AT A GLANCE
- AI Autism Screening App: Duke University researchers developed a smartphone app using AI for autism screening, aiming to provide an objective and scalable tool for early detection.
- Current Limitations in Autism Screening: Traditional methods, relying on parent surveys, face limitations like language barriers, misunderstandings, and insufficient follow-up, especially in pediatric primary care settings.
- Behavioral Measures by Computer Vision: The app employs computer vision analysis to measure subtle behavioral responses, such as gaze, facial expressions, blink rate, and orientation to name calls, offering a higher degree of accuracy than human observation.
- Digital Phenotyping Advantage: Digital phenotyping, using computers to measure behavior, allows detection of nuanced signs like blink rates, offering a resolution impossible for the human eye, potentially identifying early indicators of autism.
- Study Results: In a study with 475 children, the AI screening app demonstrated 87.8% sensitivity for detecting autism and 80.8% specificity for children without autism. It showed equal accuracy across children of color and girls, potentially reducing disparities in early detection.
- AI’s Role in Healthcare Transformation: The use of AI, exemplified by the autism screening app, showcases how technology can enhance healthcare by providing efficient and equitable services. While AI can’t replace human care, ethical use holds promise for improving accessibility and efficiency.
Leveraging AI for Objective Autism Screening
Duke University researchers have been investigating the potential of artificial intelligence (AI) for screening autism in real-world scenarios, specifically in primary care settings. The aim is to create a reliable and scalable tool for early autism detection that does not solely rely on parental input. Current guidelines from the American Academy of Pediatrics recommend autism screening for all children during their 18- and 24-month well-child checkups. Traditionally, this involves a 20-question survey completed by parents, but this method has limitations, such as language barriers, understanding issues, and a potential lack of follow-up interviews by pediatricians.
In contrast to traditional screening methods, other medical fields utilize multiple sources of information to assess the likelihood of a medical condition. For instance, if someone is concerned about a heart problem, a doctor would inquire about symptoms and conduct various objective tests like an electrocardiogram (EKG) and blood pressure test. However, autism lacks objective tests, and its diagnosis relies on behavioral observations. The Duke University research team has addressed this gap by developing a digital app for smartphones and tablets that utilizes AI to screen for autism in a quick and objective manner.
Digital Phenotyping with High Accuracy and Equity
The app functions by displaying short, engaging movies strategically designed to elicit behaviors associated with autism, such as gaze, response to a name call, and facial expressions. As the child watches, the device’s camera records their behavioral responses. Computer vision analysis is then employed to precisely measure these responses, including attention to social or nonsocial elements, facial expressions, blink rate, and body movements. Machine learning processes these signals to determine the likelihood of autism, all within a time frame of less than 10 minutes.
One notable advantage of this “digital phenotyping” approach is its high resolution and accuracy, enabling the detection of subtle behaviors that may go unnoticed by the human eye. For instance, the computer can detect differences in blink rates and the speed of head-turning, which are early signs of autism. In a recent study involving 475 children during a well-child visit, the app demonstrated 87.8% sensitivity in detecting autism and 80.8% specificity for those without autism. Importantly, the app proved equally accurate across children of different ethnicities and genders, potentially addressing disparities in early detection.
This innovative use of AI in healthcare, specifically for autism screening, highlights the technology’s potential to transform medical practices. While AI cannot replace the human touch in healthcare, its ethical and responsible application offers numerous benefits, including increased access to services and more efficient and equitable delivery of healthcare.
Source(s): Psychology Today
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