Lung airway geometry as an early predictor of autism: A preliminary machine learning-based study
Asef Islam, Anthony Ronco, Stephen M. Becker, Jeremiah Blackburn,, Johannes C. Schittny, Kyoungmi Kim, Rebecca Stein-Wexler, Anthony S. Wexler

TL;DR
This study explores the potential of airway geometry from chest CT scans as an early biomarker for autism spectrum disorder, achieving high classification accuracy with machine learning techniques.
Contribution
It introduces a novel approach using airway branchpoint angles and machine learning to differentiate children with ASD from controls.
Findings
Achieved 89% cross-validation accuracy in classification.
Identified measurable differences in airway angles between ASD and controls.
High sensitivity of 94% indicates potential for early screening.
Abstract
The goal of this study is to assess the feasibility of airway geometry as a biomarker for ASD. Chest CT images of children with a documented diagnosis of ASD as well as healthy controls were identified retrospectively. 54 scans were obtained for analysis, including 31 ASD cases and 23 age and sex-matched controls. A feature selection and classification procedure using principal component analysis (PCA) and support vector machine (SVM) achieved a peak cross validation accuracy of nearly 89% using a feature set of 8 airway branching angles. Sensitivity was 94%, but specificity was only 78%. The results suggest a measurable difference in airway branchpoint angles between children with ASD and the control population. Under review at Scientific Reports
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Taxonomy
TopicsVoice and Speech Disorders · Tracheal and airway disorders · Respiratory viral infections research
MethodsFeature Selection
