Baek Rong-Min, Cho Anna, Chung Yoon Gi, Jeon Yonghoon, Kim Hunmin, Hwang Hee, Kang Jiwon, Myung Yujin
From the Departments of Plastic and Reconstructive Surgery.
Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine.
Plast Reconstr Surg. 2025 Jul 1;156(1):112e-119e. doi: 10.1097/PRS.0000000000011792. Epub 2024 Oct 1.
Early detection of rare genetic diseases, including velocardiofacial syndrome (VCFS), is essential for patient well-being. However, the rarity of these diseases and limited clinical experience of physicians make diagnosis challenging. Deep learning algorithms have emerged as promising tools for efficient and accurate diagnosis. This study investigates the use of a deep learning algorithm to develop a face recognition model for diagnosing VCFS.
The study used publicly available labeled face data sets to train the multitask cascaded convolutional neural networks model. Subsequently, the authors examined the binary classification performance for diagnosing VCFS using the most efficient face recognition model. A total of 98 VCFS patients (920 facial photographs) and 91 non-VCFS controls (463 facial photographs) were randomly divided into training and test sets. In addition, the authors analyzed whether the classification results matched the known facial phenotype of VCFS.
The face recognition model demonstrated high accuracy, ranging from 94% to 99%, depending on the training data set. The accuracy of the binary classification diagnostic model varied from 81% to 88% when evaluating with photographs taken at various angles, but reached 95% evaluating with frontal photographs only. Gradient-weighted class activation mapping heat map revealed the high importance level of perinasal and periorbital areas, exhibiting consistency with the conventional facial phenotypes of VCFS.
This study shows the feasibility and effectiveness of multitask cascaded convolutional neural network-based model for detecting VCFS solely from facial photographs. The high accuracy underscores the potential of deep learning in aiding early diagnosis of rare genetic diseases, facilitating timely interventions for patient care.
包括腭心面综合征(VCFS)在内的罕见遗传病的早期检测对患者的健康至关重要。然而,这些疾病的罕见性以及医生有限的临床经验使得诊断具有挑战性。深度学习算法已成为高效准确诊断的有前景的工具。本研究调查了使用深度学习算法开发用于诊断VCFS的面部识别模型。
该研究使用公开可用的带标签面部数据集训练多任务级联卷积神经网络模型。随后,作者使用最有效的面部识别模型检查诊断VCFS的二元分类性能。总共98名VCFS患者(920张面部照片)和91名非VCFS对照(463张面部照片)被随机分为训练集和测试集。此外,作者分析了分类结果是否与已知的VCFS面部表型相匹配。
面部识别模型显示出高准确率,根据训练数据集的不同,准确率在94%至99%之间。当用不同角度拍摄的照片进行评估时,二元分类诊断模型的准确率在81%至88%之间变化,但仅用正面照片评估时达到95%。梯度加权类激活映射热图显示鼻周和眶周区域的重要性水平很高,与VCFS的传统面部表型一致。
本研究表明基于多任务级联卷积神经网络的模型仅从面部照片检测VCFS的可行性和有效性。高准确率强调了深度学习在辅助罕见遗传病早期诊断、促进患者护理及时干预方面的潜力。