Modal Deep Learning for Tongue Diagnosis

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Niparat Boonkun
Adisak Sangsongfa
Phayung Meesad
Noppadol Amdee

Abstract

Tongue diagnosis is a key component of traditional medical systems and increasingly relevant in intelligent healthcare. This study proposes a multi-modal approach integrating visual and textual data to classify tongue images into three diagnostic categories: Normal, HF Tip, and Abnormal. We compare the performance of three deep learning architectures: Convolutional Neural Network (CNN) for image-based classification, Long Short-Term Memory (LSTM) for text-only processing, and a hybrid CNN+LSTM model for multi-modal fusion. A 10-fold cross-validation was conducted on a curated dataset of 1,273 tongue images and corresponding medical descriptions. Results demonstrate that the fusion model significantly outperforms unimodal models with an accuracy of 98.11%, indicating the effectiveness of combining image and language features in automated diagnosis systems.

Article Details

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Research Paper

References

D. Bakshi and S. Pal. "Introduction About Traditional Tongue Diagnosis with Scientific Value Addition." in Proceedings of 2010 International Conference on Systems in Medicine and Biology, IIT Kharagpur, India, pp. 269-272, 2010. doi: 10.1109/ICSMB. 2010.5735385.

L. Chen and J. Cai. "A Survey on TCM Tongue Diagnosis Based on Data Mining." in 2022 7th International Conference on Computational Intelligence and Applications (ICCIA), Nanjing, China, pp. 48851, 2022. doi: 10.1109/ICCIA55271.2022.9828458.

L.-Y. Jia, et al. "Modernizing Tongue Diagnosis: AI Integration With Traditional Chinese Medicine for Precise Health Evaluation." IEEE Access, Vol. 12, pp. 161670-161678, 2024. doi: 10.1109/ACCESS. 2024.3486118.

S. Bagga, et al. "Integrating Traditional and Modern Medicine: A Holistic Approach to Patient Care." Asian Journal of Pharmaceutical Analysis, Vol. 14, No. 3, pp. 185-190, 2024. doi: 10.52711/2231-5675. 2024.00033.

J. H. Jang, et al. "Development of the digital tongue inspection system with image analysis." in Proceedings of the Second Joint 24th Annual Conference and the Annual Fall Meeting of the Biomedical Engineering Society] [Engineering in Medicine and Biology, Houston, TX, USA, Vol. 2, pp. 1033-1034, 2002. doi: 10.1109/IEMBS. 2002.1106262.

J. Xie, C. Jing, Z. Zhang, J. Xu, Y. Duang, and D. Xu. "Digital tongue image analyses for health assessment." Medical Review, Vol. 1, No. 2, pp. 172-198, 2021. doi: 10.1515/mr-2021-0018.

K. Dhanuthai, S. Kintarak, A. Subarnbhesaj, and N. Chamusri. "A Multicenter Study of Tongue Lesions from Thailand." European journal of dentistry, Vol. 14, No. 3, pp. 462-468, 2020. doi: 10.1055/S-0040-1713296.

A. Jainkittivong, V. Aneksuk, and R. P. Langlais. "Tongue lesions: Prevalence and association with gender, age, and health-affected behaviors." Chulalongkorn University Dental Journal, Vol. 30, No. 3, pp. 269-278, 2007. doi: 10.58837/CHULA.CUDJ.30.3.5.

A. Aittiwarapoj, R. Juengsomjit, N. Kithumthorn, and P. Lapthanasupkul. "Oral Potentially Malignant Disorders and Squamous Cell Carcinoma at the Tongue: Clinicopathological Analysis in a Thai Population." European journal of dentistry, Vol. 13, No. 3, pp. 376-382, 2019. doi: 10.1055/S-0039-1698368.

J. Li, D. Zhang, Y. Li, and J. Wu. " Multi-modal Fusion for Diabetes Mellitus and Impaired Glucose Regulation Detection. a" rXiv Preprint, arXiv:1604.03644, 2016.

T. Jiang, et al. "Deep Learning Multi-label Tongue Image Analysis and Its Application in a Population Undergoing Routine Medical Checkup.” Evidence-based complementary and alternative medicine: eCAM, Vol. 2022, 2022. doi: 10.1155/2022/3384209.

U. Thirunavukkarasu, S. Umapathy, V Ravi, and T. J. Alahmadi. "Tongue image fusion and analysis of thermal and visible images in diabetes mellitus using machine learning techniques." Scientific Reports, Vol. 14, Art. no. 14571, 2024. doi: 10.1038/s41598-024-64150-0.

J. Panyasorn, et al. "Development of BDMS Utilization Review Technology (BURT): An Artificial Intelligence Tool Using Thai Natural Language Processing to Assess Appropriateness of Hospitalization." The Bangkok Medical Journal, Vol. 16, No. 02, pp. 182-195, 2020. doi: 10.31524/BKKMEDJ. 2020.21.012.

Q. Liu, Y. Li, P. Yang, Q. Liu, C. Wang, K. Chen, and Z. Wu. "A survey of artificial intelligence in tongue image for disease diagnosis and syndrome differentiation." Digit Health, Vol. 9, 2023. doi: 10.1177/205520 76231191044.

A. Kongthon. "Medical Artificial Intelligence Research Landscape in Thailand: A Bibliometric Analysis." 2023 18th International Joint Symposium on Artificial Intelligence and Natural Language Processing (iSAI-NLP), pp. 1-6, 2023. doi: 10.1109/ISAI-NLP60301. 2023.10354993.

P. Ekvitayavetchanukul, T. Thanitnan, A. Akwittayavechnukul, and W. Muenkiat. "Artificial Intelligence in Thai Healthcare: Current Landscape, Awareness, and Future Outlook." International Journal of Social Science and Human Research, Vol. 7, No. 7, pp. 5408-5412, 2024. doi: 10.47191/ijsshr/v7-i07-89.

P. Susumpow, P. Pansuwan, N. Sajda, and A. W. Crawley. "Participatory disease detection through digital volunteerism: How the DoctorMe application aims to capture data for faster disease detection in Thailand." the 23rd International Conference on World Wide Web (WWW '14 Companion), New York, NY, USA, pp, 663-666, 2014. doi: 10.1145/2567948.2579273.

J. Mitrpanont, N. Janekitiworapong, S. Ongsritrakul, and S. Varasai. "MedThaiVis: An approach for thai biomedical data visualization." 2017 6th ICT International Student Project Conference (ICT-ISPC), Johor, Malaysia, pp. 1-4, 2017. doi: 10.1109/ICT-ISPC.2017.8075331.

J. L. Mitrpanont, et al. "MedThaiSAGE: Decision Support System to Suggest Healthcare Policies using Rule Findings Technique." 2018 15th International Joint Conference on Computer Science and Software Engineering (JCSSE), Nakhonpathom, Thailand, pp. 1-6, 2018. doi: 10.1109/JCSSE.2018.8457389.

J. Hu, R. Bao, L. Yang, H. Zhang, and Y. Xiang. "Accurate Medical Named Entity Recognition Through Specialized NLP Models." arXiv Preprint, December, 2024. doi: 10.48550/arxiv.2412.08255.