Sensors (Feb 2022)

Thermal Change Index-Based Diabetic Foot Thermogram Image Classification Using Machine Learning Techniques

  • Amith Khandakar,
  • Muhammad E. H. Chowdhury,
  • Mamun Bin Ibne Reaz,
  • Sawal Hamid Md Ali,
  • Tariq O. Abbas,
  • Tanvir Alam,
  • Mohamed Arselene Ayari,
  • Zaid B. Mahbub,
  • Rumana Habib,
  • Tawsifur Rahman,
  • Anas M. Tahir,
  • Ahmad Ashrif A. Bakar,
  • Rayaz A. Malik

DOI
https://doi.org/10.3390/s22051793
Journal volume & issue
Vol. 22, no. 5
p. 1793

Abstract

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Diabetes mellitus (DM) can lead to plantar ulcers, amputation and death. Plantar foot thermogram images acquired using an infrared camera have been shown to detect changes in temperature distribution associated with a higher risk of foot ulceration. Machine learning approaches applied to such infrared images may have utility in the early diagnosis of diabetic foot complications. In this work, a publicly available dataset was categorized into different classes, which were corroborated by domain experts, based on a temperature distribution parameter—the thermal change index (TCI). We then explored different machine-learning approaches for classifying thermograms of the TCI-labeled dataset. Classical machine learning algorithms with feature engineering and the convolutional neural network (CNN) with image enhancement techniques were extensively investigated to identify the best performing network for classifying thermograms. The multilayer perceptron (MLP) classifier along with the features extracted from thermogram images showed an accuracy of 90.1% in multi-class classification, which outperformed the literature-reported performance metrics on this dataset.

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