A web-based system for neural network based classification in temporomandibular joint osteoarthritis

Priscille de Dumast, Clément Mirabel, Lucia Cevidanes, Antonio Ruellas, Marilia Yatabe, Marcos Ioshida, Nina Tubau Ribera, Loic Michoud, Liliane Gomes, Chao Huang, Hongtu Zhu, Luciana Muniz, Brandon Shoukri, Beatriz Paniagua, Martin Styner, Steve Pieper, Francois Budin, Jean Baptiste Vimort, Laura Pascal, Juan Carlos Prieto

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Objective: The purpose of this study is to describe the methodological innovations of a web-based system for storage, integration and computation of biomedical data, using a training imaging dataset to remotely compute a deep neural network classifier of temporomandibular joint osteoarthritis (TMJOA). Methods: This study imaging dataset consisted of three-dimensional (3D) surface meshes of mandibular condyles constructed from cone beam computed tomography (CBCT) scans. The training dataset consisted of 259 condyles, 105 from control subjects and 154 from patients with diagnosis of TMJ OA. For the image analysis classification, 34 right and left condyles from 17 patients (39.9 ± 11.7 years), who experienced signs and symptoms of the disease for less than 5 years, were included as the testing dataset. For the integrative statistical model of clinical, biological and imaging markers, the sample consisted of the same 17 test OA subjects and 17 age and sex matched control subjects (39.4 ± 15.4 years), who did not show any sign or symptom of OA. For these 34 subjects, a standardized clinical questionnaire, blood and saliva samples were also collected. The technological methodologies in this study include a deep neural network classifier of 3D condylar morphology (ShapeVariationAnalyzer, SVA), and a flexible web-based system for data storage, computation and integration (DSCI) of high dimensional imaging, clinical, and biological data. Results: The DSCI system trained and tested the neural network, indicating 5 stages of structural degenerative changes in condylar morphology in the TMJ with 91% close agreement between the clinician consensus and the SVA classifier. The DSCI remotely ran with a novel application of a statistical analysis, the Multivariate Functional Shape Data Analysis, that computed high dimensional correlations between shape 3D coordinates, clinical pain levels and levels of biological markers, and then graphically displayed the computation results. Conclusions: The findings of this study demonstrate a comprehensive phenotypic characterization of TMJ health and disease at clinical, imaging and biological levels, using novel flexible and versatile open-source tools for a web-based system that provides advanced shape statistical analysis and a neural network based classification of temporomandibular joint osteoarthritis.

Original languageEnglish (US)
Pages (from-to)45-54
Number of pages10
JournalComputerized Medical Imaging and Graphics
Volume67
DOIs
StatePublished - Jul 2018

Keywords

  • Neural network
  • Osteoarthritis
  • Web-Based system

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Computer Vision and Pattern Recognition
  • Health Informatics
  • Computer Graphics and Computer-Aided Design

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