利用小波变换提取步态特征诊断帕金森病

IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL
Dixon Vimalajeewa;Ethan McDonald;Megan Tung;Brani Vidakovic
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引用次数: 0

摘要

目的:帕金森病(PD)是一种常见于成年男女的神经退行性疾病。异常步态模式的分析是PD早期诊断中使用的最重要的技术之一。本研究的总体目的是使用受试者在以正常速度行走时产生的垂直地面反作用力(VGRF)数据来识别PD患者。方法和程序:本研究提出了一组基于自相似、相关性和熵特性提取的新特征,这些特征由小波域中VGRF数据的多尺度特征表征。提出了五个歧视性特征。通过使用公开的VGRF数据集(93个对照组和73个病例)和标准分类器来研究这些特征的PD诊断性能。使用逻辑回归(LR)、支持向量机(SVM)和k近邻(KNN)进行性能评估。结果:SVM分类器的平均准确率为88.89%,灵敏度为89%,特异性为88%,优于LR和KNN分类器。将数据小波域的这五个特征与站立时间、摆动时间和脚趾最大力打击这三个时域特征相结合,提高了PD诊断性能(约10%),优于基于相同数据集的现有研究。结论:与现有的PD诊断技术相比,与先前发表的方法相比,所提出的由多尺度特征和时域特征相结合的预测方法显示出更好的性能和更少的特征。临床影响:研究结果表明,所提出的涉及多尺度(小波)特征的诊断方法可以提高PD诊断的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parkinson’s Disease Diagnosis With Gait Characteristics Extracted Using Wavelet Transforms
Objective: Parkinson’s disease (PD) is a common neurodegenerative disorder among adult men and women. The analysis of abnormal gait patterns is among the most important techniques used in the early diagnosis of PD. The overall aim of this study is to identify PD patients using vertical ground reaction force (VGRF) data produced from subjects while walking at a normal pace. Methods and procedures: The current study proposes a novel set of features extracted on the basis of self-similar, correlation, and entropy properties that are characterized by multiscale features of VGRF data in the wavelet-domain. Five discriminatory features have been proposed. PD diagnosis performance of those features are investigated by using a publicly available VGRF dataset (93 controls and 73 cases) and standard classifiers. Logistic regression (LR), support vector machine (SVM) and k-nearest neighbor (KNN) are used for the performance evaluation. Results: The SVM classifier outperformed the LR and KNN classifiers with an average accuracy of 88.89%, sensitivity of 89%, and specificity of 88%. The integration of these five features from the wavelet domain of data, with three time domain features, stance time, swing time and maximum force strike at toe improved the PD diagnosis performance (approximately by 10%), which outperforms existing studies that are based on the same data set. Conclusion: with the previously published approaches, the proposed prediction methodology consisting of the multiscale features in combination with the time domain features shows better performance with fewer features, compared to the existing PD diagnostic techniques. Clinical impact: The findings suggest that the proposed diagnostic method involving multiscale (wavelet) features can improve the efficacy of PD diagnosis.
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来源期刊
CiteScore
7.40
自引率
2.90%
发文量
65
审稿时长
27 weeks
期刊介绍: The IEEE Journal of Translational Engineering in Health and Medicine is an open access product that bridges the engineering and clinical worlds, focusing on detailed descriptions of advanced technical solutions to a clinical need along with clinical results and healthcare relevance. The journal provides a platform for state-of-the-art technology directions in the interdisciplinary field of biomedical engineering, embracing engineering, life sciences and medicine. A unique aspect of the journal is its ability to foster a collaboration between physicians and engineers for presenting broad and compelling real world technological and engineering solutions that can be implemented in the interest of improving quality of patient care and treatment outcomes, thereby reducing costs and improving efficiency. The journal provides an active forum for clinical research and relevant state-of the-art technology for members of all the IEEE societies that have an interest in biomedical engineering as well as reaching out directly to physicians and the medical community through the American Medical Association (AMA) and other clinical societies. The scope of the journal includes, but is not limited, to topics on: Medical devices, healthcare delivery systems, global healthcare initiatives, and ICT based services; Technological relevance to healthcare cost reduction; Technology affecting healthcare management, decision-making, and policy; Advanced technical work that is applied to solving specific clinical needs.
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