Evidence map›Paper›PMID 34385511›Full record

ArticleScientific reports2021

A Robust Machine Learning Based Framework for the Automated Detection of ADHD Using Pupillometric Biomarkers and Time Series Analysis.

William Das, Shubh Khanna

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

William Das *Columbia University, New York, NY, 10027, USA. whd2108@columbia.edu.
Shubh Khanna *Stanford University, Stanford, CA, 94305, USA.
Columbia University · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate and efficient detection of attention-deficit/hyperactivity disorder (ADHD) is critical to ensure proper treatment for affected individuals. Current clinical examinations, however, are inefficient and prone to misdiagnosis, as they rely on qualitative observations of perceived behavior. We propose a robust machine learning based framework that analyzes pupil-size dynamics as an objective biomarker for the automated detection of ADHD. Our framework integrates a comprehensive pupillometric feature engineering and visualization pipeline with state-of-the-art binary classification algorithms and univariate feature selection. The support vector machine classifier achieved an average 85.6% area under the receiver operating characteristic (AUROC), 77.3% sensitivity, and 75.3% specificity using ten-fold nested cross-validation (CV) on a declassified dataset of 50 patients. 218 of the 783 engineered features, including fourier transform metrics, absolute energy, consecutive quantile changes, approximate entropy, aggregated linear trends, as well as pupil-size dilation velocity, were found to be statistically significant differentiators (p < 0.05), and provide novel behavioral insights into associations between pupil-size dynamics and the presence of ADHD. Despite a limited sample size, the strong AUROC values highlight the robustness of the binary classifiers in detecting ADHD-as such, with additional data, sensitivity and specificity metrics can be substantially augmented. This study is the first to apply machine learning based methods for the detection of ADHD using solely pupillometrics, and highlights its strength as a potential discriminative biomarker, paving the path for the development of novel diagnostic applications to aid in the detection of ADHD using oculometric paradigms and machine learning.

Indexed as

AlgorithmsAttention Deficit Disorder with HyperactivityBiomarkersChildFemaleHumansMachine LearningMalePhysical ExaminationSensitivity and SpecificitySupport Vector MachineBiomarkers

Identifiers

PMID34385511
PMCPMC8361128
OpenAlexW3187284521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.