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Automated Rating of Multiple Sclerosis Test Results Using a Convolutional Neural Network

机译:使用卷积神经网络自动评定多发性硬化试验结果

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This work concerns methods for automated rating of the progression of Multiple Sclerosis (MS). Often, MS patients develop cognitive deficits. The Brief Visuospatial Memory Test-Revised (BVMT-R) is a recognized method to measure optical recognition deficits and their progression. Typically, the test is carried out on paper using geometric figures which the patient should recognize and trace. The results are rated manually by a physician. The goal of this work was to digitize the BVMT-R and to support the interpretation of the test results using a machine learning (ML) algorithm. A convolutional neural network (CNN) was used to rate the drawings of a patient. As a result, the correct point value of the BVMT-R could be determined with an accuracy between 57 % and 76% hased on a training set of 624 patient drawings obtained from 135 patients. These drawings had been previously physician rated to serve as a gold standard. In our experiment, we obtained reasonable accuracy above 80% when more than 40 drawings were available, but our training sample was too small for more detailed analysis. Conclusion: At the currently achieved classification accuracy, results analysis will remain a physician task, potentially supported with ML based preclassification, but there is hope that ML accuracy can be further improved to enable automated follow-ups.
机译:这项工作涉及多发性硬化进程的自动评级方法(MS)。通常,MS患者患者发挥认知缺陷。简要的粘合空间内存测试修订(BVMT-R)是一种测量光学识别缺陷及其进展的公认方法。通常,使用患者应识别和追踪的几何图来在纸上进行测试。结果由医生手动评估。这项工作的目标是使用机器学习(ML)算法来数字化BVMT-R并支持测试结果的解释。卷积神经网络(CNN)用于评估患者的附图。结果,BVMT-R的正确点值可以在从135名患者获得的624名患者绘图的训练组上的57%和76%之间测定。这些图纸以前是医生额定作为黄金标准。在我们的实验中,当可获得超过40个图纸时,我们获得了合理的准确度以上80%,但我们的训练样本太小,无法进行更详细的分析。结论:在目前实现的分类准确性,结果分析将仍然是医生任务,可能是基于ML的预测,但希望可以进一步改善ML准确度以实现自动化随访。

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