3D analysis of child facial dimensions for design of medical devices in low-middle income countries (LMIC)

PLoS One. 2019 May 23;14(5):e0216548. doi: 10.1371/journal.pone.0216548. eCollection 2019.

Abstract

Background: Facial anthropometric data are scarce in African children. However, such data may be useful for the design of medical devices for high disease burden settings. The aim of this study was to obtain 3D facial anthropometric data of Congolese children aged 0-5 years.

Methods & findings: The faces of 287 Congolese children were successfully scanned using a portable structured-light based 3D video camera, suitable for field work in low- income settings. The images were analyzed using facial analysis algorithms. Normal growth curves were generated for the following facial dimensions: distance between nares and distance from subnasion to upper lip. At birth, 1 year, and 5 years of age the median dimensions were: 13·92, 14·66, and 17.60 mm, respectively for distance between nares, and 10·16, 10.88, and 13·79 mm, respectively for distance from subnasion to upper lip. Modeled facial contours conveniently clustered into three average sizes which could be used as templates for the design of medical instruments.

Conclusion: Capturing of 3D images of infants and young children in LMICs is feasible using portable cameras and computerized analysis. This method and these specific data on Congolese pediatric facial dimensions may assist in the design of appropriately sized medical devices (thermometers, face masks, pulse oximeters, etc.) for this population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropometry
  • Child, Preschool
  • Congo
  • Developing Countries
  • Equipment Design / methods*
  • Face / anatomy & histology*
  • Face / diagnostic imaging
  • Feasibility Studies
  • Female
  • Humans
  • Imaging, Three-Dimensional / instrumentation
  • Imaging, Three-Dimensional / methods*
  • Infant
  • Male

Grants and funding

The study was supported by Association for Health Innovation in Africa (AFHIA), grant number 047/2018 (CKM). It was also supported by Gene & Anja Rosenberg Research Fund for Scanning & analysis of Geometry in Children (RK) and by Grand Challenges Canada (https://www.grandchallenges.ca/) Grant Number R-STPOC-1707-06344, Stars in Global Health (IA). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Ian Solomon and Yossi Aldar shareholders in RespiDx Ltd., the manufacturer of the Multimometer product.