Diagnostically relevant facial gestalt information from ordinary photos
Quentin Ferry,
Julia Steinberg,
Caleb Webber,
David R FitzPatrick,
Chris P Ponting,
Andrew Zisserman,
Christoffer Nellåker
Affiliations
Quentin Ferry
Department of Engineering Science, University of Oxford, Oxford, United Kingdom; Medical Research Council Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom
Julia Steinberg
Medical Research Council Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom; The Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom
Caleb Webber
Medical Research Council Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom
David R FitzPatrick
Medical Research Council Human Genetics Unit, Institute of Genetics and Molecular Medicine, Edinburgh, United Kingdom
Chris P Ponting
Medical Research Council Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom
Andrew Zisserman
Department of Engineering Science, University of Oxford, Oxford, United Kingdom
Christoffer Nellåker
Medical Research Council Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom
Craniofacial characteristics are highly informative for clinical geneticists when diagnosing genetic diseases. As a first step towards the high-throughput diagnosis of ultra-rare developmental diseases we introduce an automatic approach that implements recent developments in computer vision. This algorithm extracts phenotypic information from ordinary non-clinical photographs and, using machine learning, models human facial dysmorphisms in a multidimensional 'Clinical Face Phenotype Space'. The space locates patients in the context of known syndromes and thereby facilitates the generation of diagnostic hypotheses. Consequently, the approach will aid clinicians by greatly narrowing (by 27.6-fold) the search space of potential diagnoses for patients with suspected developmental disorders. Furthermore, this Clinical Face Phenotype Space allows the clustering of patients by phenotype even when no known syndrome diagnosis exists, thereby aiding disease identification. We demonstrate that this approach provides a novel method for inferring causative genetic variants from clinical sequencing data through functional genetic pathway comparisons.