Evidence map›Paper›PMID 39576977›Full record

ArticleJMIR pediatrics and parenting2024

Exploring the Use of a Length AI Algorithm to Estimate Children's Length from Smartphone Images in a Real-World Setting: Algorithm Development and Usability Study.

Mei Chien Chua, Matthew Hadimaja, Jill Wong, Sankha Subhra Mukherjee, Agathe Foussat, Daniel Chan, Umesh Nandal, Fabian Yap

Registry-linked trialAbstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05079776 (Assessing the Use of a Growth Artificial Intelligence Algorithm for Estimating the leNgth of Children in Real-world Setting), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT05079776 completednot on this map

Assessing the Use of a Growth Artificial Intelligence Algorithm for Estimating the leNgth of Children in Real-world Setting

TypeobservationalSponsorDanone Asia Pacific Holdings Pte, Ltd.Ran2021 to 2022Enrolled200ConditionsGrowth, Stunting, NutritionalArmsPhysical length measurement
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Observational
  3. Review
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

8 authors.

Mei Chien ChuaDepartment of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0002-7471-751X
Matthew HadimajaDanone Nutricia Research, Singapore, Singapore.ORCID https://orcid.org/0009-0009-6041-7143
Jill WongDanone Nutricia Research, Singapore, Singapore.ORCID https://orcid.org/0000-0002-7368-8593
Sankha Subhra MukherjeeDanone Nutricia Research, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8964-7537
Agathe FoussatDanone Nutricia Research, Singapore, Singapore.ORCID https://orcid.org/0000-0002-8709-4075
Daniel ChanDuke-NUS Medical School, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8191-5330
Umesh NandalDanone Nutricia Research, Utrecht, Netherlands.ORCID https://orcid.org/0009-0004-7883-431X
Fabian YapDuke-NUS Medical School, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1083-7958

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLength measurement in young children younger than 18 months is important for monitoring growth and development. Accurate length measurement requires proper equipment, standardized methods, and trained personnel. In addition, length measurement requires young children's cooperation, making it particularly challenging during infancy and toddlerhood.

objectiveThis study aimed to develop a length artificial intelligence (LAI) algorithm to aid users in determining recumbent length conveniently from smartphone images and explore its performance and suitability for personal and clinical use.

methodsThis proof-of-concept study in healthy children (aged 0-18 months) was performed at KK Women's and Children's Hospital, Singapore, from November 2021 to March 2022. Smartphone images were taken by parents and investigators. Standardized length-board measurements were taken by trained investigators. Performance was evaluated by comparing the tool's image-based length estimations with length-board measurements (bias [mean error, mean difference between measured and predicted length]; absolute error [magnitude of error]). Prediction performance was evaluated on an individual-image basis and participant-averaged basis. User experience was collected through questionnaires.

resultsA total of 215 participants (median age 4.4, IQR 1.9-9.7 months) were included. The tool produced a length prediction for 99.4% (2211/2224) of photos analyzed. The mean absolute error was 2.47 cm for individual image predictions and 1.77 cm for participant-averaged predictions. Investigators and parents reported no difficulties in capturing the required photos for most participants (182/215, 84.7% participants and 144/200, 72% participants, respectively).

conclusionsThe LAI algorithm is an accessible and novel way of estimating children's length from smartphone images without the need for specialized equipment or trained personnel. The LAI algorithm's current performance and ease of use suggest its potential for use by parents or caregivers with an accuracy approaching what is typically achieved in general clinics or community health settings. The results show that the algorithm is acceptable for use in a personal setting, serving as a proof of concept for use in clinical settings.

trial registrationClinicalTrials.gov NCT05079776; https://clinicaltrials.gov/ct2/show/NCT05079776.

Indexed as

AIalgorithmartificial intelligencechildrencomputer visionheightimaginginfantlengthlength estimationmeasuremHealthmobile healthmobile phoneneonatalnewbornpediatricsmartphonesmartphone images

Identifiers

PMID39576977
PMCPMC11624450

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Registered trials

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.