Department of Neurosurgery.
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
J Craniofac Surg. 2022 Sep 1;33(6):1843-1846. doi: 10.1097/SCS.0000000000008620. Epub 2022 Mar 9.
Non-syndromic craniosynostosis (NSCS) is a disease, in which a single cranial bone suture is prematurely fused. The early intervention of the disease is associated with a favorable outcome at a later age, so appropriate screening of NSCS is essential for its clinical management. The present study aims to develop a classification and detection system of NSCS using skull X-ray images and a convolutional neural network (CNN) deep learning framework. A total of 56 NSCS cases (scaphocephaly [ n = 17], trigonocephaly [n = 28], anterior plagiocephaly [n = 8], and posterior plagiocephaly [n = 3]) and 25 healthy control infants were included in the study. All the cases underwent skull X-rays and computed tomography scan for diagnosis in our institution. The lateral views obtained from the patients were retrospectively examined using a CNN framework. Our CNN model classified the 4 NSCS types and control with high accuracy (100%). All the cases were correctly classified. The proposed CNN model may offer a safe and high-sensitivity screening of NSCS and facilitate early diagnosis of the disease and better neurocognitive outcome for patients.
非综合征性颅缝早闭(NSCS)是一种疾病,其中单一颅骨缝过早融合。该疾病的早期干预与以后年龄的良好结果相关,因此,NSCS 的适当筛查对于其临床管理至关重要。本研究旨在使用颅骨 X 射线图像和卷积神经网络(CNN)深度学习框架开发 NSCS 的分类和检测系统。共有 56 例 NSCS 病例(舟状头畸形[n = 17]、三角头畸形[n = 28]、前斜头畸形[n = 8]和后斜头畸形[n = 3])和 25 例健康对照婴儿纳入研究。所有病例均在我院行颅骨 X 线和计算机断层扫描检查以明确诊断。使用 CNN 框架回顾性检查从患者获得的侧位片。我们的 CNN 模型对 4 种 NSCS 类型和对照组的分类具有很高的准确性(100%)。所有病例均正确分类。该建议的 CNN 模型可能为 NSCS 提供安全且高灵敏度的筛查,并有助于疾病的早期诊断和患者更好的神经认知结局。