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Objective Despite improvements in diagnostic methods, acromegaly is still a late-diagnosed disease. In this study, it was aimed to automatically recognize acromegaly disease from facial images by using deep learning methods and to facilitate the detection of the disease. Design Cross-sectional, single-center study Methods The study included 77 acromegaly (52.56±11.74, 34 males/43 females) patients and 71 healthy controls (48.47±8.91, 39 males/32 females), considering gender and age compatibility. At the time of the photography, 56/77 (73%) of the acromegaly patients were in remission. Normalized images were obtained by scaling, aligning, and cropping video frames. Three architectures named ResNet50, DenseNet121, and InceptionV3 were used for the transfer learning-based convolutional neural network (CNN) model developed to classify face images as “Healthy” or “Acromegaly”. Additionally, we trained and integrated these CNN machine learning methods to create an Ensemble Method (EM) for facial detection of acromegaly. Results The positive predictive values obtained for acromegaly with the ResNet50, DenseNet121, InceptionV3, and EM were calculated as 0.958, 0.965, 0.962, and 0.997, respectively. The average sensitivity, specificity, precision, and correlation coefficient values calculated for each of the ResNet50, DenseNet121, and InceptionV3 models are quite close. On the other hand, EM outperformed these three CNN architectures and provided the best overall performance in terms of sensitivity, specificity, accuracy, and precision as 0.997, 0.997, 0.997, and 0.998, respectively. Conclusions The present study provided evidence that the proposed AcroEnsemble Model might detect acromegaly from facial images with high performance. This highlights that artificial intelligence programs are promising methods for detecting acromegaly in the future.

Deep learning (DL) techniques, which do not need complex preprocessing and feature analysis, are used in many areas of medicine and achieve promising results. On the other hand, in medical studies, a limited dataset decreases the abstraction ability of the DL model. In this context, we aimed to produce synthetic brain images including three tumor types (glioma, meningioma, and pituitary), unlike traditional data augmentation methods, and classify them with DL. This study proposes a tumor classification model consisting of a Dense Convolutional Network (DenseNet121)based DL model to prevent forgetting problems in deep networks and delay information flow between layers. By comparing models trained on two different datasets, we demonstrated the effect of synthetic images generated by Cycle Generative Adversarial Network (CycleGAN) on the generalization of DL. One model is trained only on the original dataset, while the other is trained on the combined dataset of synthetic and original images. Synthetic data generated by CycleGAN improved the best accuracy values for glioma, meningioma, and pituitary tumor classes from 0.9633, 0.9569, and 0.9904 to 0.9968, 0.9920, and 0.9952, respectively. The developed model using synthetic data obtained a higher accuracy value than the related studies in the literature. Additionally, except for pixel-level and affine transform data augmentation, synthetic data has been generated in the figshare brain dataset for the first time.