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2.
Int Neurourol J ; 27(Suppl 2): S99-103, 2023 Nov.
Article in English | MEDLINE | ID: mdl-38048824

ABSTRACT

PURPOSE: Urinary stones cause lateral abdominal pain and are a prevalent condition among younger age groups. The diagnosis typically involves assessing symptoms, conducting physical examinations, performing urine tests, and utilizing radiological imaging. Artificial intelligence models have demonstrated remarkable capabilities in detecting stones. However, due to insufficient datasets, the performance of these models has not reached a level suitable for practical application. Consequently, this study introduces a vision transformer (ViT)-based pipeline for detecting urinary stones, using computed tomography images with augmentation. METHODS: The super-resolution convolutional neural network (SRCNN) model was employed to enhance the resolution of a given dataset, followed by data augmentation using CycleGAN. Subsequently, the ViT model facilitated the detection and classification of urinary tract stones. The model's performance was evaluated using accuracy, precision, and recall as metrics. RESULTS: The deep learning model based on ViT showed superior performance compared to other existing models. Furthermore, the performance increased with the size of the backbone model. CONCLUSION: The study proposes a way to utilize medical data to improve the diagnosis of urinary tract stones. SRCNN was used for data preprocessing to enhance resolution, while CycleGAN was utilized for data augmentation. The ViT model was utilized for stone detection, and its performance was validated through metrics such as accuracy, sensitivity, specificity, and the F1 score. It is anticipated that this research will aid in the early diagnosis and treatment of urinary tract stones, thereby improving the efficiency of medical personnel.

3.
Cancers (Basel) ; 15(16)2023 Aug 18.
Article in English | MEDLINE | ID: mdl-37627200

ABSTRACT

The rapid development of abnormal brain cells that characterizes a brain tumor is a major health risk for adults since it can cause severe impairment of organ function and even death. These tumors come in a wide variety of sizes, textures, and locations. When trying to locate cancerous tumors, magnetic resonance imaging (MRI) is a crucial tool. However, detecting brain tumors manually is a difficult and time-consuming activity that might lead to inaccuracies. In order to solve this, we provide a refined You Only Look Once version 7 (YOLOv7) model for the accurate detection of meningioma, glioma, and pituitary gland tumors within an improved detection of brain tumors system. The visual representation of the MRI scans is enhanced by the use of image enhancement methods that apply different filters to the original pictures. To further improve the training of our proposed model, we apply data augmentation techniques to the openly accessible brain tumor dataset. The curated data include a wide variety of cases, such as 2548 images of gliomas, 2658 images of pituitary, 2582 images of meningioma, and 2500 images of non-tumors. We included the Convolutional Block Attention Module (CBAM) attention mechanism into YOLOv7 to further enhance its feature extraction capabilities, allowing for better emphasis on salient regions linked with brain malignancies. To further improve the model's sensitivity, we have added a Spatial Pyramid Pooling Fast+ (SPPF+) layer to the network's core infrastructure. YOLOv7 now includes decoupled heads, which allow it to efficiently glean useful insights from a wide variety of data. In addition, a Bi-directional Feature Pyramid Network (BiFPN) is used to speed up multi-scale feature fusion and to better collect features associated with tumors. The outcomes verify the efficiency of our suggested method, which achieves a higher overall accuracy in tumor detection than previous state-of-the-art models. As a result, this framework has a lot of potential as a helpful decision-making tool for experts in the field of diagnosing brain tumors.

4.
Sensors (Basel) ; 23(12)2023 Jun 09.
Article in English | MEDLINE | ID: mdl-37420642

ABSTRACT

Methods for detecting emotions that employ many modalities at the same time have been found to be more accurate and resilient than those that rely on a single sense. This is due to the fact that sentiments may be conveyed in a wide range of modalities, each of which offers a different and complementary window into the thoughts and emotions of the speaker. In this way, a more complete picture of a person's emotional state may emerge through the fusion and analysis of data from several modalities. The research suggests a new attention-based approach to multimodal emotion recognition. This technique integrates facial and speech features that have been extracted by independent encoders in order to pick the aspects that are the most informative. It increases the system's accuracy by processing speech and facial features of various sizes and focuses on the most useful bits of input. A more comprehensive representation of facial expressions is extracted by the use of both low- and high-level facial features. These modalities are combined using a fusion network to create a multimodal feature vector which is then fed to a classification layer for emotion recognition. The developed system is evaluated on two datasets, IEMOCAP and CMU-MOSEI, and shows superior performance compared to existing models, achieving a weighted accuracy WA of 74.6% and an F1 score of 66.1% on the IEMOCAP dataset and a WA of 80.7% and F1 score of 73.7% on the CMU-MOSEI dataset.


Subject(s)
Emotions , Speech , Humans , Recognition, Psychology , Facial Expression
5.
Sensors (Basel) ; 23(13)2023 Jun 28.
Article in English | MEDLINE | ID: mdl-37447859

ABSTRACT

It is very important to prevent dementia by intervening in advance in the stage of mild cognitive impairment, which is the pre-stage of dementia. Recently, cognitive therapy research using metaverse has been on the rise. We propose a way to utilize metaverse cognitive therapy content as a non-drug treatment method of mild cognitive impairment patients. This paper shows the results of clinical trials using metaverse cognitive therapy contents developed by us. We collected data from MCI patient groups and normal groups through MMSE-KC tests and in-content data collection systems. We conducted paired t-tests and repeat measurement ANOVA based on the collected data. The results of this study show how metaverse cognitive therapy content affects MCI patients, and suggest various factors to be considered when creating functional content.


Subject(s)
Cognitive Dysfunction , Dementia , Humans , Cognitive Dysfunction/therapy , Dementia/therapy
6.
Int Neurourol J ; 27(Suppl 1): S21-26, 2023 May.
Article in English | MEDLINE | ID: mdl-37280756

ABSTRACT

PURPOSE: Urolithiasis is a common disease that can cause acute pain and complications. The objective of this study was to develop a deep learning model utilizing transfer learning for the rapid and accurate detection of urinary tract stones. By employing this method, we aim to improve the efficiency of medical staff and contribute to the progress of deep learning-based medical image diagnostic technology. METHODS: The ResNet50 model was employed to develop feature extractors for detecting urinary tract stones. Transfer learning was applied by utilizing the weights of pretrained models as initial values, and the models were fine-tuned with the provided data. The model's performance was evaluated using accuracy, precision-recall, and receiver operating characteristic curve metrics. RESULTS: The ResNet-50-based deep learning model demonstrated high accuracy and sensitivity, outperforming traditional methods. Specifically, it enabled a rapid diagnosis of the presence or absence of urinary tract stones, thereby assisting doctors in their decision-making process. CONCLUSION: This research makes a meaningful contribution by accelerating the clinical implementation of urinary tract stone detection technology utilizing ResNet-50. The deep learning model can swiftly identify the presence or absence of urinary tract stones, thereby enhancing the efficiency of medical staff. We expect that this study will contribute to the advancement of medical imaging diagnostic technology based on deep learning.

7.
Sensors (Basel) ; 23(7)2023 Mar 24.
Article in English | MEDLINE | ID: mdl-37050503

ABSTRACT

In recent years, considerable work has been conducted on the development of synthetic medical images, but there are no satisfactory methods for evaluating their medical suitability. Existing methods mainly evaluate the quality of noise in the images, and the similarity of the images to the real images used to generate them. For this purpose, they use feature maps of images extracted in different ways or distribution of images set. Then, the proximity of synthetic images to the real set is evaluated using different distance metrics. However, it is not possible to determine whether only one synthetic image was generated repeatedly, or whether the synthetic set exactly repeats the training set. In addition, most evolution metrics take a lot of time to calculate. Taking these issues into account, we have proposed a method that can quantitatively and qualitatively evaluate synthetic images. This method is a combination of two methods, namely, FMD and CNN-based evaluation methods. The estimation methods were compared with the FID method, and it was found that the FMD method has a great advantage in terms of speed, while the CNN method has the ability to estimate more accurately. To evaluate the reliability of the methods, a dataset of different real images was checked.


Subject(s)
Algorithms , Artificial Intelligence , Reproducibility of Results , Benchmarking , Image Processing, Computer-Assisted
8.
Sensors (Basel) ; 23(3)2023 Jan 29.
Article in English | MEDLINE | ID: mdl-36772551

ABSTRACT

With an increase in both global warming and the human population, forest fires have become a major global concern. This can lead to climatic shifts and the greenhouse effect, among other adverse outcomes. Surprisingly, human activities have caused a disproportionate number of forest fires. Fast detection with high accuracy is the key to controlling this unexpected event. To address this, we proposed an improved forest fire detection method to classify fires based on a new version of the Detectron2 platform (a ground-up rewrite of the Detectron library) using deep learning approaches. Furthermore, a custom dataset was created and labeled for the training model, and it achieved higher precision than the other models. This robust result was achieved by improving the Detectron2 model in various experimental scenarios with a custom dataset and 5200 images. The proposed model can detect small fires over long distances during the day and night. The advantage of using the Detectron2 algorithm is its long-distance detection of the object of interest. The experimental results proved that the proposed forest fire detection method successfully detected fires with an improved precision of 99.3%.

9.
Sensors (Basel) ; 23(1)2023 Jan 02.
Article in English | MEDLINE | ID: mdl-36617097

ABSTRACT

Most facial recognition and face analysis systems start with facial detection. Early techniques, such as Haar cascades and histograms of directed gradients, mainly rely on features that had been manually developed from particular images. However, these techniques are unable to correctly synthesize images taken in untamed situations. However, deep learning's quick development in computer vision has also sped up the development of a number of deep learning-based face detection frameworks, many of which have significantly improved accuracy in recent years. When detecting faces in face detection software, the difficulty of detecting small, scale, position, occlusion, blurring, and partially occluded faces in uncontrolled conditions is one of the problems of face identification that has been explored for many years but has not yet been entirely resolved. In this paper, we propose Retina net baseline, a single-stage face detector, to handle the challenging face detection problem. We made network improvements that boosted detection speed and accuracy. In Experiments, we used two popular datasets, such as WIDER FACE and FDDB. Specifically, on the WIDER FACE benchmark, our proposed method achieves AP of 41.0 at speed of 11.8 FPS with a single-scale inference strategy and AP of 44.2 with multi-scale inference strategy, which are results among one-stage detectors. Then, we trained our model during the implementation using the PyTorch framework, which provided an accuracy of 95.6% for the faces, which are successfully detected. Visible experimental results show that our proposed model outperforms seamless detection and recognition results achieved using performance evaluation matrices.


Subject(s)
Deep Learning , Facial Recognition , Face , Software
10.
Sensors (Basel) ; 22(21)2022 Oct 24.
Article in English | MEDLINE | ID: mdl-36365819

ABSTRACT

Speech recognition refers to the capability of software or hardware to receive a speech signal, identify the speaker's features in the speech signal, and recognize the speaker thereafter. In general, the speech recognition process involves three main steps: acoustic processing, feature extraction, and classification/recognition. The purpose of feature extraction is to illustrate a speech signal using a predetermined number of signal components. This is because all information in the acoustic signal is excessively cumbersome to handle, and some information is irrelevant in the identification task. This study proposes a machine learning-based approach that performs feature parameter extraction from speech signals to improve the performance of speech recognition applications in real-time smart city environments. Moreover, the principle of mapping a block of main memory to the cache is used efficiently to reduce computing time. The block size of cache memory is a parameter that strongly affects the cache performance. In particular, the implementation of such processes in real-time systems requires a high computation speed. Processing speed plays an important role in speech recognition in real-time systems. It requires the use of modern technologies and fast algorithms that increase the acceleration in extracting the feature parameters from speech signals. Problems with overclocking during the digital processing of speech signals have yet to be completely resolved. The experimental results demonstrate that the proposed method successfully extracts the signal features and achieves seamless classification performance compared to other conventional speech recognition algorithms.


Subject(s)
Machine Learning , Speech , Algorithms , Acoustics , Recognition, Psychology
11.
Sensors (Basel) ; 22(21)2022 Oct 27.
Article in English | MEDLINE | ID: mdl-36365921

ABSTRACT

E-commerce systems experience poor quality of performance when the number of records in the customer database increases due to the gradual growth of customers and products. Applying implicit hidden features into the recommender system (RS) plays an important role in enhancing its performance due to the original dataset's sparseness. In particular, we can comprehend the relationship between products and customers by analyzing the hierarchically expressed hidden implicit features of them. Furthermore, the effectiveness of rating prediction and system customization increases when the customer-added tag information is combined with hierarchically structured hidden implicit features. For these reasons, we concentrate on early grouping of comparable customers using the clustering technique as a first step, and then, we further enhance the efficacy of recommendations by obtaining implicit hidden features and combining them via customer's tag information, which regularizes the deep-factorization procedure. The idea behind the proposed method was to cluster customers early via a customer rating matrix and deeply factorize a basic WNMF (weighted nonnegative matrix factorization) model to generate customers preference's hierarchically structured hidden implicit features and product characteristics in each cluster, which reveals a deep relationship between them and regularizes the prediction procedure via an auxiliary parameter (tag information). The testimonies and empirical findings supported the viability of the proposed approach. Especially, MAE of the rating prediction was 0.8011 with 60% training dataset size, while the error rate was equal to 0.7965 with 80% training dataset size. Moreover, MAE rates were 0.8781 and 0.9046 in new 50 and 100 customer cold-start scenarios, respectively. The proposed model outperformed other baseline models that independently employed the major properties of customers, products, or tags in the prediction process.


Subject(s)
Algorithms , Commerce , Cluster Analysis , Databases, Factual
12.
Sensors (Basel) ; 22(19)2022 Sep 26.
Article in English | MEDLINE | ID: mdl-36236403

ABSTRACT

Early fire detection and notification techniques provide fire prevention and safety information to blind and visually impaired (BVI) people within a short period of time in emergency situations when fires occur in indoor environments. Given its direct impact on human safety and the environment, fire detection is a difficult but crucial problem. To prevent injuries and property damage, advanced technology requires appropriate methods for detecting fires as quickly as possible. In this study, to reduce the loss of human lives and property damage, we introduce the development of the vision-based early flame recognition and notification approach using artificial intelligence for assisting BVI people. The proposed fire alarm control system for indoor buildings can provide accurate information on fire scenes. In our proposed method, all the processes performed manually were automated, and the performance efficiency and quality of fire classification were improved. To perform real-time monitoring and enhance the detection accuracy of indoor fire disasters, the proposed system uses the YOLOv5m model, which is an updated version of the traditional YOLOv5. The experimental results show that the proposed system successfully detected and notified the occurrence of catastrophic fires with high speed and accuracy at any time of day or night, regardless of the shape or size of the fire. Finally, we compared the competitiveness level of our method with that of other conventional fire-detection methods to confirm the seamless classification results achieved using performance evaluation matrices.


Subject(s)
Artificial Intelligence , Computer Systems , Humans , Technology
13.
Int Neurourol J ; 26(3): 210-218, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36203253

ABSTRACT

PURPOSE: This paper aims to develop a clinical decision support system (CDSS) that can help detect the stone that is most important to the diagnosis of urolithiasis. Among them, especially for the development of artificial intelligence (AI) models that support a final judgment in CDSS, we would like to study the optimal AI model by comparing and evaluating them. METHODS: This paper proposes the optimal ureter stone detection model using various AI technologies. The use of AI technology compares and evaluates methods such as machine learning (support vector machine), deep learning (ResNet-50, Fast R-CNN), and image processing (watershed) to find a more effective method for detecting ureter stones. RESULTS: The final value of sensitivity, which is calculated using true positive (TP) and false negative and is a measure of the probability of TP results, showed high recognition accuracy, with an average value of 0.93 for ResNet-50. This finding confirmed that accurate guidance to the stones area was possible when the developed platform was used to support actual surgery. CONCLUSION: The general situation in the most effective way to the detection stone can be found. But a variety of variables may be slightly different the difference through the term could tell. Future works, on urological diseases, are diverse and the research will be expanded by customizing AI models specialized for those diseases.

14.
Sensors (Basel) ; 22(17)2022 Aug 29.
Article in English | MEDLINE | ID: mdl-36080958

ABSTRACT

Among researchers using traditional and new machine learning and deep learning techniques, 2D medical image segmentation models are popular. Additionally, 3D volumetric data recently became more accessible, as a result of the high number of studies conducted in recent years regarding the creation of 3D volumes. Using these 3D data, researchers have begun conducting research on creating 3D segmentation models, such as brain tumor segmentation and classification. Since a higher number of crucial features can be extracted using 3D data than 2D data, 3D brain tumor detection models have increased in popularity among researchers. Until now, various significant research works have focused on the 3D version of the U-Net and other popular models, such as 3D U-Net and V-Net, while doing superior research works. In this study, we used 3D brain image data and created a new architecture based on a 3D U-Net model that uses multiple skip connections with cost-efficient pretrained 3D MobileNetV2 blocks and attention modules. These pretrained MobileNetV2 blocks assist our architecture by providing smaller parameters to maintain operable model size in terms of our computational capability and help the model to converge faster. We added additional skip connections between the encoder and decoder blocks to ease the exchange of extracted features between the two blocks, which resulted in the maximum use of the features. We also used attention modules to filter out irrelevant features coming through the skip connections and, thus, preserved more computational power while achieving improved accuracy.


Subject(s)
Brain Neoplasms , Image Processing, Computer-Assisted , Algorithms , Attention , Brain Neoplasms/diagnostic imaging , Humans , Image Processing, Computer-Assisted/methods , Neural Networks, Computer
15.
Sensors (Basel) ; 22(12)2022 Jun 12.
Article in English | MEDLINE | ID: mdl-35746225

ABSTRACT

An uninterruptible power supply (UPS) is a device that can continuously supply power for a certain period when a power outage occurs. UPS devices are used by national institutions, hospitals, and servers, and are located in numerous public places that require continuous power. However, maintaining such devices in good condition requires periodic maintenance at specific time points. Efficient monitoring can currently be achieved using a battery management system (BMS). However, most BMSs are administrator-centered. If the administrator is not careful, it becomes difficult to accurately grasp the data trend of each battery cell, which in turn can lead to a leakage or heat explosion of the cell. In this study, a deep-learning-based intelligent model that can predict battery life, known as the state of health (SoH), is investigated for the efficient operation of a BMS applied to a lithium-based UPS device.


Subject(s)
Electric Power Supplies , Lithium , Monitoring, Physiologic
16.
Sensors (Basel) ; 22(3)2022 Jan 21.
Article in English | MEDLINE | ID: mdl-35161556

ABSTRACT

The immune system of human beings plays a pivotal role in guarding against different types of diseases. During the COVID-19 pandemic, people with weak immune systems were more likely to die. Regular physical activities and healthy food intake can significantly improve the immune system; however, people with a sedentary lifestyle and a busy job schedule find it challenging and tedious to maintain regularity. Different approaches have been used over the years to engage people in various physical activities and improve their mental and physical health. The concept of employing serious games (games whose primary purpose is not fun or entertainment, but a serious goal) to effectuate better results has become one of the popular choices among healthcare professionals and research communities. Internet of things (IoT) has enabled digital transformation with smart cities, smart infrastructure, and the fourth industrial revolution. There have been some relevant studies on the encouragement of serious games in healthcare in the past few years. However, few research studies encourage IoT-enabled serious games played with IoT devices (sensors and actuators) by making the game experience more ubiquitous and pervasive. Consequently, the adaptation of the IoT in serious games for healthcare applications is a massive gap despite its growing need in an era significantly affected by COVID-19. This paper discusses the possibilities of integrating serious games with IoT and discusses the standard architecture, core technologies, and possible challenges. Finally, we present a prototype architecture and its various components and a qualitative analysis with recent studies.


Subject(s)
COVID-19 , Internet of Things , Delivery of Health Care , Humans , Pandemics , SARS-CoV-2
17.
Sensors (Basel) ; 21(19)2021 Sep 29.
Article in English | MEDLINE | ID: mdl-34640842

ABSTRACT

Currently, sensor-based systems for fire detection are widely used worldwide. Further research has shown that camera-based fire detection systems achieve much better results than sensor-based methods. In this study, we present a method for real-time high-speed fire detection using deep learning. A new special convolutional neural network was developed to detect fire regions using the existing YOLOv3 algorithm. Due to the fact that our real-time fire detector cameras were built on a Banana Pi M3 board, we adapted the YOLOv3 network to the board level. Firstly, we tested the latest versions of YOLO algorithms to select the appropriate algorithm and used it in our study for fire detection. The default versions of the YOLO approach have very low accuracy after training and testing in fire detection cases. We selected the YOLOv3 network to improve and use it for the successful detection and warning of fire disasters. By modifying the algorithm, we recorded the results of a rapid and high-precision detection of fire, during both day and night, irrespective of the shape and size. Another advantage is that the algorithm is capable of detecting fires that are 1 m long and 0.3 m wide at a distance of 50 m. Experimental results showed that the proposed method successfully detected fire candidate areas and achieved a seamless classification performance compared to other conventional fire detection frameworks.


Subject(s)
Fires , Neural Networks, Computer , Algorithms
18.
Sensors (Basel) ; 21(4)2021 Feb 19.
Article in English | MEDLINE | ID: mdl-33669539

ABSTRACT

Colon carcinoma is one of the leading causes of cancer-related death in both men and women. Automatic colorectal polyp segmentation and detection in colonoscopy videos help endoscopists to identify colorectal disease more easily, making it a promising method to prevent colon cancer. In this study, we developed a fully automated pixel-wise polyp segmentation model named A-DenseUNet. The proposed architecture adapts different datasets, adjusting for the unknown depth of the network by sharing multiscale encoding information to the different levels of the decoder side. We also used multiple dilated convolutions with various atrous rates to observe a large field of view without increasing the computational cost and prevent loss of spatial information, which would cause dimensionality reduction. We utilized an attention mechanism to remove noise and inappropriate information, leading to the comprehensive re-establishment of contextual features. Our experiments demonstrated that the proposed architecture achieved significant segmentation results on public datasets. A-DenseUNet achieved a 90% Dice coefficient score on the Kvasir-SEG dataset and a 91% Dice coefficient score on the CVC-612 dataset, both of which were higher than the scores of other deep learning models such as UNet++, ResUNet, U-Net, PraNet, and ResUNet++ for segmenting polyps in colonoscopy images.


Subject(s)
Colonoscopy , Image Processing, Computer-Assisted , Neural Networks, Computer , Humans , Male
19.
Skin Res Technol ; 27(3): 444-452, 2021 May.
Article in English | MEDLINE | ID: mdl-33111421

ABSTRACT

BACKGROUND: Recently, the field of face and facial features has been progressively studied. The features of facial expression have gained increasing attention for related applications. The wrinkle is the most representative feature, and its research and applications have been topics of high interest. Wrinkles play an important role in face feature analysis. They have been widely used in applications, such as age estimation, skin texture classification, expression recognition, and simulation. PURPOSE: Existing approaches to the image-based analysis of wrinkles as texture not as curvilinear discontinuity and wrinkle detection mainly have focused on detecting wrinkles on forehead position, which is usually horizontal linear shapes, while the detection of the nasolabial wrinkle is not well understood due to their variety of shapes and complexity. METHOD: In this paper, we present a nasolabial wrinkle line detecting effective algorithm based on the Active appearance model and Hessian filter to improve localization results by creating unique initial shapes of the wrinkle lines for each input face image. RESULTS: Experimental results show that the proposed method is capable of tracking curve wrinkle lines, thus allowing to detect complexly structured wrinkle lines. This work demonstrates results illustrated the competitiveness of the proposed method in detecting nasolabial wrinkle lines. CONCLUSION: In our study, this was introduced the effectiveness of changing the structure of AAM and successfully applied in wrinkle line localizing, although competitive results are achieved by the proposed wrinkle detection method.


Subject(s)
Skin Aging , Forehead , Humans , Image Processing, Computer-Assisted , Nasolabial Fold
20.
J Ophthalmol ; 2020: 9476749, 2020.
Article in English | MEDLINE | ID: mdl-33489350

ABSTRACT

METHODS: A total of 287 consecutive patients diagnosed with congenital SOP and 82 control subjects were included. Congenital SOP patients were grouped according to the presence (present group) or absence (absent group) of the trochlear nerve using thin-section high-resolution MRI of cranial nerves. We developed a computer-aided detection (CAD) system that could automatically analyze objective indices of facial asymmetry using frontal face photographs. RESULTS: Of the 287 patients with congenital SOP, 60% of patients had ipsilateral trochlear nerve absence and superior oblique muscle (SO) hypoplasia (absent group), while the remaining 40% had a normal SO and trochlear nerve (present group). All but one objective indices related to facial asymmetry were significantly different between congenital SOP patients and controls (all P < 0.05). Among these features, the angle of nose deviation was significantly larger in the absent group compared to the present group (P < 0.001). CONCLUSION: Objective analysis of facial asymmetry using our novel CAD system was useful for identifying distinct features of congenital SOP. Deviation of the nose was more prominent in congenital SOP patients with trochlear nerve absence.

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