Enhancing Autism Spectrum Disorder Early Detection with the Parent-Child Dyads Block-Play Protocol and an Attention-enhanced GCN-xLSTM Hybrid Deep Learning Framework

Autism Spectrum Disorder (ASD) is a rapidly growing neurodevelopmental disorder. Performing a timely intervention is crucial for the growth of young children with ASD, but traditional clinical screening methods lack objectivity. This study introduces an innovative approach to early detection of ASD. The contributions are threefold. First, this work proposes a novel Parent-Child Dyads Block-Play (PCB) protocol, grounded in kinesiological and neuroscientific research, to identify behavioral patterns distinguishing ASD from typically developing (TD) toddlers. Second, we have compiled a substantial video dataset, featuring 40 ASD and 89 TD toddlers engaged in block play with parents. This dataset exceeds previous efforts on both the scale of participants and the length of individual sessions. Third, our approach to action analysis in videos employs a hybrid deep learning framework, integrating a two-stream graph convolution network with attention-enhanced xLSTM (2sGCN-AxLSTM). This framework is adept at capturing dynamic interactions between toddlers and parents by extracting spatial features correlated with upper body and head movements and focusing on global contextual information of action sequences over time. By learning these global features with spatio-temporal correlations, our 2sGCN-AxLSTM effectively analyzes dynamic human behavior patterns and demonstrates an unprecedented accuracy of 89.6\% in early detection of ASD. Our approach shows strong potential for enhancing early ASD diagnosis by accurately analyzing parent-child interactions, providing a critical tool to support timely and informed clinical decision-making.

Combining Radiomics and Machine Learning Approaches for Objective ASD Diagnosis: Verifying White Matter Associations with ASD

Autism Spectrum Disorder is a condition characterized by a typical brain development leading to impairments in social skills, communication abilities, repetitive behaviors, and sensory processing. There have been many studies combining brain MRI images with machine learning algorithms to achieve objective diagnosis of autism, but the correlation between white matter and autism has not been fully utilized. To address this gap, we develop a computer-aided diagnostic model focusing on white matter regions in brain MRI by employing radiomics and machine learning methods. This study introduced a MultiUNet model for segmenting white matter, leveraging the UNet architecture and utilizing manually segmented MRI images as the training data. Subsequently, we extracted white matter features using the Pyradiomics toolkit and applied different machine learning models such as Support Vector Machine, Random Forest, Logistic Regression, and K-Nearest Neighbors to predict autism. The prediction sets all exceeded 80% accuracy. Additionally, we employed Convolutional Neural Network to analyze segmented white matter images, achieving a prediction accuracy of 86.84%. Notably, Support Vector Machine demonstrated the highest prediction accuracy at 89.47%. These findings not only underscore the efficacy of the models but also establish a link between white matter abnormalities and autism. Our study contributes to a comprehensive evaluation of various diagnostic models for autism and introduces a computer-aided diagnostic algorithm for early and objective autism diagnosis based on MRI white matter regions.