Selecting and assessing quantitative early ultrasound texture measures for their association with cerebral palsy

Tyna A. Hope, Peter H. Gregson, Norma C. Linney, Matthias H. Schmidt, Mohamed Abdolell

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Cerebral palsy (CP) develops as a consequence of white matter damage (WMD) in approximately one out of every 10 very preterm infants. Ultrasound (US) is widely used to screen for a variety of brain injuries in this patient population, but early US often fails to detect WMD. We hypothesized that quantitative texture measures on US images obtained within one week of birth are associated with the subsequent development of CP. In this retrospective study, using images from a variety of US machines, we extracted unique texture measures by means of adaptive processing and high resolution feature enhancement. We did not standardize the images, but used patients as their own controls. We did not remove speckle, as it may contain information. To test our hypothesis, we used the "random forest" algorithm to create a model. The random forest classifier achieved a 72% match to the health outcome of the patients (CP versus no CP), whereas designating all patients as having CP would have resulted in 53% error. This suggests that quantitative early texture measures contain diagnostic information relevant to the development of CP.

Original languageEnglish
Article number4359054
Pages (from-to)228-236
Number of pages9
JournalIEEE Transactions on Medical Imaging
Volume27
Issue number2
DOIs
Publication statusPublished - 2008

Bibliographical note

Funding Information:
Manuscript received May 22, 2007; revised July 26,2007. This work was supported in part by the Natural Sciences and Engineering Research Council, in part by the Nova Scotia Health Research Foundation, and in part by the IWK Health Centre. Asterisk indicates corresponding author. *T. A. Hope is with Cambridge Research and Instrumentation, Boston, MA 01801 USA (e-mail: tyna.hope@gmail.com). P. H. Gregson is with the Electrical and Computer Engineering Department, Dalhousie University, Halifax, NS, B3J 2X4, Canada. N. C. Linney is with the Mathematics and Computer Science Department, Saint Mary’s University, Halifax, NS, B3H 3C3 , Canada. M. Schmidt is with the Department of Radiology, Dalhousie University, Halifax, NS, B3H 2Y9 Canada. M. Abdolell is with the Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, B3H 2Y9 Canada. Digital Object Identifier 10.1109/TMI.2007.906089

ASJC Scopus Subject Areas

  • Software
  • Radiological and Ultrasound Technology
  • Computer Science Applications
  • Electrical and Electronic Engineering

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