Evidence map›Paper›PMID 36131030›Full record

ArticlePediatric radiology2022

A self-training deep neural network for early prediction of cognitive deficits in very preterm infants using brain functional connectome data.

Redha Ali, Hailong Li, Jonathan R Dillman, Mekibib Altaye, Hui Wang, Nehal A Parikh, Lili He

Open access · greenAbstract read
In one paragraph

Article in Pediatric radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. AI in Childbirth and Emerging Alternatives to Traditional Fertility Treatments.Reproductive sciences (Thousand Oaks, Calif.) · 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

7 authors at 2 institutions in 1 country.

Redha AliImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Hailong LiImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jonathan R DillmanImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Mekibib AltayeCenter for Prevention of Neurodevelopmental Disorders, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Hui WangImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Nehal A ParikhCenter for Prevention of Neurodevelopmental Disorders, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lili HeImaging Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Lili.He@cchmc.org.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · US

Funding

A New Model to Identify Preterm Neonates at High-Risk for Cognitive Impairments and School ReadinessR01NS094200 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI NEHAL A. PARIKH · 2016 to 2026
$6.7M
Quantification of Liver Fibrosis with MRI and Deep LearningR01EB030582 · NIBIB · CINCINNATI CHILDRENS HOSP MED CTR · PI HE, LILI · 2021 to 2024
$2.5M
Early Prediction of Cerebral Palsy in Premature Infants using Advanced MRI BiomarkersR01NS096037 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI PARIKH, NEHAL A. · 2016 to 2020
$2.2M
MRI and Deep Learning for Early Prediction of Neurodevelopmental Deficits in Very Preterm InfantsR01EB029944 · NIBIB · CINCINNATI CHILDRENS HOSP MED CTR · PI HE, LILI · 2020 to 2023
$2.1M
NIBIB NIH HHS R01 EB029944NIBIB NIH HHS R01 EB030582NINDS NIH HHS R01 NS094200NINDS NIH HHS R01 NS096037
6 · The paper itself

Abstract

backgroundDeep learning has been employed using brain functional connectome data for evaluating the risk of cognitive deficits in very preterm infants. Although promising, training these deep learning models typically requires a large amount of labeled data, and labeled medical data are often very difficult and expensive to obtain.

objectiveThis study aimed to develop a self-training deep neural network (DNN) model for early prediction of cognitive deficits at 2 years of corrected age in very preterm infants (gestational age ≤32 weeks) using both labeled and unlabeled brain functional connectome data. MATERIALS AND

methodsWe collected brain functional connectome data from 343 very preterm infants at a mean (standard deviation) postmenstrual age of 42.7 (2.5) weeks, among whom 103 children had a cognitive assessment at 2 years (i.e. labeled data), and the remaining 240 children had not received 2-year assessments at the time this study was conducted (i.e. unlabeled data). To develop a self-training DNN model, we built an initial student model using labeled brain functional connectome data. Then, we applied the trained model as a teacher model to generate pseudo-labels for unlabeled brain functional connectome data. Next, we combined labeled and pseudo-labeled data to train a new student model. We iterated this procedure to obtain the best student model for the early prediction task in very preterm infants.

resultsIn our cross-validation experiments, the proposed self-training DNN model achieved an accuracy of 71.0%, a specificity of 71.5%, a sensitivity of 70.4% and an area under the curve of 0.75, significantly outperforming transfer learning models through pre-training approaches.

conclusionWe report the first self-training prognostic study in very preterm infants, efficiently utilizing a small amount of labeled data with a larger share of unlabeled data to aid the model training. The proposed technique is expected to facilitate deep learning with insufficient training data.

Indexed as

ConnectomeInfant, Premature, DiseasesBrainChildCognitionHumansInfantInfant, NewbornInfant, PrematureNeural Networks, ComputerCognitive deficitDeep learningDeep neural networkFunctional connectomeNeonatesOutcome modelSelf-trainingSemi-supervised learningVery preterm infants

Identifiers

PMID36131030
PMCPMC9574648
OpenAlexW4296900399

What OpenQuestion holds

Textmetadata
LicenceTDM
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.