Evidence map›Paper›PMID 34482428›Full record

ArticleEuropean radiology2022

Diagnosing autism spectrum disorder in children using conventional MRI and apparent diffusion coefficient based deep learning algorithms.

Xiang Guo, Jiehuan Wang, Xiaoqiang Wang, Wenjing Liu, Hao Yu, Li Xu, Hengyan Li, Jiangfen Wu, Mengxing Dong, Weixiong Tan and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Early Autism Spectrum Disorder Detection Using Adaptive Fused Spatial-Temporal Graph Convolutional Network Optimized With Artificial Lemming Algorithm.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2026
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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

13 authors at 3 institutions in 1 country.

Xiang GuoDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Jiehuan WangDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Xiaoqiang WangDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Wenjing LiuChildren Rehabilitation Center, the Affiliated Hospital of Jining Medical University, Jining, China.
Hao YuDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Li XuDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Hengyan LiDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China.
Jiangfen WuInfervision, Beijing, China.
Mengxing DongInfervision, Beijing, China.
Weixiong TanInfervision, Beijing, China.
Weijian ChenDepartment of Medical Imaging, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yunjun YangDepartment of Medical Imaging, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yueqin ChenDepartment of Radiology, the Affiliated Hospital of Jining Medical University, Jining, China. sdjnchenyueqin@163.com.ORCID http://orcid.org/0000-0003-0858-5720
Affiliated Hospital of Jining Medical University · CNInferVision (China) · CNWenzhou Medical University · CN

Funding

Jining Key Research and Development Program 2017SMNS012Shandong Province Graduate Education Quality Improvement Project SDYKC19213Shandong Provincial Development Program of Medical Science and Technology 2016WS0185
6 · The paper itself

Abstract

objectiveTo develop and validate deep learning (DL) methods for diagnosing autism spectrum disorder (ASD) based on conventional MRI (cMRI) and apparent diffusion coefficient (ADC) images.

methodsA total of 151 ASD children and 151 age-matched typically developing (TD) controls were included in this study. The data from these subjects were assigned to training and validation datasets. An additional 20 ASD children and 25 TD controls were acquired, whose data were utilized in an independent test set. All subjects underwent cMRI and diffusion-weighted imaging examination of the brain. We developed a series of DL models to separate ASD from TD based on the cMRI and ADC data. The seven models used include five single-sequence models (SSMs), one dominant-sequence model (DSM), and one all-sequence model (ASM). To enhance the feature detection of the models, we embed an attention mechanism module.

resultsThe highest AUC (0.824 ~ 0.850) was achieved when applying the SSM based on either FLAIR or ADC to the validation and independent test sets. A DSM using the combination of FLAIR and ADC showed an improved AUC in the validation (0.873) and independent test sets (0.876). The ASM also showed better diagnostic value in the validation (AUC = 0.838) and independent test sets (AUC = 0.836) compared to the SSMs. Among the models with attention mechanism, the DSM achieved the highest diagnostic performance with an AUC, accuracy, sensitivity, and specificity of 0.898, 84.4%, 85.0%, and 84.0% respectively.

conclusionsThis study established the potential of DL models to distinguish ASD cases from TD controls based on cMRI and ADC images. KEY POINTS: • Deep learning models based on conventional MRI and ADC can be used to diagnose ASD. • The model (DSM) based on the FLAIR and ADC sequence achieved the best diagnostic performance with an AUC of 0.836 in the independent test sets. • The attention mechanism further improved the diagnostic performance of the models.

Indexed as

Autism Spectrum DisorderDeep LearningAlgorithmsChildDiffusion Magnetic Resonance ImagingHumansMagnetic Resonance ImagingAutism spectrum disorderComputational neural networksDeep learningMagnetic resonance imaging

Identifiers

PMID34482428
OpenAlexW3197517255

What OpenQuestion holds

Textmetadata
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.