents of young adults with ASD : EpiTED cohort", J Autism Dev Disord, 47, pp.2826~2837 (2017)
- Cakir J, "The lifetime social cost of autism : 1990-2029", Res Autism Spectr Disord, 72, pp.101502~ (2020)
- Genereaux D, "Costs of caring for chil dren with an intellectual developmental disorder", Disabil Health J, 8, pp.646~651 (2015)
- Lee T, "Predictors of developmental outcome in 4-to 6-year-olds with developmental disability", Psychiatry Investig, 19, pp.519~526 (2022)
- Kakchapati S, "Factors associated with early child development in Nepal – a further analysis of multiple indicator cluster survey 2019", Asian J Soc Health Behav, 6, pp.21~29 (2023)
- McKenzie K, "Screening for intellectual disability in children : a review of the literature", J Appl Res Intellect Disabil, 25, pp.80~87 (2012)
- von Suchodoletz W, "Early identification of children with developmen tal language disorders – when and how?", Z Kinder Jugendpsychiatr Psychother, 39, pp.377~385 (2011)
- Zwaigenbaum L, "Early identification of autism spectrum disorder : recommen dations for practice and research", Pediatrics, 136(Suppl 1), pp.S10~ (2015)
- Lee KY, "Ex ploring mediational roles for self-stigma in associations between types of problematic use of internet and psychological distress in youth with ADHD", Res Dev Disabil, 133, pp.104410~ (2023)
- Chan Y, "Inves tigating quality of life and self-stigma in Hong Kong children with spe cific learning disabilities", Res Dev Disabil, 68, pp.131~139 (2017)
- Shattuck PT, "Timing of identification among children with an autism spectrum disorder : findings from a population-based surveillance study", J Am Acad Child Adolesc Psychiatry, 48, pp.474~483 (2009)
- Miller LE, "Comparison of parent report and direct assessment of child skills in toddlers", Res Autism Spectr Disord, 41-42, pp.57~65 (2017)
- McCarty P, "Early detection and diagnosis of autism spectrum disorder : why is it so difficult?", Semin Pediatr Neurol, 35, pp.100831~ (2020)
- Tippelt S, "Diagnostic accuracy of language tests and parent rating for identifying language disorders", Laryngorhinootologie, 90, pp.421~427 (2011)
- Akshoomoff N, "The role of the autism diagnos tic observation schedule in the assessment of autism spectrum disor ders in school and community settings", Calif School Psychol, 11, pp.7~19 (2006)
- Kanne SM, "Screening in toddlers and pre schoolers at risk for autism spectrum disorder : evaluating a novel mo bile-health screening tool", Autism Res, 11, pp.1038~1049 (2018)
- Strobl MAR, "Look me in the eye : evaluating the accuracy of smartphone based eye tracking for potential application in autism spectrum disor der research", Biomed Eng Online, 18, pp.51~ (2019)
- Thabtah F, "An accessible and efficient autism screening method for be havioural data and predictive analyses", Health Informatics J, 25, pp.1739~1755 (2019)
- Vargas-Cuentas NI, "Developing an eye-tracking algorithm as a potential tool for early diagnosis of autism spectrum disorder in children", PLoS One, 12, pp.e0188826~ (2017)
- Fujioka T, "Gazefinder as a clinical supplementary tool for discriminating be tween autism spectrum disorder and typical development in male ad olescents and adults", Mol Autism, 7, pp.19~ (2016)
- Deutsch SI, "Understanding facial expressivity in autism spectrum disorder : an inside out review of the biological basis and clin ical implications", Prog Neuropsychopharmacol Biol Psychiatry, 88, pp.401~417 (2019)
- Shanok NA, "The nature of facial emotion recog nition impairments in children on the autism spectrum", Child Psychiatry Hum Dev, 50, pp.661~667 (2019)
- Zaja RH, "Facial emotion recognition in intellectual disabili ties", Curr Opin Psychiatry, 21, pp.441~444 (2008)
- Faso DJ, "Evaluating posed and evoked facial expressions of emotion from adults with autism spectrum disorder", J Autism Dev Disord, 45, pp.75~89 (2015)
- Memisevic H, "Facial emotion recog nition in adolescents with disabilities : the effects of type of disability and gender", Percept Mot Skills, 123, pp.127~137 (2016)
- Scotland JL, "The ability of adults with an intel lectual disability to recognise facial expressions of emotion in compari son with typically developing individuals: a systematic review", Res Dev Disabil, 41-42, pp.22~39 (2015)
- Happy SL, "Automatic facial expression recognition using features of salient facial patches", IEEE Trans Affect Comput, 6, pp.112~ (2015)
- Manfredonia J, "Automatic recognition of posed facial expression of emotion in individuals with autism spectrum disorder", J Autism Dev Disord, 49, pp.279~293 (2019)
- Bulat A, "How far are we from solving the 2D & 3D face alignment problem? (and a dataset of 230,000 3D facial land marks)", Proceedings of the IEEE International Conference on Com puter Vision (ICCV), pp.1021~1030 (2017), IEEE
- Kwon DH, "Time series classifica tion of cryptocurrency price trend based on a recurrent LSTM neural network", J Inf Process Syst, 15, pp.694~706 (2019)
- "Efficient deep CNN-BiLSTM model for network intrusion detection"[URL]
- "A unified approach to interpreting model predictions"[URL]
- Raza S, "Brief report : evaluation of the short quantitative checklist for autism in toddlers(Q-CHAT-10)as a brief screen for autism spectrum disorder in a high-risk sibling cohort", J Autism Dev Disord, 49, pp.2210~2218 (2019)
- Juneja M, "Sensitivity of the autism behavior checklist in Indian autistic children", J Dev Behav Pediatr, 31, pp.48~49 (2010)
- Hamilton S, "Screening for developmental delay : reliable, easy-to-use tools", J Fam Pract, 55, pp.415~422 (2006)
- Sheldrick RC, "Com parative accuracy of developmental screening questionnaires", JAMA Pediatr, 174, pp.366~374 (2020)
- Dias DC, "Sensitivity and speci f icity of a low-cost screening protocol for identifying children at risk for language disorders", Clinics(Sao Paulo), 75, pp.e1426~ (2020)
- Jain R, "Designing and validation of a Hindi-language parent self-report developmental screening tool", Indian Pediatr, 54, pp.550~555 (2017)
- Sturner R, "Autism screening with online decision support by primary care pedia tricians aided by M-CHAT", F, 2016, pp.138, e20153036~
- Campbell K, "Use of a digital modified checklist for autism in toddlers–revised with follow-up to improve quality of screening for autism", J Pediatr, 183, pp.133~139 (2017)
- Maleka BK, "Developmen tal screening—evaluation of an m-Health version of the parents evalu ation developmental status tools", Telemed J E Health, 22, pp.10131018~ (2016)
- Abbas H, "Machine learning approach for early detection of autism by combining questionnaire and home video screening", J Am Med Inform Assoc, 25, pp.1000~1007 (2018)
- Tariq Q, "Detecting developmental delay and autism through machine learning models using home videos of Bangladeshi children : develop ment and validation study", J Med Internet Res, 21, pp.e13822~ (2019)
- Martin KB, "Objective measurement of head movement differences in children with and without autism spectrum disorder", Mol Autism, 9, pp.14~ (2018)
- Jaiswal S, "Automatic detection of ADHD and ASD from expressive behaviour in RGBD data", Proceedings of the 12th IEEE International Conference on Automatic Face & Gesture Recognition (FG 2017), pp.762~769 (2017), IEEE
- Carpenter KLH, "Digital behavioral phenotyping detects atypical pattern of fa cial expression in toddlers with autism", Autism Res, 14, pp.488~499 (2021)
- Mottron L, "Lateral glances toward moving stimuli among young children with autism: early regulation of locally oriented perception?", Dev Psychopathol, 19, pp.23~36 (2007)
- Hellendoorn A, "The relationship between atypical visual processing and social skills in young children with autism", Res Dev Disabil, 35, pp.423~428 (2014)
