e-space
Manchester Metropolitan University's Research Repository

Objective analysis of neck muscle boundaries for cervical dystonia using ultrasound imaging and deep learning

Loram, Ian, Siddique, Abdul, Sanchez Puccini, Maria Beatriz Beatriz, Harding, Peter, Silverdale, Monty, Kobylecki, Christopher and Cunningham, Ryan James ORCID logoORCID: https://orcid.org/0000-0001-6883-6515 (2020) Objective analysis of neck muscle boundaries for cervical dystonia using ultrasound imaging and deep learning. IEEE Journal of Biomedical and Health Informatics, 24 (4). pp. 1016-1027. ISSN 2168-2194

[img]
Preview
Published Version
Available under License Creative Commons Attribution.

Download (5MB) | Preview

Abstract

Objective: To provide objective visualization and pattern analysis of neck muscle boundaries to inform and monitor treatment of cervical dystonia. Methods: We recorded transverse cervical ultrasound (US) images and whole-body motion analysis of sixty-one standing participants (35 cervical dystonia, 26 age matched controls). We manually annotated 3,272 US images sampling posture and the functional range of pitch, yaw, and roll head movements. Using previously validated methods, we used 60-fold cross validation to train, validate and test a deep neural network (U-net) to classify pixels to 13 categories (five paired neck muscles, skin, ligamentum nuchae, vertebra). For all participants for their normal standing posture, we segmented US images and classified condition (Dystonia/Control), sex and age (higher/lower) from segment boundaries. We performed an explanatory, visualization analysis of dystonia muscle-boundaries. Results: For all segments, agreement with manual labels was Dice Coefficient (64±21%) and Hausdorff Distance (5.7±4 mm). For deep muscle layers, boundaries predicted central injection sites with average precision 94±3%. Using leave-one-out cross-validation, a support-vector-machine classified condition, sex, and age from predicted muscle boundaries at accuracy 70.5%, 67.2%, 52.4% respectively, exceeding classification by manual labels. From muscle boundaries, Dystonia clustered optimally into three sub-groups. These sub-groups are visualized and explained by three eigen-patterns which correlate significantly with truncal and head posture. Conclusion: Using US, neck muscle shape alone discriminates dystonia from healthy controls. Significance: Using deep learning, US imaging allows online, automated visualization, and diagnostic analysis of cervical dystonia and segmentation of individual muscles for targeted injection. The dataset is available (DOI: 10.23634/MMUDR.00624643).

Impact and Reach

Statistics

Activity Overview
6 month trend
165Downloads
6 month trend
234Hits

Additional statistics for this dataset are available via IRStats2.

Altmetric

Actions (login required)

View Item View Item