A Hybrid Machine Learning Model for Cerebral Palsy Detection
Organizations: Department of Computer Science and Engineering Sharda University, India
Abstract
The development of effective treatments for Cerebral Palsy (CP) can begin with the early identification of affected children while they are still in the early stages of the disorder. Pathological issues in the brain can be better diagnosed with the use of one of many medical imaging techniques. Magnetic Resonance Imaging (MRI) has revolutionized medical imaging with its unparalleled image resolution. A unique Machine Learning (ML) model that was built to identify CP disorder is presented in this paper. The model is intended to assist in the early diagnosis of CP in newborns. In this study, the brain MRI images dataset was first collected, and then the preprocessing techniques were applied to this dataset to make it ready for use in the proposed model. Following this, the proposed model was constructed by combining three CNN models, specifically VGG 19, Efficient-Net, and the ResNet50 model, to extract features from the image. Following this, a Bi-LSTM was utilized as a classifier to determine whether or not CP was present, and finally, the proposed model was employed for training and testing. The results show that the proposed model achieved an accuracy of 98.83%, which is higher than VGG-19 (96.79%), Efficient-Net (97.29%), and VGG-16 (97.50%).. When the suggested model is compared to other models that have been pre-trained in the past, the accuracy scores seem to be much higher.
Figures & tables
| Disorders with prominent spasticity | Disorders with prominent dyskinesia | Disorders with prominent ataxia |
| • Hereditary spastic paraplegias • Arginase deficiency • COL4A1-related spastic CP • Biotinidase deficiency • Aicardi-Goutières syndrome • Sulfite oxidase deficiency / Molybdenum cofactor deficiency • Leukodystrophies such as metachromatic leukodystrophy, adrenoleukodystrophy, Sjogren-Larsson syndrome | • Dopa-responsive dystonia • Sepiapterin reductase deficiency • Glutaric aciduria type 1 • Glucose transporter deficiency type 1 • Neurodegeneration with brain iron accumulation • Cerebral creatine deficiency syndrome • Lesch-Nyhan syndrome • Cerebral folate deficiency • ADCY5-related dyskinesia • PCDH12-related dyskinesia • NKX2-1 related ataxic dyskinetic CP • TSEN54 gene-related pontocerebellar hypoplasia type 2 | • Glucose transporter deficiency type 1 • Ataxia telangiectasia • Pelizaeus-Merzbacher disease • Hereditary ataxias • Joubert syndrome • Mitochondrial cytopathies (mainly 8993 mutation) • Pontocerebellar hypoplasia • Cockayne syndrome • Niemann-Pick disease type C • Angelman syndrome • Gangliosidosis type 1 (juvenile and adult forms) • Non-ketotic hyperglycinemia • Maple syrup urine disease • NKX2-1 related ataxic dyskinetic CP |
| Authors (Year) [Reference] | Participants | Dataset collected | Techniques Used | Outcomes | Research Gap |
| Mathew et al., (2024) [22] | 10 participants (7 males and 3 females) | Holland Bloor View Kids Rehabilitation Hospital | RF | The RF classifier performed better in the per-user validation scenario with an F1 score of 0.896 (SD 0.043). | Future research should collect data in less controlled real-world conditions to evaluate performance changes. |
| Sabater et al., (2024) [23] | 53 participants (19 females and 34 males) | Balearic Islands (Majorca, Spain) and Toledo (Castilla-La Mancha, Spain) | InceptionV3 | The suggested model achieved 62.67% accuracy and an F1 score of 61.12%. | Highlights the necessity of further research and technological adaptation in healthcare applications. |
| Mohan et al., (2024) [24] | 19 patients | — | Artificial Intelligence Assisted Learning Methodology (AIALM) | The model achieved 96.4% accuracy in predicting CP from brain scans. | Accuracy confirmed through clinical evaluation and cross-validation. |
| Bertoncelli et al., (2023) [25] | 486 children with CP | Lanval University Children’s Hospital and Nice Day Hospital | Logistic Regression (LR) | The multivariate model achieved 84% accuracy with good sensitivity and specificity. | Future work aims to improve the model using larger datasets. |
| Gao et al., (2023) [26] | 1204 patients | Shanghai Children’s Hospital, Shanghai Jiao Tong University | DL-based Motor Assessment Model (MAM) | External validation shows strong performance with AUC = 0.967. | ML-based GMA automation could improve early CP screening worldwide. |
| Ramadhan et al., (2022) [27] | 98 normal MRI images and 65 CP MRI images | Brain CP MRI dataset | CNN | The model achieved perfect sensitivity, accuracy, precision and F1-score. | Future applications include CP subtype classification. |
| Actual positive | Actual negative | |
|---|---|---|
| Predicted positive | True Positive (TP) | False Positive (FP) |
| Predicted negative | False Negative (FN) | True Negative (TN) |
| S.No. | Performance Metrics | Result |
|---|---|---|
| 1 | Accuracy | 97.50% |
| 2 | Precision | 95.25% |
| 3 | Recall | 100% |
| 4 | F1-score | 97.56% |
| S.No. | Performance Metrics | Result |
|---|---|---|
| 1 | Accuracy | 97.29% |
| 2 | Precision | 94.36% |
| 3 | Recall | 97.29% |
| 4 | F1-score | 95.80% |
| S.No. | Performance Metrics | Result |
|---|---|---|
| 1 | Accuracy | 98.83% |
| 2 | Precision | 97.70% |
| 3 | Recall | 98.64% |
| 4 | F1-score | 98.17% |
| S.No. | Metrics | Efficient-Net | VGG-19 | Proposed model |
| 1 | Accuracy (%) | 97.29 | 97.50 | 98.83 |
| 2 | Precision (%) | 94.36 | 95.25 | 97.70 |
| 3 | Recall (%) | 97.29 | 100 | 98.64 |
| 4 | F1-score (%) | 95.80 | 97.56 | 98.17 |
| Authors [Reference] | Year | Methods Used | Accuracy (%) |
|---|---|---|---|
| Ihlen et al., (2019) [49] | 2019 | Computer-based Infant Movement Assessment (CIMA) | 92.7 |
| Goodlichh et al., (2020) [50] | 2020 | Random Forest (RF) and SVM | 92 |
| Bakheet et al., (2021) [51] | 2021 | Random under-sampling boosting (RUS-Boost) | 84.6 |
| Mutharika et al., (2021) [52] | 2021 | LR | 83 |
| Proposed Work | 2024 | Proposed model | 98.83 |