Deep Learning in Healthcare
Face2Bone explainable AI model predicts osteoporosis risk from facial images in proof of concept study
This study proposes Face2Bone, an explainable AI deep learning model for opportunistic osteoporosis screening using 2D facial images. The model achieved superior performance (92.85% accuracy, 98.56% AUC) compared to mainstream models. Explainability analysis using SHAP and CRAFT revealed significant facial image characteristics across different bone mass states, confirming morphological consistency with facial skeletal aging patterns. This non-invasive technology offers a promising solution for early osteoporosis detection and intervention.
Executive Impact
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Face2Bone Model Performance
92.85% Overall Accuracy on Validation SetThe Face2Bone model demonstrated superior performance in the validation set, achieving an accuracy of 92.85%.
Face2Bone Model Pipeline
| Model | Accuracy | Precision | Recall | F1-score | AUC | Kappa |
|---|---|---|---|---|---|---|
| VGG16 | 0.8713 | 0.8536 | 0.8646 | 0.9597 | 0.7992 | |
| VGG19 | 0.8316 | 0.8410 | 0.8121 | 0.8226 | 0.9284 | 0.7370 |
| Resnet18 | 0.8583 | 0.8562 | 0.8499 | 0.8528 | 0.9576 | 0.7808 |
| Resnet34 | 0.8782 | 0.8872 | 0.8667 | 0.8748 | 0.9604 | 0.8106 |
| Face2Bone (Ours) | 0.9285 | 0.9294 | 0.9285 | 0.9283 | 0.9856 | 0.8887 |
XAI-driven Insights for Osteoporosis
Explainability analysis using SHAP and CRAFT revealed significant facial image characteristics linked to bone mass states. The model identified critical regions like periorbital, midface, and mandibular areas, which showed morphological changes consistent with facial skeletal aging patterns. This provides biological plausibility for non-invasive osteoporosis screening.
Challenge: Traditional osteoporosis diagnosis methods like DXA are invasive, costly, and lack accessibility for widespread screening.
Solution: Face2Bone provides a non-invasive, cost-effective, and convenient alternative using facial images.
Outcome: Enhanced early detection rates and a new pathway for preventive medical intervention and public health management.
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