A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images

Diabetes mellitus (DM) is one of the major diseases that cause death worldwide and lead to complications of diabetic foot ulcers (DFU). Improper and late handling of a diabetic foot patient can result in an amputation of the patient’s foot. Early detection of DFU symptoms can be observed using therm...

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Main Authors: Khairul Munadi, Khairun Saddami, Maulisa Oktiana, Roslidar Roslidar, Kahlil Muchtar, Melinda Melinda, Rusdha Muharar, Maimun Syukri, Taufik Fuadi Abidin, Fitri Arnia
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/15/7524
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author Khairul Munadi
Khairun Saddami
Maulisa Oktiana
Roslidar Roslidar
Kahlil Muchtar
Melinda Melinda
Rusdha Muharar
Maimun Syukri
Taufik Fuadi Abidin
Fitri Arnia
author_facet Khairul Munadi
Khairun Saddami
Maulisa Oktiana
Roslidar Roslidar
Kahlil Muchtar
Melinda Melinda
Rusdha Muharar
Maimun Syukri
Taufik Fuadi Abidin
Fitri Arnia
author_sort Khairul Munadi
collection DOAJ
description Diabetes mellitus (DM) is one of the major diseases that cause death worldwide and lead to complications of diabetic foot ulcers (DFU). Improper and late handling of a diabetic foot patient can result in an amputation of the patient’s foot. Early detection of DFU symptoms can be observed using thermal imaging with a computer-assisted classifier. Previous study of DFU detection using thermal image only achieved 97% of accuracy, and it has to be improved. This article proposes a novel framework for DFU classification based on thermal imaging using deep neural networks and decision fusion. Here, decision fusion combines the classification result from a parallel classifier. We used the convolutional neural network (CNN) model of ShuffleNet and MobileNetV2 as the baseline classifier. In developing the classifier model, firstly, the MobileNetV2 and ShuffleNet were trained using plantar thermogram datasets. Then, the classification results of those two models were fused using a novel decision fusion method to increase the accuracy rate. The proposed framework achieved 100% accuracy in classifying the DFU thermal images in binary classes of positive and negative cases. The accuracy of the proposed Decision Fusion (DF) was increased by about 3.4% from baseline ShuffleNet and MobileNetV2. Overall, the proposed framework outperformed in classifying the images compared with the state-of-the-art deep learning and the traditional machine-learning-based classifier.
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spelling doaj.art-d36736e9927144dfb70c2ca8d028e0c92023-11-30T22:09:15ZengMDPI AGApplied Sciences2076-34172022-07-011215752410.3390/app12157524A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal ImagesKhairul Munadi0Khairun Saddami1Maulisa Oktiana2Roslidar Roslidar3Kahlil Muchtar4Melinda Melinda5Rusdha Muharar6Maimun Syukri7Taufik Fuadi Abidin8Fitri Arnia9Department of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaMedical Faculty, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Informatics, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDepartment of Electrical and Computer Engineering, Universitas Syiah Kuala, Banda Aceh 23111, IndonesiaDiabetes mellitus (DM) is one of the major diseases that cause death worldwide and lead to complications of diabetic foot ulcers (DFU). Improper and late handling of a diabetic foot patient can result in an amputation of the patient’s foot. Early detection of DFU symptoms can be observed using thermal imaging with a computer-assisted classifier. Previous study of DFU detection using thermal image only achieved 97% of accuracy, and it has to be improved. This article proposes a novel framework for DFU classification based on thermal imaging using deep neural networks and decision fusion. Here, decision fusion combines the classification result from a parallel classifier. We used the convolutional neural network (CNN) model of ShuffleNet and MobileNetV2 as the baseline classifier. In developing the classifier model, firstly, the MobileNetV2 and ShuffleNet were trained using plantar thermogram datasets. Then, the classification results of those two models were fused using a novel decision fusion method to increase the accuracy rate. The proposed framework achieved 100% accuracy in classifying the DFU thermal images in binary classes of positive and negative cases. The accuracy of the proposed Decision Fusion (DF) was increased by about 3.4% from baseline ShuffleNet and MobileNetV2. Overall, the proposed framework outperformed in classifying the images compared with the state-of-the-art deep learning and the traditional machine-learning-based classifier.https://www.mdpi.com/2076-3417/12/15/7524diabetic foot ulcer (DFU)deep neural networksdecision fusionMobileNetV2ShuffleNet
spellingShingle Khairul Munadi
Khairun Saddami
Maulisa Oktiana
Roslidar Roslidar
Kahlil Muchtar
Melinda Melinda
Rusdha Muharar
Maimun Syukri
Taufik Fuadi Abidin
Fitri Arnia
A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
Applied Sciences
diabetic foot ulcer (DFU)
deep neural networks
decision fusion
MobileNetV2
ShuffleNet
title A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
title_full A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
title_fullStr A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
title_full_unstemmed A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
title_short A Deep Learning Method for Early Detection of Diabetic Foot Using Decision Fusion and Thermal Images
title_sort deep learning method for early detection of diabetic foot using decision fusion and thermal images
topic diabetic foot ulcer (DFU)
deep neural networks
decision fusion
MobileNetV2
ShuffleNet
url https://www.mdpi.com/2076-3417/12/15/7524
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