Hashemi Jordan, Dawson Geraldine, Carpenter Kimberly L H, Campbell Kathleen, Qiu Qiang, Espinosa Steven, Marsan Samuel, Baker Jeffrey P, Egger Helen L, Sapiro Guillermo
Department of Electrical and Computer Engineering, Duke University, Durham, NC.
Department of Psychiatry and Behavioral Sciences, Duke Center for Autism and Brain Development, and the Duke Institute for Brain Sciences, Durham, NC.
IEEE Trans Affect Comput. 2021 Jan-Mar;12(1):215-226. doi: 10.1109/taffc.2018.2868196. Epub 2018 Sep 3.
Observational behavior analysis plays a key role for the discovery and evaluation of risk markers for many neurodevelopmental disorders. Research on autism spectrum disorder (ASD) suggests that behavioral risk markers can be observed at 12 months of age or earlier, with diagnosis possible at 18 months. To date, these studies and evaluations involving observational analysis tend to rely heavily on clinical practitioners and specialists who have undergone intensive training to be able to reliably administer carefully designed behavioural-eliciting tasks, code the resulting behaviors, and interpret such behaviors. These methods are therefore extremely expensive, time-intensive, and are not easily scalable for large population or longitudinal observational analysis. We developed a self-contained, closed-loop, mobile application with movie stimuli designed to engage the child's attention and elicit specific behavioral and social responses, which are recorded with a mobile device camera and then analyzed via computer vision algorithms. Here, in addition to presenting this paradigm, we validate the system to measure engagement, name-call responses, and emotional responses of toddlers with and without ASD who were presented with the application. Additionally, we show examples of how the proposed framework can further risk marker research with fine-grained quantification of behaviors. The results suggest these objective and automatic methods can be considered to aid behavioral analysis, and can be suited for objective automatic analysis for future studies.
观察行为分析在发现和评估许多神经发育障碍的风险标志物方面起着关键作用。对自闭症谱系障碍(ASD)的研究表明,行为风险标志物在12个月龄或更早时就可以观察到,18个月时可能做出诊断。迄今为止,这些涉及观察分析的研究和评估严重依赖经过强化培训的临床医生和专家,他们能够可靠地实施精心设计的行为诱发任务,对产生的行为进行编码,并解释这些行为。因此,这些方法极其昂贵、耗时,并且不容易扩展用于大规模人群或纵向观察分析。我们开发了一个独立的、闭环的移动应用程序,带有电影刺激,旨在吸引儿童的注意力并引发特定的行为和社交反应,这些反应由移动设备摄像头记录,然后通过计算机视觉算法进行分析。在此,除了展示这种范式外,我们还验证了该系统,以测量使用该应用程序的患有和未患有ASD的幼儿的参与度、叫名反应和情绪反应。此外,我们展示了所提出的框架如何通过对行为的细粒度量化进一步推动风险标志物研究的示例。结果表明,这些客观和自动的方法可被视为有助于行为分析,并且适用于未来研究的客观自动分析。