Roberta Simeoli, Angelo Rega, Mariangela Cerasuolo, Raffaele Nappo, Davide Marocco
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引用次数: 0
Abstract
Diagnosis of autism spectrum disorder (ASD) is typically performed using traditional tools based on behavioral observations. However, these diagnosis methods are time-consuming and can be misleading. Integrating machine learning algorithms with technological screening tools within the typical behavioral observations can possibly enhance the traditional assessment and diagnostic process. In the last two decades, to improve the accuracy and reliability of autism detection, many clinicians and researchers began to develop new screening methods by means of advanced technology like machine learning (ML). These methods include artificial neural networks (ANN), support vector machines (SVM), a priori algorithms, and decision trees (DT). Mostly, these methods have been applied to pre-existing datasets, derived from the standard diagnostic and assessment tools, to implement and test predictive models. On the other hand, the detection of new objective behavioral measures such as biomarkers could lead to a significant strengthening of existing screening tools. In the present study, we carried out a critical review of the literature about the latest findings in this field. The aim was to shed light about the effectiveness of using ML systems for motion analysis to enhance both clinical assessment and diagnostic processes. Specifically, we discussed the contribution of ML systems in promoting early diagnosis of ASD. The literature review showed that motion patterns ML analysis predicts ASD classification as accurately as that of classical gold standard tools. However, the application of these methods is still challenging, as discussed in this review.
自闭症谱系障碍(ASD)的诊断通常使用基于行为观察的传统工具。然而,这些诊断方法既耗时又可能产生误导。将机器学习算法与典型行为观察中的技术筛选工具相结合,有可能改进传统的评估和诊断过程。近二十年来,为了提高自闭症检测的准确性和可靠性,许多临床医生和研究人员开始利用机器学习(ML)等先进技术开发新的筛查方法。这些方法包括人工神经网络(ANN)、支持向量机(SVM)、先验算法和决策树(DT)。这些方法大多应用于从标准诊断和评估工具中提取的已有数据集,以实施和测试预测模型。另一方面,检测新的客观行为指标(如生物标志物)可以大大加强现有的筛查工具。在本研究中,我们对有关该领域最新研究成果的文献进行了批判性回顾。目的是阐明使用运动分析 ML 系统来增强临床评估和诊断过程的有效性。具体而言,我们讨论了运动模式识别系统在促进 ASD 早期诊断方面的贡献。文献综述显示,运动模式 ML 分析预测 ASD 分类的准确性不亚于经典的金标准工具。然而,正如本综述所讨论的,这些方法的应用仍具有挑战性。
期刊介绍:
The Review Journal of Autism and Developmental Disorders publishes original articles that provide critical reviews of topics across the broad interdisciplinary research fields of autism spectrum disorders. Topics range from basic to applied and include but are not limited to genetics, neuroscience, diagnosis, applied behavior analysis, psychopharmacology, incidence, prevalence, etiology, differential diagnosis, treatment, measurement of treatment effects, education, perception and cognition. Topics across the life span are appropriate. In addition, given the high rates of comorbid conditions, the interface of sleep disorders, feeding problems, motor difficulties, ADHD, anxiety, depression and other disorders with autism spectrum disorders are appropriate. The Journal aims for an international audience as reflected in the editorial board.