Data-driven Gait based Severity Classification for Parkinson's Disease using Duo Spatiotemporal Convoluted Kernel Boosted ResNet model

Arogia Victor Paul M, Sharmila Sankar
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Abstract

Parkinson’s disease (PD) is one of the reformed brain syndromes that results in unintended stiffness and difficulty with balance and dexterity. To detect PD in medical scenery, physicians commonly use experimental indicators like motorized and non-motor symptoms and the severity rating depends on the unified PD Rating Scale (UPDRS). However, these medical assessments highly rely on expertized clinicians and lead to inter-variability discrepancies. Nowadays, gait sensor data assists doctors in diagnosing PD and estimates the severity level of gait abnormalities in patients. However, the gait sensor data increases the dimensionality issues and is subjected to high non-linear complexity. Hence, this study suggests an innovative deep learning (DL) technique for accurate PD analysis using gait patterns. Initially, the gait sensor data is preprocessed by performing data cleaning, and decimal scaling normalization (DS- Norm) to enhance the data quality. The Hoehn and Yahr (H&Y) scale is a commonly used rating scale for measuring the progression of Parkinson's disease symptoms. It's typically used to assess motor symptoms like tremors, rigidity, and bradykinesia. The scale ranges from 0 to 5, with higher numbers indicating more severe symptoms and disability. The preprocessed data are then fed into the proposed Duo spatiotemporal convoluted kernel boosted ResNet (DSCK-RNet) model for classifying the PD severity rating by learning the gait spatiotemporal features. The developed method is processed and scrutinized via the Python platform and a publicly available Physio- Net dataset is utilized for the simulation process. Various assessment measures like accuracy, precision, sensitivity, specificity, PPV, FPR, and MCC are examined and compared with traditional studies. In the experimental section, the developed DSCK-RNet model achieved an accuracy of 100%, 99.6%, 99%, and 99.64% for different classes like healthy, severity-2, severity-2.5, and severity-3 respectively. Compared to the conventional techniques, our suggested approach performs better. The experimental findings demonstrate the clinical significance of the suggested approach for the impartial evaluation of gait motor impairment in PD patients.
使用双时空卷积核增强 ResNet 模型对帕金森病的严重程度进行基于步态的数据驱动分类
帕金森病(Parkinson's disease,PD)是一种脑部综合征,会导致患者出现意外的僵硬、平衡和灵活性困难。为了在医疗景象中发现帕金森病,医生通常使用运动症状和非运动症状等实验指标,并根据统一的帕金森病评分量表(UPDRS)对严重程度进行评级。然而,这些医学评估高度依赖于专业的临床医生,并导致变量间的差异。如今,步态传感器数据可协助医生诊断帕金森病,并估计患者步态异常的严重程度。然而,步态传感器数据会增加维度问题,并具有较高的非线性复杂性。因此,本研究提出了一种创新的深度学习(DL)技术,利用步态模式准确分析帕金森病。首先,对步态传感器数据进行预处理,包括数据清理和十进制缩放归一化(DS- Norm),以提高数据质量。Hoehn and Yahr(H&Y)量表是测量帕金森病症状进展的常用评分量表。它通常用于评估震颤、僵直和运动迟缓等运动症状。该量表的范围从 0 到 5,数字越大,表示症状和残疾程度越严重。预处理后的数据被输入到所提出的 Duo spatiotemporal convoluted kernel boosted ResNet(DSCK-RNet)模型中,通过学习步态时空特征来对帕金森病的严重程度进行分类。所开发的方法通过 Python 平台进行处理和检查,并利用公开的 Physio- Net 数据集进行模拟。对准确度、精确度、灵敏度、特异性、PPV、FPR 和 MCC 等各种评估指标进行了检查,并与传统研究进行了比较。在实验部分,针对健康、严重程度-2、严重程度-2.5 和严重程度-3 等不同类别,所开发的 DSCK-RNet 模型的准确率分别达到了 100%、99.6%、99% 和 99.64%。与传统技术相比,我们建议的方法表现更好。实验结果表明,建议的方法对于公正评估帕金森病患者的步态运动障碍具有重要的临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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