Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative

Knee osteoarthritis (OA) is a prevalent musculoskeletal condition affecting millions worldwide, posing significant health and economic burdens. Characterized by the degeneration of joint cartilage, the progression of knee OA varies significantly among individuals, making its prediction a complex iss...

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Main Authors: Teh, Xin Yu, Yeoh, Pauline Shan Qing, Wang, Tao, Wu, Xiang, Hasikin, Khairunnisa, Lai, Khin Wee
Format: Article
Published: Institute of Electrical and Electronics Engineers 2024
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Online Access:http://eprints.um.edu.my/47130/
https://doi.org/10.1109/ACCESS.2024.3472654
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spelling my.um.eprints.471302024-12-09T03:37:42Z http://eprints.um.edu.my/47130/ Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative Teh, Xin Yu Yeoh, Pauline Shan Qing Wang, Tao Wu, Xiang Hasikin, Khairunnisa Lai, Khin Wee QA75 Electronic computers. Computer science R Medicine (General) TK Electrical engineering. Electronics Nuclear engineering Knee osteoarthritis (OA) is a prevalent musculoskeletal condition affecting millions worldwide, posing significant health and economic burdens. Characterized by the degeneration of joint cartilage, the progression of knee OA varies significantly among individuals, making its prediction a complex issue. Previous studies on automated knee OA diagnosis have primarily relied on unimodal data, often overlooking the valuable information present in multi-modal data. Multi-modal learning, which integrates information from various modalities, is increasingly recognized for its potential to enhance diagnostic performance in medical applications. However, such models incur a higher computational load due to the additional data required. This research investigates the feasibility of multi-modal neural networks in knee OA diagnosis by integrating structural demographic data with unstructured imaging data. Three deep learning unimodal models (InceptionV3, DIKO, and EfficientNetv2) were transformed into multi-modal architectures (MF_InceptionNet, MF_DIKO, and MF_Eff) to compare their diagnostic capabilities. The proposed multi-modal models share a common architecture, with unimodal models acting as image feature extraction backbones and separate embedding layers for demographic data. The image features and demographic embeddings are combined into a unified vector before classification. Extensive experiments were conducted to evaluate the performance of these models across different class categories and dataset sizes. MF_DIKO and InceptionV3 emerged as the best multi-modal and unimodal neural networks, respectively, with overall accuracies of 0.67 and 0.75 for 3-class severity classification. Contrary to existing literature, our findings reveal that unimodal neural networks using only imaging features outperform multi-modal networks, suggesting unimodal models might suffice in certain applications. Institute of Electrical and Electronics Engineers 2024 Article PeerReviewed Teh, Xin Yu and Yeoh, Pauline Shan Qing and Wang, Tao and Wu, Xiang and Hasikin, Khairunnisa and Lai, Khin Wee (2024) Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative. IEEE Access, 12. pp. 146698-146717. ISSN 2169-3536, DOI https://doi.org/10.1109/ACCESS.2024.3472654 <https://doi.org/10.1109/ACCESS.2024.3472654>. https://doi.org/10.1109/ACCESS.2024.3472654 10.1109/ACCESS.2024.3472654
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic QA75 Electronic computers. Computer science
R Medicine (General)
TK Electrical engineering. Electronics Nuclear engineering
spellingShingle QA75 Electronic computers. Computer science
R Medicine (General)
TK Electrical engineering. Electronics Nuclear engineering
Teh, Xin Yu
Yeoh, Pauline Shan Qing
Wang, Tao
Wu, Xiang
Hasikin, Khairunnisa
Lai, Khin Wee
Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
description Knee osteoarthritis (OA) is a prevalent musculoskeletal condition affecting millions worldwide, posing significant health and economic burdens. Characterized by the degeneration of joint cartilage, the progression of knee OA varies significantly among individuals, making its prediction a complex issue. Previous studies on automated knee OA diagnosis have primarily relied on unimodal data, often overlooking the valuable information present in multi-modal data. Multi-modal learning, which integrates information from various modalities, is increasingly recognized for its potential to enhance diagnostic performance in medical applications. However, such models incur a higher computational load due to the additional data required. This research investigates the feasibility of multi-modal neural networks in knee OA diagnosis by integrating structural demographic data with unstructured imaging data. Three deep learning unimodal models (InceptionV3, DIKO, and EfficientNetv2) were transformed into multi-modal architectures (MF_InceptionNet, MF_DIKO, and MF_Eff) to compare their diagnostic capabilities. The proposed multi-modal models share a common architecture, with unimodal models acting as image feature extraction backbones and separate embedding layers for demographic data. The image features and demographic embeddings are combined into a unified vector before classification. Extensive experiments were conducted to evaluate the performance of these models across different class categories and dataset sizes. MF_DIKO and InceptionV3 emerged as the best multi-modal and unimodal neural networks, respectively, with overall accuracies of 0.67 and 0.75 for 3-class severity classification. Contrary to existing literature, our findings reveal that unimodal neural networks using only imaging features outperform multi-modal networks, suggesting unimodal models might suffice in certain applications.
format Article
author Teh, Xin Yu
Yeoh, Pauline Shan Qing
Wang, Tao
Wu, Xiang
Hasikin, Khairunnisa
Lai, Khin Wee
author_facet Teh, Xin Yu
Yeoh, Pauline Shan Qing
Wang, Tao
Wu, Xiang
Hasikin, Khairunnisa
Lai, Khin Wee
author_sort Teh, Xin Yu
title Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
title_short Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
title_full Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
title_fullStr Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
title_full_unstemmed Knee Osteoarthritis Diagnosis With Unimodal and Multi-Modal Neural Networks: Data From the Osteoarthritis Initiative
title_sort knee osteoarthritis diagnosis with unimodal and multi-modal neural networks: data from the osteoarthritis initiative
publisher Institute of Electrical and Electronics Engineers
publishDate 2024
url http://eprints.um.edu.my/47130/
https://doi.org/10.1109/ACCESS.2024.3472654
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score 13.223943