Predictive Models for Pre-Operative Diagnosis of Rotator Cuff Tear: A Comparison Study of Two Methods between Logistic Regression and Artificial Neural Network

Rotator cuff tears are the most common disorder of the shoulders.agnetic resonance Image (MRI) is the diagnostic gold standard of rotator cuff tears. However, there are some dilemmas in the rotator cuff tears treatment. Clinically, surgical results of rotator cuff tears are sometimes different from MRI results of rotator cuff tears. The main purpose of this study is to build up predicative models for pre-operative diagnosis of rotator cuff tears There are two models of this study are proposed: logistic regression model and artificial neural network model. Patients are divided into two sets: Set1 is patients with full thickness rotators cuff tears. Set 2 is patients with partial thickness rotators cuff tears. The charts of 158 patients are completely reviewed and the collected data were analyzed. The results showed that the predictive accuracy of artificial neural networks model is higher than the predictive accuracy of logistic model. The application of this study can assist doctors to increase the accuracy rate of pre-operative diagnosis and to decrease the legal problems.

[1]  C. Lee Giles,et al.  Overfitting and neural networks: conjugate gradient and backpropagation , 2000, Proceedings of the IEEE-INNS-ENNS International Joint Conference on Neural Networks. IJCNN 2000. Neural Computing: New Challenges and Perspectives for the New Millennium.

[2]  J. Andreu,et al.  Comments on review by Beaudreuil et al. "Contribution of clinical tests to the diagnosis of rotator cuff disease: a systematic review". , 2009, Joint, bone, spine : revue du rhumatisme.

[3]  G. Murrell,et al.  Diagnosis of rotator cuff tears , 2001, The Lancet.

[4]  R. G. Stiles,et al.  MR imaging diagnosis of rotator cuff tears. , 1988, AJR. American journal of roentgenology.

[5]  H. White,et al.  Logistic regression in the medical literature: standards for use and reporting, with particular attention to one medical domain. , 2001, Journal of clinical epidemiology.

[6]  Petra Perner,et al.  Data Mining - Concepts and Techniques , 2002, Künstliche Intell..

[7]  William G. Baxt,et al.  Use of an Artificial Neural Network for Data Analysis in Clinical Decision-Making: The Diagnosis of Acute Coronary Occlusion , 1990, Neural Computation.

[8]  W. Baxt Use of an artificial neural network for the diagnosis of myocardial infarction. , 1991, Annals of internal medicine.

[9]  Chen-chiang Lin,et al.  Comparison of artificial neural network and logistic regression models for predicting mortality in elderly patients with hip fracture. , 2010, Injury.

[10]  C. Hing,et al.  The diagnostic accuracy of MRI for the detection of partial- and full-thickness rotator cuff tears in adults. , 2012, Magnetic resonance imaging.

[11]  R. Barrack,et al.  Clinical presentation of complete tears of the rotator cuff. , 1989, The Journal of bone and joint surgery. American volume.