Research on multi-label recognition of tongue features in stroke patients based on deep learning

Abstract Stroke has become the leading cause of disability in adults worldwide. Early precise rehabilitation intervention is crucial for the recovery of stroke patients, with the key lying in accurately identifying patients’ physical characteristics during the rehabilitation phase. Compared to diagn...

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Main Authors: Honghua Liu, Peiqin Zhang, Yini Huang, Shanshan Zuo, Lu Li, Chang She, Mailan Liu
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-84002-1
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author Honghua Liu
Peiqin Zhang
Yini Huang
Shanshan Zuo
Lu Li
Chang She
Mailan Liu
author_facet Honghua Liu
Peiqin Zhang
Yini Huang
Shanshan Zuo
Lu Li
Chang She
Mailan Liu
author_sort Honghua Liu
collection DOAJ
description Abstract Stroke has become the leading cause of disability in adults worldwide. Early precise rehabilitation intervention is crucial for the recovery of stroke patients, with the key lying in accurately identifying patients’ physical characteristics during the rehabilitation phase. Compared to diagnostic techniques such as medical neuroimaging, traditional Chinese medicine(TCM) tongue diagnosis offers good accessibility and ease of application. However, conventional TCM tongue diagnosis relies on the experience of doctors, which introduces a degree of subjectivity, especially since stroke patients exhibit unique characteristics in tongue texture, shape, and coating, making accurate diagnosis more challenging. To address this issue, this paper proposes a deep learning-based automatic recognition approach for the tongue images of stroke patients, aiming to improve the accuracy of automatic extraction and recognition of stroke-related tongue features through image processing and machine learning techniques. First, this study performs image cropping and data augmentation on tongue images. Then, considering that tongue color, coating color, and coating texture are interrelated in TCM theory and jointly reflect the body’s physiological and pathological state, a label-guided multi-label recognition model for tongue images is designed. This model extracts features from the tongue images of stroke patients, learns the correlations among the features, and performs classification to automatically identify key characteristics such as tongue shape, color, and coating. Finally, the model’s performance is quantitatively evaluated. Experimental results show that the proposed deep learning model outperforms several advanced deep learning models, such as resnet and densenet, and existing single-task tongue classification models in automatically recognizing stroke patients’ tongue images. This research improves the accuracy of feature extraction and recognition of tongue characteristics in stroke patients during rehabilitation, providing a convenient and feasible technical approach for real-time evaluation and diagnosis in the stroke rehabilitation process. It has significant clinical application value and research significance.
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spelling doaj-art-f86bd98b00e645d09c5b487f173daa222025-01-05T12:28:24ZengNature PortfolioScientific Reports2045-23222024-12-0114111210.1038/s41598-024-84002-1Research on multi-label recognition of tongue features in stroke patients based on deep learningHonghua Liu0Peiqin Zhang1Yini Huang2Shanshan Zuo3Lu Li4Chang She5Mailan Liu6Hunan University of Chinese MedicineHunan Traditional Chinese Medical CollegeChangsha Hospital of Traditional Chinese Medicine (Changsha Eighth Hospital)Changsha Hospital of Traditional Chinese Medicine (Changsha Eighth Hospital)Changsha Hospital of Traditional Chinese Medicine (Changsha Eighth Hospital)Changsha Hospital of Traditional Chinese Medicine (Changsha Eighth Hospital)Hunan University of Chinese MedicineAbstract Stroke has become the leading cause of disability in adults worldwide. Early precise rehabilitation intervention is crucial for the recovery of stroke patients, with the key lying in accurately identifying patients’ physical characteristics during the rehabilitation phase. Compared to diagnostic techniques such as medical neuroimaging, traditional Chinese medicine(TCM) tongue diagnosis offers good accessibility and ease of application. However, conventional TCM tongue diagnosis relies on the experience of doctors, which introduces a degree of subjectivity, especially since stroke patients exhibit unique characteristics in tongue texture, shape, and coating, making accurate diagnosis more challenging. To address this issue, this paper proposes a deep learning-based automatic recognition approach for the tongue images of stroke patients, aiming to improve the accuracy of automatic extraction and recognition of stroke-related tongue features through image processing and machine learning techniques. First, this study performs image cropping and data augmentation on tongue images. Then, considering that tongue color, coating color, and coating texture are interrelated in TCM theory and jointly reflect the body’s physiological and pathological state, a label-guided multi-label recognition model for tongue images is designed. This model extracts features from the tongue images of stroke patients, learns the correlations among the features, and performs classification to automatically identify key characteristics such as tongue shape, color, and coating. Finally, the model’s performance is quantitatively evaluated. Experimental results show that the proposed deep learning model outperforms several advanced deep learning models, such as resnet and densenet, and existing single-task tongue classification models in automatically recognizing stroke patients’ tongue images. This research improves the accuracy of feature extraction and recognition of tongue characteristics in stroke patients during rehabilitation, providing a convenient and feasible technical approach for real-time evaluation and diagnosis in the stroke rehabilitation process. It has significant clinical application value and research significance.https://doi.org/10.1038/s41598-024-84002-1
spellingShingle Honghua Liu
Peiqin Zhang
Yini Huang
Shanshan Zuo
Lu Li
Chang She
Mailan Liu
Research on multi-label recognition of tongue features in stroke patients based on deep learning
Scientific Reports
title Research on multi-label recognition of tongue features in stroke patients based on deep learning
title_full Research on multi-label recognition of tongue features in stroke patients based on deep learning
title_fullStr Research on multi-label recognition of tongue features in stroke patients based on deep learning
title_full_unstemmed Research on multi-label recognition of tongue features in stroke patients based on deep learning
title_short Research on multi-label recognition of tongue features in stroke patients based on deep learning
title_sort research on multi label recognition of tongue features in stroke patients based on deep learning
url https://doi.org/10.1038/s41598-024-84002-1
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