Pekka Jäkälä

Aysen Degerli, Pekka Jakala, Juha Pajula et al.

Stroke is a major cause of mortality and disability worldwide from which one in four people are in danger of incurring in their lifetime. The pre-hospital stroke assessment plays a vital role in identifying stroke patients accurately to accelerate further examination and treatment in hospitals. Accordingly, the National Institutes of Health Stroke Scale (NIHSS), Cincinnati Pre-hospital Stroke Scale (CPSS) and Face Arm Speed Time (F.A.S.T.) are globally known tests for stroke assessment. However, the validity of these tests is skeptical in the absence of neurologists and access to healthcare may be limited. Therefore, in this study, we propose a motion-aware and multi-attention fusion network (MAMAF-Net) that can detect stroke from multimodal examination videos. Contrary to other studies on stroke detection from video analysis, our study for the first time proposes an end-to-end solution from multiple video recordings of each subject with a dataset encapsulating stroke, transient ischemic attack (TIA), and healthy controls. The proposed MAMAF-Net consists of motion-aware modules to sense the mobility of patients, attention modules to fuse the multi-input video data, and 3D convolutional layers to perform diagnosis from the attention-based extracted features. Experimental results over the collected Stroke-data dataset show that the proposed MAMAF-Net achieves a successful detection of stroke with 93.62% sensitivity and 95.33% AUC score.

Aysen Degerli, Mika Hilvo, Juha Pajula et al.

Stroke is globally a major cause of mortality and morbidity, and hence accurate and rapid diagnosis of stroke is valuable. Retinal fundus imaging reveals the known markers of elevated stroke risk in the eyes, which are retinal venular widening, arteriolar narrowing, and increased tortuosity. In contrast to other imaging techniques used for stroke diagnosis, the acquisition of fundus images is easy, non-invasive, fast, and inexpensive. Therefore, in this study, we propose a multi-view stroke network (MVS-Net) to detect stroke and transient ischemic attack (TIA) using retinal fundus images. Contrary to existing studies, our study proposes for the first time a solution to discriminate stroke and TIA with deep multi-view learning by proposing an end-to-end deep network, consisting of multi-view inputs of fundus images captured from both right and left eyes. Accordingly, the proposed MVS-Net defines representative features from fundus images of both eyes and determines the relation within their macula-centered and optic nerve head-centered views. Experiments performed on a dataset collected from stroke and TIA patients, in addition to healthy controls, show that the proposed framework achieves an AUC score of 0.84 for stroke and TIA detection.