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Autonomous screening of infants at high risk for neurodevelopmental impairments using a radar sensor and machine
Seung Hyun Kim1,2, Jun Byung Park3, Jae Yoon Na1
1Department of Pediatrics, Hanyang University College of Medicine, Seoul, 04763, Republic of Korea.
Insights
This study introduces a novel radar-based system to detect neurodevelopmental impairments (NDIs) in infants. The technology accurately identifies high-risk infants for early intervention, improving long-term outcomes.
Area of Science:
- Biomedical Engineering
- Neonatology
- Machine Learning
Background:
- Neurodevelopmental impairments (NDIs) are critical long-term issues for preterm infants.
- Early identification of high-risk infants is crucial for timely intervention but remains challenging.
- Sensor-based autonomous screening offers a promising, yet under-researched, solution.
Purpose of the Study:
- To develop and validate a novel frequency modulated continuous wave (FMCW) radar-based machine learning (ML) system for early NDI risk prediction in infants.
- To introduce a new index, neuroriskability (NRA), for quantifying NDI risk based on infant movement patterns.
Main Methods:
- Constructed a 3D range-angle-time data cube of infant movements using FMCW radar.
- Identified asymmetric movements and detected abnormal movements (cramped-synchronized general movements, CSGMs) using ML.
- Calculated the neuroriskability (NRA) index based on the frequency of asymmetric movements and CSGMs.
Main Results:
- The radar-based system successfully predicted infants at high risk for poor neurodevelopmental outcomes.
- The neuroriskability (NRA) scores correlated with clinically evaluated neurodevelopmental outcomes.
- Demonstrated the clinical feasibility and utility of the proposed screening method.
Conclusions:
- The novel FMCW radar and ML system provides a feasible and effective method for early NDI screening in infants.
- The neuroriskability (NRA) index offers a quantifiable measure of NDI risk.
- This technology has the potential to significantly improve early intervention for high-risk infants.
Abstract:
Neurodevelopmental impairments (NDIs) are significant long-term complications in preterm infants. While early recognition of infants at high risk for NDIs is essential for enabling timely intervention, it remains a challenging endeavor. Autonomous screening methods utilizing sensors represent a promising avenue for addressing this challenge, yet they remain an open area of research. This study presents a novel frequency modulated continuous wave (FMCW) radar-based machine learning (ML) system designed for early screening to predict and identify infants at high risk for poor neurodevelopmental outcomes. The proposed method constructs 3-dimensional (3D) range-angle-time data cube of infant movements using the radar sensor. Based on this 3D radar data cube, asymmetric movements are identified by analyzing the ratio of left and right movements, while an ML model detects abnormal movements (cramped-synchronized general movements, CSGMs). Using the frequency of asymmetric movements and CSGMs, we propose a new index, termed "neuroriskability (NRA)", which ultimately determines the overall risk of NDIs. The NRA scores generated from the radar data were compared with clinically evaluated neurodevelopmental outcomes through experiments conducted with both hospitalized and outpatient infants to validate their clinical utility. The proposed method successfully predicted infants with poor neurodevelopmental outcomes, thereby demonstrating its feasibility in clinical practice.
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