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Related Experiment Video

Updated: Jun 20, 2025

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Estimating infant age from skull X-ray images using deep learning.

Heui Seung Lee1,2, Jaewoong Kang3, So Eui Kim3

  • 1Department of Neurosurgery, College of Medicine, Hallym University Sacred Heart Hospital, Hallym University, 22, Gwanpyeong-Ro 170Beon-Gil, Dongan-Gu, Anyang-Si, Gyeonggi-Do, 14068, Republic of Korea. antanatia@gmail.com.

Scientific Reports
|July 18, 2024
PubMed
Summary
This summary is machine-generated.

Deep learning models accurately predict infant postnatal age using skull X-rays, aiding in cranial development assessment. This non-invasive method shows promise for clinical diagnostics and developmental evaluation.

Keywords:
CraniosynostosisInfant ageInfantile skullSkull sutureX-ray

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Pediatrics

Background:

  • Accurate estimation of postnatal age is crucial for infant development assessment.
  • Traditional methods for age estimation can be invasive or less precise.
  • Skull radiographs offer a non-invasive window into infant cranial development.

Purpose of the Study:

  • To develop and evaluate deep learning models for predicting infant postnatal age from skull radiographs.
  • To assess the feasibility of using skull X-ray image features for evaluating cranial development.
  • To identify key radiographic features indicative of cranial development using explainable AI techniques.

Main Methods:

  • Convolutional neural network (CNN) models, DenseNet-121 and EfficientNet-v2-M, were trained on 4933 skull X-ray images from 1343 infants.
  • The models predicted postnatal age with a ±1-month error margin.
  • Gradient-weighted class activation mapping (Grad-CAM) was used to visualize critical discriminative areas in the radiographs.

Main Results:

  • EfficientNet-v2-M achieved a maximum corrected accuracy of 87.3% for lateral skull views (average 85.1% ± 2.5%) and 79.1% for anteroposterior (AP) views (average 77.0% ± 2.3%).
  • DenseNet-121 achieved a maximum corrected accuracy of 84.2% for lateral views (average 81.1% ± 2.9%) and 79.4% for AP views (average 78.0% ± 1.5%).
  • Saliency maps highlighted sutures (coronal, sagittal, metopic, lambdoid) and cortical bone density as key indicators of cranial development.

Conclusions:

  • Deep learning models demonstrate high accuracy in predicting infant postnatal age from skull radiographs.
  • The study validates the use of non-invasive radiographic features for assessing cranial development.
  • These findings support the potential of AI-powered tools for enhancing pediatric clinical diagnostics and developmental monitoring.