DR Congo; Face2Gene; Fragile X syndrome; Screening; Male; Adult; Female; Humans; Adolescent; Pilot Projects; Image Processing, Computer-Assisted; Fragile X Syndrome/diagnosis; Fragile X Syndrome/genetics; Intellectual Disability/diagnosis; Down Syndrome; Intellectual Disability; Genetics; Genetics (clinical); General Medicine
Abstract :
[en] [en] BACKGROUND: Computer-aided software such as the facial image diagnostic aid (FIDA) and Face2Gene has been developed to perform pattern recognition of facial features with promising clinical results. The aim of this pilot study was to test Face2Gene's recognition performance on Bantu Congolese subjects with Fragile X syndrome (FXS) as compared to Congolese subjects with intellectual disability but without FXS (non-FXS).
METHOD: Frontal facial photograph from 156 participants (14 patients with FXS and 142 controls) predominantly young-adults to adults, median age 18.9 age range 4-39yo, were uploaded. Automated face analysis was conducted by using the technology used in proprietary software tools called Face2Gene CLINIC and Face2Gene RESEARCH (version 17.6.2). To estimate the statistical power of the Face2Gene technology in distinguishing affected individuals from controls, a cross validation scheme was used.
RESULTS: The similarity seen in the upper facial region (of males and females) is greater than the similarity seen in other parts of the face. Binary comparison of subjects with FXS versus non-FXS and subjects with FXS versus subjects with Down syndrome reveal an area under the curve values of 0.955 (p = 0.002) and 0.986 (p = 0.003).
CONCLUSION: The Face2Gene algorithm is separating well between FXS and Non-FXS subjects.
Disciplines :
Laboratory medicine & medical technology
Author, co-author :
Lubala, Toni Kasole; Division of Dysmorphology & Birth Defects, Department of Pediatrics, University of Lubumbashi, Democratic Republic of the Congo
Kayembe-Kitenge, Tony ; Unit of Toxicology and Environment, School of Public Health, University of Lubumbashi, Democratic Republic of the Congo, Center for Environment and Health, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium, Higher Institute of Medical Techniques, Lubumbashi, Democratic Republic of the Congo. Electronic address: tonykayemb@gmail.com
Mubungu, Gerrye; Department of Pediatrics, Faculty of Medicine, University of Kinshasa, Democratic Republic of the Congo, Center for Human Genetics, National Institute for Biomedical Research (NIBR), Democratic Republic of the Congo, Center for Human Genetics, University Hospital Leuven, University of Leuven, Belgium
Lumaka Zola, Aimé ; Université de Liège - ULiège > GIGA > GIGA Cancer - Human Genetics ; Centre Hospitalier Universitaire de Liège - CHU > > Service de génétique
Kanteng, Gray; Division of Dysmorphology & Birth Defects, Department of Pediatrics, University of Lubumbashi, Democratic Republic of the Congo
Savage, Sarah; FDNA Inc., Boston, MA, USA
Luboya, Oscar; Division of Dysmorphology & Birth Defects, Department of Pediatrics, University of Lubumbashi, Democratic Republic of the Congo, Higher Institute of Medical Techniques, Lubumbashi, Democratic Republic of the Congo
Hagerman, Randi; Department of Pediatrics, MIND Institute, University of California Davis Medical Center, Sacramento, CA, USA
Devriendt, Koenraad; Center for Human Genetics, University Hospital Leuven, University of Leuven, Belgium
Lukusa-Tshilobo, Prosper; Department of Pediatrics, Faculty of Medicine, University of Kinshasa, Democratic Republic of the Congo, Center for Human Genetics, National Institute for Biomedical Research (NIBR), Democratic Republic of the Congo, Center for Human Genetics, University Hospital Leuven, University of Leuven, Belgium
Language :
English
Title :
Usefulness of automated image analysis for recognition of the fragile X syndrome gestalt in Congolese subjects.
Abdulrasheed, I., Eneye, A.M., Philtral columns and nostril shapes in Nigerian children: a morphometric and aesthetic analysis. Plast Surg Int, 2013, 2013, 10.1155/2013/382754.
Akinlolu, A.A., Akinola, B.O., Nurudeen, R.L., Kadiri, R.E., Ajao, M.S., Cephalometric study of mouth morphology among major Nigerian tribes. Anat J Afr 4:1 (2015), 496–504.
Altman, D.G., Statistics in medical journals: some recent trends. Stat. Med. 19:23 (2000), 3275–3289, 10.1002/1097-0258(20001215)19:23<3275::aid-sim626>3.0.co;2-m.
Altman, D.G., Royston, P., What do we mean by validating a prognostic model?. Stat. Med. 19:4 (2000), 453–473, 10.1002/(sici)1097-0258(20000229)19:4<453::aid-sim350>3.0.co;2-5.
Asghar, A., Dixit, A., Rani, M., Morphometric study of nasal bone and piriform aperture in human dry skull of Indian origin. J Clin Diagn Res JCDR 10:1 (2016), AC05–AC07, 10.7860/JCDR/2016/15677.7148.
Butler, G., Fennell, M., Robson, P., Gelder, M., Comparison of behavior therapy and cognitive behavior therapy in the treatment of generalized anxiety disorder. J. Consult. Clin. Psychol. 59:1 (1991), 167–175, 10.1037//0022-006x.59.1.167.
Gallagher, A., Hallahan, B., Fragile X-associated disorders: a clinical overview. J. Neurol. 259:3 (2012), 401–413, 10.1007/s00415-011-6161-3.
Giangreco, C.A., Steele, M.W., Aston, C.E., Cummins, J.H., Wenger, S.L., A simplified six-item checklist for screening for fragile X syndrome in the pediatric population. J. Pediatr. 129:4 (1996), 611–614, 10.1016/s0022-3476(96)70130-0.
Gurovich, Y., Hanani, Y., Bar, O., et al. Identifying facial phenotypes of genetic disorders using deep learning. Nat. Med. 25:1 (2019), 60–64, 10.1038/s41591-018-0279-0.
Guruju, M.R., Lavanya, K., Thelma, B.K., et al. Assessment of a clinical checklist in the diagnosis of fragile X syndrome in India. J Clin Neurosci Off J Neurosurg Soc Australas 16:10 (2009), 1305–1310, 10.1016/j.jocn.2008.12.018.
Hagerman, R.J., Amiri, K., Cronister, A., Fragile X checklist. Am. J. Med. Genet. 38:2–3 (1991), 283–287, 10.1002/ajmg.1320380223.
Heulens, I., Suttie, M., Postnov, A., et al. Craniofacial characteristics of fragile X syndrome in mouse and man. Eur J Hum Genet EJHG 21:8 (2013), 816–823, 10.1038/ejhg.2012.265.
Hwang, T.S., Kang, H.S., Morphometry of nasal bases and nostrils in koreans. Ann Anat - Anat Anz. 185:2 (2003), 189–193, 10.1016/S0940-9602(03)80088-2.
Köhler, S., Carmody, L., Vasilevsky, N., et al. Expansion of the human phenotype Ontology (HPO) knowledge base and resources. Nucleic Acids Res. 47:D1 (2019), D1018–D1027, 10.1093/nar/gky1105.
Kumar, M., Singh, N., Kumar, R., Goel, S., Kumar, K., Gait recognition based on vision systems: a systematic survey. J. Vis. Commun. Image Represent., 75, 2021, 103052, 10.1016/j.jvcir.2021.103052.
Laing, S., Partington, M., Robinson, H., Turner, G., Clinical screening score for the fragile X (Martin-Bell) syndrome. Am. J. Med. Genet. 38:2–3 (1991), 256–259, 10.1002/ajmg.1320380219.
Limprasert, P., Ruangdaraganon, N., Vasiknanonte, P., et al. A clinical checklist for fragile X syndrome: screening of Thai boys with developmental delay of unknown cause. J Med Assoc Thail Chotmaihet Thangphaet 83:10 (2000), 1260–1266.
Lubala, K., Lumaka, A., Kanteng, G., et al. Fragile X Checkl Metaanalysis Dev Simpl Univers Clin Checkl(0), 2018, 1–7, 10.1002/mgg3.398.
Lumaka, A., Cosemans, N., Lulebo Mampasi, A., et al. Facial dysmorphism is influenced by ethnic background of the patient and of the evaluator. Clin. Genet. 92:2 (2017), 166–171, 10.1111/cge.12948.
Mandel, J.L., Chelly, J., Monogenic X-linked mental retardation: is it as frequent as currently estimated? The paradox of the ARX (Aristaless X) mutations. Eur J Hum Genet EJHG 12:9 (2004), 689–693, 10.1038/sj.ejhg.5201247.
May, P.A., Gossage, J.P., Smith, M., et al. Population differences in dysmorphic features among children with fetal alcohol spectrum disorders. J Dev Behav Pediatr JDBP 31:4 (2010), 304–316, 10.1097/DBP.0b013e3181dae243.
Price, K.M., Gupta, P.K., Woodward, J.A., Stinnett, S.S., Murchison, A.P., Eyebrow and eyelid dimensions: an anthropometric analysis of African Americans and Caucasians. Plast. Reconstr. Surg. 124:2 (2009), 615–623, 10.1097/PRS.0b013e3181addc98.
Quant, J.R., Woo, G.C., Normal values of eye position in the Chinese population of Hong Kong. Optom Vis Sci Off Publ Am Acad Optom 69:2 (1992), 152–158.
Tahmasebi, F., Khanehzad, M., Madadi, S., Hassanzadeh, G., Anthropometric study of nasal parameters in Iranian university students. Anat Sci J 12:4 (2015), 167–170.