A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury

Introduction: Precise classification has an important role in treatment of pressure injury (PI), while current machine-learning or deeplearning based methods of PI classification remain low accuracy.Methods: In this study, we developed a deeplearning based weighted feature fusion architecture for fi...

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Main Authors: Dongfang Wang, Lirui Guo, Juan Zhong, Huodan Yu, Yadi Tang, Li Peng, Qiuni Cai, Yangzhi Qi, Dong Zhang, Puxuan Lin
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1304829/full
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author Dongfang Wang
Dongfang Wang
Lirui Guo
Juan Zhong
Huodan Yu
Yadi Tang
Li Peng
Qiuni Cai
Yangzhi Qi
Dong Zhang
Puxuan Lin
author_facet Dongfang Wang
Dongfang Wang
Lirui Guo
Juan Zhong
Huodan Yu
Yadi Tang
Li Peng
Qiuni Cai
Yangzhi Qi
Dong Zhang
Puxuan Lin
author_sort Dongfang Wang
collection DOAJ
description Introduction: Precise classification has an important role in treatment of pressure injury (PI), while current machine-learning or deeplearning based methods of PI classification remain low accuracy.Methods: In this study, we developed a deeplearning based weighted feature fusion architecture for fine-grained classification, which combines a top-down and bottom-up pathway to fuse high-level semantic information and low-level detail representation. We validated it in our established database that consist of 1,519 images from multi-center clinical cohorts. ResNeXt was set as the backbone network.Results: We increased the accuracy of stage 3 PI from 60.3% to 76.2% by adding weighted feature pyramid network (wFPN). The accuracy for stage 1, 2, 4 PI were 0.870, 0.788, and 0.845 respectively. We found the overall accuracy, precision, recall, and F1-score of our network were 0.815, 0.808, 0.816, and 0.811 respectively. The area under the receiver operating characteristic curve was 0.940.Conclusions: Compared with current reported study, our network significantly increased the overall accuracy from 75% to 81.5% and showed great performance in predicting each stage. Upon further validation, our study will pave the path to the clinical application of our network in PI management.
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spelling doaj.art-4c2e298c19a747c09cdf88bfcbfee3772024-02-22T05:19:19ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2024-02-011510.3389/fphys.2024.13048291304829A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injuryDongfang Wang0Dongfang Wang1Lirui Guo2Juan Zhong3Huodan Yu4Yadi Tang5Li Peng6Qiuni Cai7Yangzhi Qi8Dong Zhang9Puxuan Lin10Department of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaSchool of Physics and Technology, Wuhan University, Wuhan, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaUnion Hospital Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaNeurosurgery Department, Zhongshan Hospital Xiamen University, Xiamen, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaSchool of Physics and Technology, Wuhan University, Wuhan, ChinaDepartment of Neurosurgery, Wuhan University Renmin Hospital, Wuhan, ChinaIntroduction: Precise classification has an important role in treatment of pressure injury (PI), while current machine-learning or deeplearning based methods of PI classification remain low accuracy.Methods: In this study, we developed a deeplearning based weighted feature fusion architecture for fine-grained classification, which combines a top-down and bottom-up pathway to fuse high-level semantic information and low-level detail representation. We validated it in our established database that consist of 1,519 images from multi-center clinical cohorts. ResNeXt was set as the backbone network.Results: We increased the accuracy of stage 3 PI from 60.3% to 76.2% by adding weighted feature pyramid network (wFPN). The accuracy for stage 1, 2, 4 PI were 0.870, 0.788, and 0.845 respectively. We found the overall accuracy, precision, recall, and F1-score of our network were 0.815, 0.808, 0.816, and 0.811 respectively. The area under the receiver operating characteristic curve was 0.940.Conclusions: Compared with current reported study, our network significantly increased the overall accuracy from 75% to 81.5% and showed great performance in predicting each stage. Upon further validation, our study will pave the path to the clinical application of our network in PI management.https://www.frontiersin.org/articles/10.3389/fphys.2024.1304829/fullpressure injurydeep-learningfine-grained classificationweighted feature pyramid networkclassification
spellingShingle Dongfang Wang
Dongfang Wang
Lirui Guo
Juan Zhong
Huodan Yu
Yadi Tang
Li Peng
Qiuni Cai
Yangzhi Qi
Dong Zhang
Puxuan Lin
A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
Frontiers in Physiology
pressure injury
deep-learning
fine-grained classification
weighted feature pyramid network
classification
title A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
title_full A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
title_fullStr A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
title_full_unstemmed A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
title_short A novel deep-learning based weighted feature fusion architecture for precise classification of pressure injury
title_sort novel deep learning based weighted feature fusion architecture for precise classification of pressure injury
topic pressure injury
deep-learning
fine-grained classification
weighted feature pyramid network
classification
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1304829/full
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