A small-sample time-series signal augmentation and analysis method for quantitative assessment of bradykinesia in Parkinson's disease

Zhilin Shu, Peipei Liu, Yuanyuan Cheng, Jinrui Liu, Yuxin Feng, Zhizhong Zhu, Yang Yu, Jianda Han, Jialing Wu, Ningbo Yu
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Abstract

Patients with Parkinson's disease (PD) usually have varying degrees of bradykinesia, and the current clinical assessment is mainly based on the Movement Disorder Society Unified PD Rating Scale, which can hardly meet the needs of objectivity and accuracy. Therefore, this paper proposed a small-sample time series classification method (DTW-TapNet) based on dynamic time warping (DTW) data augmentation and attentional prototype network. Firstly, for the problem of small sample sizes of clinical data, a DTW-based data merge method is used to achieve data augmentation. Then, the time series are dimensionally reorganized using random grouping, and convolutional operations are performed to learn features from multivariate time series. Further, attention mechanism and prototype learning are introduced to optimize the distance of the class prototype to which each time series belongs to train a low-dimensional feature representation of the time series, thus reducing the dependency on data volume. Clinical experiments were conducted to collect motion capture data of upper and lower limb movements from 36 patients with PD and eight healthy controls. For the upper limb movement data, the proposed method improved the classification accuracy, weighted precision, and kappa coefficient by 8.89%-15.56%, 9.22%-16.37%, and 0.13-0.23, respectively, compared with support vector machines, long short-term memory, and convolutional prototype network. For the lower limb movement data, the proposed method improved the classification accuracy, weighted precision, and kappa coefficient by 8.16%-20.41%, 10.01%-23.73%, and 0.12-0.28, respectively. The experiments and results show that the proposed method can objectively and accurately assess upper and lower limb bradykinesia in PD.
用于定量评估帕金森病患者运动迟缓的小样本时间序列信号增强和分析方法
帕金森病(Parkinson's disease,PD)患者通常会出现不同程度的运动迟缓,而目前的临床评估主要基于运动障碍协会统一 PD 评定量表,难以满足客观性和准确性的需求。因此,本文提出了一种基于动态时间扭曲(DTW)数据增强和注意力原型网络的小样本时间序列分类方法(DTW-TapNet)。首先,针对临床数据样本量小的问题,采用基于 DTW 的数据合并方法实现数据扩增。然后,利用随机分组法对时间序列进行维度重组,并进行卷积运算以从多元时间序列中学习特征。此外,还引入了注意力机制和原型学习,优化每个时间序列所属类原型的距离,以训练时间序列的低维特征表示,从而降低对数据量的依赖性。临床实验收集了 36 名帕金森病患者和 8 名健康对照者的上下肢运动捕捉数据。对于上肢运动数据,与支持向量机、长短期记忆和卷积原型网络相比,所提方法的分类准确率、加权精度和卡帕系数分别提高了8.89%-15.56%、9.22%-16.37%和0.13-0.23。对于下肢运动数据,所提方法的分类准确率、加权精度和卡帕系数分别提高了 8.16%-20.41%、10.01%-23.73% 和 0.12-0.28。实验和结果表明,所提出的方法可以客观、准确地评估帕金森病患者的上肢和下肢运动迟缓。
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