Evidence map›Paper›PMID 38802862›Full record

ArticleChild and adolescent psychiatry and mental health2024

Objective and automatic assessment approach for diagnosing attention-deficit/hyperactivity disorder based on skeleton detection and classification analysis in outpatient videos.

Chen-Sen Ouyang, Rei-Cheng Yang, Rong-Ching Wu, Ching-Tai Chiang, Yi-Hung Chiu, Lung-Chang Lin

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Article in Child and adolescent psychiatry and mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Chen-Sen OuyangDepartment of Information Management, National Kaohsiung University of Science and Technology, No.1, University Rd., Yanchao District, Kaohsiung City, 824005, Taiwan.
Rei-Cheng YangDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, #100, Tzyou 1st Rd., Sanmin District, Kaohsiung City, 80756, Taiwan.
Rong-Ching WuDepartment of Electrical Engineering, I-Shou University, No.1, Sec. 1, Syuecheng Rd., Dashu District, Kaohsiung City, 84001, Taiwan.
Ching-Tai ChiangDepartment of Computer and Communication, National Pingtung University, No.4-18, Minsheng Rd., Pingtung City, 900391, Pingtung County, Taiwan.
Yi-Hung ChiuDepartment of Information Engineering, I-Shou University, No.1, Sec. 1, Syuecheng Rd., Dashu District, Kaohsiung City, 84001, Taiwan.
Lung-Chang LinDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, #100, Tzyou 1st Rd., Sanmin District, Kaohsiung City, 80756, Taiwan. lclin@kmu.edu.tw.

Funding

Kaohsiung Medical University Hospital KMUH111-1R45Kaohsiung Medical University Hospital KMUH-SA11107Kaohsiung Medical University Hospital KMUH-SI11104National Science and Technology Council, Taiwan NSTC 111-2221-E-992-090-MY3National Science and Technology Council, Taiwan NSTC 111-2314-B-037-077
6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) is diagnosed in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria by using subjective observations and information provided by parents and teachers. However, subjective analysis often leads to overdiagnosis or underdiagnosis. There are two types of motor abnormalities in patients with ADHD. First, hyperactivity with fidgeting and restlessness is the major diagnostic criterium for ADHD. Second, developmental coordination disorder characterized by deficits in the acquisition and execution of coordinated motor skills is not the major criterium for ADHD. In this study, a machine learning-based approach was proposed to evaluate and classify 96 patients into ADHD (48 patients, 26 males and 22 females, with mean age: 7y6m) and non-ADHD (48 patients, 26 males and 22 females, with mean age: 7y8m) objectively and automatically by quantifying their movements and evaluating the restlessness scales.

methodsThis approach is mainly based on movement quantization through analysis of variance in patients' skeletons detected in outpatient videos. The patients' skeleton sequence in the video was detected using OpenPose and then characterized using 11 values of feature descriptors. A classification analysis based on six machine learning classifiers was performed to evaluate and compare the discriminating power of different feature combinations.

resultsThe results revealed that compared with the non-ADHD group, the ADHD group had significantly larger means in all cases of single feature descriptors. The single feature descriptor "thigh angle", with the values of 157.89 ± 32.81 and 15.37 ± 6.62 in ADHD and non-ADHD groups (p < 0.0001), achieved the best result (optimal cutoff, 42.39; accuracy, 91.03%; sensitivity, 90.25%; specificity, 91.86%; and AUC, 94.00%).

conclusionsThe proposed approach can be used to evaluate and classify patients into ADHD and non-ADHD objectively and automatically and can assist physicians in diagnosing ADHD.

Indexed as

ADHDCutoffMachine learningOpenPoseSkeleton detectionVariance analysis

Identifiers

PMID38802862
PMCPMC11131256

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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.