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2022 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)最新文献

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Can Free Drawing Anticipate Handwriting Difficulties? A Longitudinal Study 免费绘画可以预见书写困难吗?一项纵向研究
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926884
L. Dui, Simone Toffoli, Christopher Speziale, C. Termine, Matteo Matteucci, Simona Ferrante
Handwriting difficulties need to be addressed early to avoid several problems to children, both at school and in everyday life, but dysgraphia diagnosis cannot be performed before handwriting maturation. To solve this issue, we hypothesize that the analysis of drawings produced in a pre-literacy stage can predict handwriting problems that will occur years later. We designed a three-year longitudinal study from the last year of kindergarten to the end of second grade with two aims: (1) to longitudinally assess the evolution of drawing features, and (2) to understand if the features collected at pre-literacy can predict future handwriting problems. Hence, features were tested for statistically significant variation among the five time points available to assess their longitudinal evolution in time. Moreover, we trained machine learning models to select the most important features collected at pre-literacy and to assess their predictive capabilities, with dysgraphia risk assessed at the end of second grade. 202 children completed the longitudinal study. We found that 81% of the feature was sensitive to longitudinal maturation and that it is possible to predict the difficulties with a weighted area under the precision-recall curve of 0.72. This is a step forward towards an early intervention for handwriting problems.
书写困难需要尽早解决,以避免在学校和日常生活中给孩子带来一些问题,但书写困难的诊断不能在书写成熟之前进行。为了解决这个问题,我们假设对识字前阶段的绘画进行分析可以预测数年后会出现的书写问题。我们设计了一项为期三年的纵向研究,从幼儿园的最后一年到二年级结束,有两个目的:(1)纵向评估绘画特征的演变,(2)了解识字前收集的特征是否可以预测未来的书写问题。因此,在可用的五个时间点之间对特征进行了统计显著性变化的测试,以评估它们在时间上的纵向演变。此外,我们训练机器学习模型来选择识字前收集的最重要的特征,并评估它们的预测能力,在二年级结束时评估书写困难的风险。202名儿童完成了这项纵向研究。我们发现81%的特征对纵向成熟度敏感,并且在精确召回率曲线为0.72的加权面积下可以预测困难。这是朝着早期干预书写问题迈出的一步。
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引用次数: 2
A Multi-modal Clinical Dataset for Critically-Ill and Premature Infant Monitoring: EEG and Videos 危重和早产儿监测的多模态临床数据集:脑电图和视频
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926840
Yongshen Zeng, Xiaoyan Song, Hongwu Chen, Weimin Huang, Wenjin Wang
The comprehensive monitoring of cardio-respiratory and neurological events of premature infants is desired for the Neonatal Intensive Care Unit (NICU). Video-based infant monitoring is an emerging tool for NICU as it eliminates skin irritations and enables new measurements like pain assessment. A multi-modal clinical dataset across the measurement of EEG and videos will be helpful in developing novel monitoring solutions for infant care. In this paper, we created such a dataset by simultaneously collecting the EEG signals and videos data from critically ill and preterm infants in NICU. Along with the recordings, we used the video-based cardio-respiratory measurements (heart rate and respiratory rate) to examine the validity of video recordings. We employed a classical video-based physiological measurement framework called Spatial Redundancy in combination with living-skin detection to measure the vital signs of recorded infants. The pilot measurements show the feasibility as well as the challenges that need to be addressed in algorithmic design in the next step. The dataset will be made publicly available to facilitate the research in this area. It will be useful for studying the video-based infant monitoring and its fusion with EEG, which may lead to new measurements such as a neonatal PSG for infant sleep staging and disease analysis (e.g. neonatal encephalopathy, neonatal respiratory distress syndrome).
新生儿重症监护病房(NICU)需要对早产儿的心肺和神经系统事件进行全面监测。基于视频的婴儿监测是新生儿重症监护病房的一种新兴工具,因为它消除了皮肤刺激,并实现了疼痛评估等新的测量。跨脑电图和视频测量的多模态临床数据集将有助于开发新的婴儿护理监测解决方案。在本文中,我们通过同时收集重症和早产儿的脑电图信号和视频数据,创建了这样一个数据集。除了录音,我们还使用基于视频的心肺测量(心率和呼吸频率)来检查视频记录的有效性。我们采用了一种经典的基于视频的生理测量框架,称为空间冗余,结合活体皮肤检测来测量记录的婴儿的生命体征。试点测量显示了可行性以及下一步算法设计中需要解决的挑战。该数据集将向公众开放,以促进这一领域的研究。这将有助于研究基于视频的婴儿监测及其与脑电图的融合,这可能会导致新的测量方法,如用于婴儿睡眠分期和疾病分析(如新生儿脑病,新生儿呼吸窘迫综合征)的新生儿PSG。
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引用次数: 2
Detecting Cough Recordings in Crowdsourced Data Using CNN-RNN 使用CNN-RNN检测众包数据中的咳嗽录音
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926896
R. Sharan, Hao Xiong, S. Berkovsky
The sound of cough is an important indicator of the condition of the respiratory system. Automatic cough sound evaluation can aid the diagnosis of respiratory diseases. Large crowdsourced cough sound datasets have recently been used by several groups around the world to develop cough classification models. However, not all recordings in these datasets contain cough sounds. As such, it is important to screen the recordings for the presence of cough sounds before developing cough classification models. This work proposes a method to screen crowdsourced audio recordings for cough sounds using deep learning methods. The proposed approach divides the audio recording into overlapping frames and converts each frame into a mel-spectrogram representation. A pretrained convolutional neural network for audio classification is trained to learn the spectral characteristics of cough and non-cough frames from its mel-spectrogram representation. It is combined with a recurrent neural network to learn the dependencies between the sequence of frames. The proposed method is evaluated on 400 crowdsourced audio recordings, manually annotated as cough or non-cough. An accuracy of 0.9800 (AUC of 0.9973) is achieved in classifying cough and non-cough recordings using the proposed method. The trained network is used to analyze the remaining audio recordings in the dataset, identifying only about 67% of recordings as containing usable cough sounds. This shows the need to exercise caution when using crowdsourced cough data.
咳嗽声是反映呼吸系统状况的重要指标。自动咳嗽声评价有助于呼吸道疾病的诊断。大型众包咳嗽声数据集最近被世界各地的几个小组用于开发咳嗽分类模型。然而,并非这些数据集中的所有录音都包含咳嗽声。因此,在建立咳嗽分类模型之前,筛选咳嗽声音的录音是很重要的。这项工作提出了一种使用深度学习方法筛选咳嗽声音的众包录音的方法。该方法将音频记录划分为重叠帧,并将每帧转换为梅尔谱图表示。一个预训练的卷积神经网络用于音频分类,从其梅尔谱图表示中学习咳嗽帧和非咳嗽帧的频谱特征。它与递归神经网络相结合来学习帧序列之间的依赖关系。该方法在400个众包录音上进行了评估,手工标注为咳嗽或非咳嗽。使用该方法对咳嗽和非咳嗽录音进行分类,准确率为0.9800 (AUC为0.9973)。经过训练的网络用于分析数据集中剩余的录音,仅识别出约67%的录音包含可用的咳嗽声。这表明在使用众包咳嗽数据时需要谨慎。
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引用次数: 2
Explainable computer vision analysis for embryo selection on blastocyst images 基于囊胚图像的可解释的胚胎选择计算机视觉分析
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926740
Athanasios Kallipolitis, Melina Tziomaka, Dimitris Papadopoulos, I. Maglogiannis
Infertility significantly affects the quality of life on social and psychological levels and is estimated to expand in the coming years. In vitro fertilization is the applied answer of modern medicine to the ever-rising problem of low fertility in economically developed countries. Designated experts base their decision on selecting the most suitable embryo for transfer in the uterus by reviewing blastocysts images. Therefore, subjectivity and erroneous judgement can influence the progress of the whole fertilization process since no repeatable criteria exist to characterize the quality of each embryo. Towards the quantization of the visual content of ‘wannabe babies’ embryos, a comparative study between traditional machine and deep learning techniques is conducted in this paper. The utilization of a novel unsupervised segmentation scheme for the separation of trophectoderm and inner cell mass area provides a significant boost to the performance of traditional machine learning techniques. Moreover, an explainability technique that is based on the information retrieved by the Fisher Vector's generative model provides the necessary connection between the visual stimuli and the predicted results. The classification results of the proposed methodology are comparable with state-of the-art deep learning techniques and are accompanied by corresponding visual explanations that reveal the inner workings of each model and provide useful insight concerning the predictions' validity.
不孕症在社会和心理层面上显著影响生活质量,估计在未来几年将会扩大。体外受精是现代医学对经济发达国家日益严重的低生育率问题的应用答案。指定的专家根据他们的决定,通过审查囊胚图像,选择最合适的胚胎在子宫内移植。因此,主观性和错误的判断会影响整个受精过程的进展,因为没有可重复的标准来表征每个胚胎的质量。为了量化“想要成为婴儿”的胚胎的视觉内容,本文对传统机器和深度学习技术进行了比较研究。利用一种新的无监督分割方案分离滋养外胚层和内细胞质量面积,大大提高了传统机器学习技术的性能。此外,基于Fisher矢量生成模型检索的信息的可解释性技术提供了视觉刺激和预测结果之间的必要联系。所提出方法的分类结果可与最先进的深度学习技术相媲美,并附有相应的可视化解释,揭示每个模型的内部工作原理,并提供有关预测有效性的有用见解。
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引用次数: 1
ST-GNN for EEG Motor Imagery Classification ST-GNN用于脑电运动图像分类
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926806
S. VivekB., A. Adarsh, Jay Gubbi, Kartik Muralidharan, R. K. Ramakrishnan, Arpan Pal
Brain-computer interface (BCI) systems play an important role in medical applications such as stroke rehabilitation and neural prosthesis. These systems aim to decode the neural activity of the human brain measured using an Electroencephalogram (EEG). In this work, we consider the task of EEG-based motor imagery (intent) classification. Motor imagery (MI) refers to the imagination of the limb movement in the brain without actual action. Classification of motor imagery forms the basis for BCI-based prosthetic control. Existing approaches either use handcrafted features or features extracted from a deep neural network to interpret EEG-based MI. However, majority of the existing works fail to harness the functional connectivity within the brain that is captured using multiple EEG channels. In our work, we represent the input EEG signal as a graph where the nodes represent the EEG channels. The proposed approach uses a graph representation with a trainable weighted adjacency matrix to learn the optimal connectivity between nodes. Spatio-temporal features of the EEG signal are extracted via the proposed model that consists of a temporal convolution module and a graph convolution network. Experimental results and ablation study highlight the effectiveness of the proposed approach on the PhysioNet EEG motor movement and imagery dataset (EEG-MMIDB).
脑机接口(BCI)系统在脑卒中康复和神经修复等医学应用中发挥着重要作用。这些系统旨在解码使用脑电图(EEG)测量的人类大脑的神经活动。在这项工作中,我们考虑了基于脑电图的运动意象(意图)分类任务。运动想象(MI)是指在没有实际动作的情况下,大脑对肢体运动的想象。运动意象的分类构成了基于脑机接口的假肢控制的基础。现有的方法要么使用手工制作的特征,要么使用从深度神经网络中提取的特征来解释基于脑电图的MI。然而,大多数现有的工作都未能利用使用多个脑电图通道捕获的大脑内部的功能连接。在我们的工作中,我们将输入的脑电信号表示为一个图,其中节点表示脑电信号通道。该方法使用带有可训练加权邻接矩阵的图表示来学习节点之间的最优连通性。该模型由时间卷积模块和图卷积网络组成,提取了脑电信号的时空特征。实验结果和消融研究强调了该方法在PhysioNet脑电运动和图像数据集(EEG- mmidb)上的有效性。
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引用次数: 1
Conditional image synthesis for improved segmentation of glomeruli in renal histopathological images 条件图像合成改善肾小球分割肾组织病理图像
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926880
Florian Allender, Rémi Allègre, Cédric Wemmert, J. Dischler
In a context of limited data availability, we consider the supervised segmentation of glomerular structures in patches of renal histopathological whole slide images. These structures are complex, include multiple substructures, and exhibit great variability in their shape, making their robust segmentation challenging. In this context, using appropriate data augmentation techniques is crucial to obtain more robust results. We investigate data augmentation based on random spatial deformations and conditional image synthesis for the training of a U-Net model. We rely on a SPADE model to perform the synthesis, using label maps built from the real patches available for training as input. Synthesis from ground truth masks only results in noisy patches, where substructures are absent, whereas additional structure information yield more realistic patches. We show that the best improvements of the segmentation performances are obtained by mixing real patches with synthetic patches generated from ground truth masks only, which yields an increase of up to 0.76 of average dice score w.r.t. augmentation based on spatial deformations only. We conclude that, using conditional image synthesis, patches synthesized with no additional structure information better contribute to the robustness of glomeruli segmentation than patches synthesized with structure information extracted from available real patches.
在有限的数据可用性的背景下,我们考虑监督分割肾小球结构斑块的肾组织病理整个幻灯片图像。这些结构很复杂,包括多个子结构,并且在形状上表现出很大的可变性,这使得它们的鲁棒分割具有挑战性。在这种情况下,使用适当的数据增强技术对于获得更可靠的结果至关重要。我们研究了基于随机空间变形和条件图像合成的数据增强,以训练U-Net模型。我们依靠一个SPADE模型来执行合成,使用从可用于训练的真实补丁构建的标签地图作为输入。基于真值掩模的合成只会产生没有子结构的噪声斑块,而附加的结构信息则会产生更真实的斑块。我们表明,将真实的patch与仅由地面真值掩模生成的合成patch混合在一起,可以获得最佳的分割性能改进,这使得仅基于空间变形的平均骰子分数w.r.t.增强提高了0.76。我们得出的结论是,使用条件图像合成,与从可用的真实斑块中提取结构信息合成的斑块相比,没有额外结构信息合成的斑块更有助于肾小球分割的鲁棒性。
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引用次数: 0
Motor-imagery EEG signal decoding using multichannel-empirical wavelet transform for brain computer interfaces 基于多通道经验小波变换的脑机接口运动图像脑电信号解码
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926766
Ilaria Siviero, L. Brusini, G. Menegaz, S. Storti
Motor-imagery (MI) electroencephalography (EEG) signal decomposition is an emerging technique for improving the performance of brain computer interfaces (BCIs), We proposed a multichannel-empirical wavelet transform (EWT) representation combined with a scattering convolution network (SCN) to efficiently decode the brain activity and extract relevant wave patterns for MI-based BCI. Two different preprocessing steps were tested: the first (PM1) included a bandpass Butterworth filter (1–40 Hz) and the independent component analysis (ICA), the second one (PM2) consisted only of a bandpass Butterworth filter (8–30 Hz). A binary support vector machine (SVM) classifier was used and the performance was evaluated in terms of classification accuracy. The proposed framework was assessed using the BCI competition IV dataset IIa, which contains EEG from 9 healthy subjects. PMI presented a maximum mean accuracy over all subjects of 82.05% in the classification of the tongue and the left-hand MI tasks. PM2 achieved an average accuracy over all subjects of 88.40% and a standard deviation of 3.01 outperforming other state of the art methods in classifying right-hand and left-hand MI tasks. Finally, we observed that the best channels, intended as the channels holding the highest discrimination power between two MI tasks, were highly subject-specific and thus enabling task-based channel selection is crucial.
运动图像(MI)脑电图(EEG)信号分解是一种提高脑机接口(BCI)性能的新兴技术,我们提出了一种结合散射卷积网络(SCN)的多通道经验小波变换(EWT)表示,以有效地解码脑活动并提取相关波型。测试了两种不同的预处理步骤:第一个(PM1)包括一个带通巴特沃斯滤波器(1-40 Hz)和独立分量分析(ICA),第二个(PM2)只包括一个带通巴特沃斯滤波器(8-30 Hz)。采用二值支持向量机(SVM)分类器,并从分类精度方面对其性能进行了评价。使用BCI competition IV数据集IIa对所提出的框架进行了评估,该数据集包含9名健康受试者的脑电图。PMI在舌头和左手MI任务分类上的最高平均准确率为82.05%。PM2在所有受试者中的平均准确率为88.40%,标准偏差为3.01,优于其他最先进的右手和左手MI任务分类方法。最后,我们观察到,作为两个人工智能任务之间具有最高辨别能力的通道,最佳通道具有高度的主题特异性,因此能够基于任务的通道选择至关重要。
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引用次数: 2
Multimodality Multi-Lead ECG Arrhythmia Classification using Self-Supervised Learning 基于自监督学习的多模态多导联心电图心律失常分类
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926925
Thi-Thu-Hong Phan, Duc Le, P. Brijesh, D. Adjeroh, Jingxian Wu, M. Jensen, Ngan T. H. Le
Electrocardiogram (ECG) signal is one of the most effective sources of information mainly employed for the diagnosis and prediction of cardiovascular diseases (CVDs) connected with the abnormalities in heart rhythm. Clearly, single modality ECG (i.e. time series) cannot convey its complete characteristics, thus, exploiting both time and time-frequency modalities in the form of time-series data and spectrogram is needed. Leveraging the cutting-edge self-supervised learning (SSL) technique on unlabeled data, we propose SSL-based multimodality ECG classification. Our proposed network follows SSL learning paradigm and consists of two modules corresponding to pre-stream task, and down-stream task, respectively. In the SSL-pre-stream task, we utilize self-knowledge distillation (KD) techniques with no labeled data, on various transformations and in both time and frequency domains. In the down-stream task, which is trained on labeled data, we propose a gate fusion mechanism to fuse information from multimodality. To evaluate the effectiveness of our approach, ten-fold cross validation on the 12-lead PhysioNet 2020 dataset has been conducted. https://github.com/UARK-AICV/ECG-SSL.
心电图信号是最有效的信息来源之一,主要用于与心律异常相关的心血管疾病的诊断和预测。显然,单模态ECG(即时间序列)不能传达其完整的特征,因此需要以时间序列数据和频谱图的形式同时利用时间和时频模态。利用前沿的自监督学习(SSL)技术对未标记数据,我们提出了基于SSL的多模态心电分类。我们提出的网络遵循SSL学习范式,由两个模块组成,分别对应于流前任务和下游任务。在ssl预流任务中,我们在各种变换和时域和频域上使用无标记数据的自知识蒸馏(KD)技术。在标记数据训练的下游任务中,我们提出了一种门融合机制来融合来自多模态的信息。为了评估我们方法的有效性,我们在12个先导的PhysioNet 2020数据集上进行了十倍交叉验证。https://github.com/UARK-AICV/ECG-SSL。
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引用次数: 0
Classification of Schizophrenia and Alzheimer's Disease using Resting-State Functional Network Connectivity 利用静息状态功能网络连接对精神分裂症和阿尔茨海默病进行分类
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926797
Reihaneh Hassanzadeh, A. Abrol, V. Calhoun
Neuroimaging studies in Alzheimer's disease (AD) and schizophrenia (SZ) have compared AD or SZ subjects against control (CN) subjects. However, it is also of interest and more critical to identify potential biomarkers by comparing these disorders, which can share some overlap, to each other directly. In this study, we investigated similarities and differences in resting-state functional network connectivity (rs-FNC) between 162 AD + late mild cognitive impairment (LMCI) and 181 SZ subjects from two well-known datasets - Alzheimer's Disease Neuroimaging Initiative (ADNI) and Bipolar and Schizophrenia Network on Intermediate Phenotypes (B-SNIP). We applied standard machine learning algorithms on confounder-controlled FNC features to distinguish groups of subjects, achieving an accuracy of 89% in classifying AD+LMCI vs. SZ subjects and an accuracy of 68% in a three-way classification of AD+LMCI, SZ, and CN subjects. Our results indicate that support vector machine (SVM) with an RBF kernel outperforms linear SVM and other machine learning methods, including random forest (RF), logistic regression (LR), and k-nearest neighbor (KNN). Furthermore, we conducted experiments for monitoring the potential impact of biases and showed that our trained models perform reasonably in a dataset-agnostic way. Finally, our findings highlight cerebellum and cognitive control networks as notable domains in common and unique FNC changes in AD and SZ disorders.
阿尔茨海默病(AD)和精神分裂症(SZ)的神经影像学研究将AD或SZ受试者与对照(CN)受试者进行了比较。然而,通过比较这些疾病来识别潜在的生物标志物也很重要,因为这些疾病彼此之间可能有一些重叠。在这项研究中,我们调查了162名AD +晚期轻度认知障碍(LMCI)和181名SZ受试者静息状态功能网络连接(rs-FNC)的异同,这些受试者来自两个知名的数据集——阿尔茨海默病神经影像学计划(ADNI)和双相和精神分裂症中间表型网络(B-SNIP)。我们在混杂控制的FNC特征上应用标准机器学习算法来区分受试者组,对AD+LMCI和SZ受试者进行分类的准确率为89%,对AD+LMCI、SZ和CN受试者进行三向分类的准确率为68%。我们的研究结果表明,具有RBF核的支持向量机(SVM)优于线性支持向量机和其他机器学习方法,包括随机森林(RF),逻辑回归(LR)和k近邻(KNN)。此外,我们进行了监测偏差潜在影响的实验,并表明我们训练的模型在数据集不可知的方式下表现合理。最后,我们的研究结果强调了小脑和认知控制网络是AD和SZ疾病中常见和独特的FNC变化的重要领域。
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引用次数: 0
Detection of distorted gait and wearing-off phenomenon in Parkinson's disease patients during Levodopa therapy 帕金森病患者左旋多巴治疗过程中步态畸变及消退现象的检测
Pub Date : 2022-09-27 DOI: 10.1109/BHI56158.2022.9926873
H. Moradi, N. Roth, Ann-Kristin Seifer, Bjoern M. Eskofier
Levodopa (L-dopa) is the gold-standard medication and the most commonly used substance in the treatment of motor complications in Parkinson's disease (PD) patients. The “Wearing-off” phenomenon is the most frequent complication developed by long-term L-dopa therapy, which results in the reemergence of PD symptoms and lower quality of life in patients. Detecting and monitoring the onset and the duration of wearing-off alongside the persistence of the symptoms, known as “delayed-on”, would enable the patients to receive the medication changes in the required time while preventing them from extravagant use of L-dopa. Home monitoring systems using inertial measurement units have enabled us to measure gait parameters in unsupervised environments. By using patients' medication diaries and their gait parameters obtained from continuous real-world data in the course of two weeks, we developed a system to identify the distorted gait spans during L-dopa therapy utilizing personalized machine learning. Our algorithm differentiates between the two states of medication in effect and the distorted gait states with the mean accuracy of 77% ± 3.37. Furthermore, through each model's feature importance, we found that maximum sensor lift was the most prominent feature affected in the distorted gait sequences. We contribute to a better understanding of the repercussions of wearing-off episodes on gait parameters during L-dopa therapy. Moreover, our proposed system facilitates clinicians in monitoring the severity of these episodes more efficiently.
左旋多巴(左旋多巴)是金标准药物,也是治疗帕金森病(PD)患者运动并发症最常用的药物。“消退”现象是长期左旋多巴治疗最常见的并发症,可导致PD症状再次出现,患者生活质量下降。检测和监测症状的开始和消退的持续时间以及症状的持续时间,即所谓的“延迟”,将使患者能够在规定的时间内接受药物治疗,同时防止他们过度使用左旋多巴。使用惯性测量单元的家庭监控系统使我们能够在无人监督的环境中测量步态参数。通过使用患者用药日记和从连续两周的真实世界数据中获得的步态参数,我们开发了一个系统,利用个性化机器学习来识别左旋多巴治疗期间扭曲的步态跨度。我们的算法区分药物有效状态和扭曲步态状态,平均准确率为77%±3.37。此外,通过每个模型的特征重要性,我们发现传感器最大升力是畸变步态序列中受影响最显著的特征。我们有助于更好地理解在左旋多巴治疗期间对步态参数的磨损发作的影响。此外,我们提出的系统有助于临床医生更有效地监测这些事件的严重程度。
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引用次数: 1
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2022 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)
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