title: The potential of accelerating early detection of autism through content analysis of YouTube videos.
abstract: Autism is on the rise, with 1 in 88 children receiving a diagnosis in the United States, yet the process for diagnosis remains cumbersome and time consuming. Research has shown that home videos of children can help increase the accuracy of diagnosis. However the use of videos in the diagnostic process is uncommon. In the present study, we assessed the feasibility of applying a gold-standard diagnostic instrument to brief and unstructured home videos and tested whether video analysis can enable more rapid detection of the core features of autism outside of clinical environments. We collected 100 public videos from YouTube of children ages 1-15 with either a self-reported diagnosis of an ASD (N = 45) or not (N = 55). Four non-clinical raters independently scored all videos using one of the most widely adopted tools for behavioral diagnosis of autism, the Autism Diagnostic Observation Schedule-Generic (ADOS). The classification accuracy was 96.8%, with 94.1% sensitivity and 100% specificity, the inter-rater correlation for the behavioral domains on the ADOS was 0.88, and the diagnoses matched a trained clinician in all but 3 of 22 randomly selected video cases. Despite the diversity of videos and non-clinical raters, our results indicate that it is possible to achieve high classification accuracy, sensitivity, and specificity as well as clinically acceptable inter-rater reliability with nonclinical personnel. Our results also demonstrate the potential for video-based detection of autism in short, unstructured home videos and further suggests that at least a percentage of the effort associated with detection and monitoring of autism may be mobilized and moved outside of traditional clinical environments.
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America.
authors.forename: Vincent A
authors.initials: VA
authors.lastname: Fusaro
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Pediatrics, Division of Systems Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Jena
authors.initials: J
authors.lastname: Daniels
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Pediatrics, Division of Systems Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Marlena
authors.initials: M
authors.lastname: Duda
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America.
authors.forename: Todd F
authors.initials: TF
authors.lastname: DeLuca
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America.
authors.forename: Olivia
authors.initials: O
authors.lastname: D'Angelo
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America.
authors.forename: Jenna
authors.initials: J
authors.lastname: Tamburello
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America.
authors.forename: James
authors.initials: J
authors.lastname: Maniscalco
authors.affiliation: Center for Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Pathology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America; Department of Pediatrics, Division of Systems Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Dennis P
authors.initials: DP
authors.lastname: Wall
mesh_terms: D000293:Adolescent; D001321:Autistic Disorder / Q000175:diagnosis*; D002648:Child; D002675:Child, Preschool; D042241:Early Diagnosis; D006801:Humans; D007223:Infant; D061108:Social Media; D014481:United States; D014741:Video Recording
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