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Supervised machine learning based gait classification system for early detection and stage classification of Parkinson's disease

机译:基于机器学习的步态分类系统,用于帕金森病的早期检测和阶段分类

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While diagnosing Parkinson's disease (PD), neurologists often use several clinical manifestations of the subject and rate the severity level based on the Unified Parkinson Disease Rating Scale (UPDRS). This kind of rating largely depends on the expertise of the doctors, which is not only subjective but also inefficient. Hence, in this paper, a machine learning based gait classification system which can assist the clinician to diagnose the stages of PD is presented. Gait pattern, which plays a significant role in assessing the human mobility, is a significant biomarker to classify whether the subject is healthy or affected with PD. Hence, we utilize the vertical ground reaction force (VGRF) gait dataset and extract the minimal feature vector using the statistical analysis. Subsequently, the normal distribution of the data is validated using the Shapiro-Wilk test, and from the spatial and temporal features of gait pattern, the salient biomarkers are identified using the correlation based feature selection technique. Four supervised machine learning algorithms namely decision tree (DT), support vector machine (SVM), ensemble classifier (EC) and Bayes classifier (BC) are used for statistical and kinematic analyses which predict the severity of PD. The classifier efficacy quantified using the accuracy, sensitivity and specificity highlights that the proposed framework can effectively rate the severity of PD based on Hohen and Yahr (H&Y) scale. Moreover, comparing the accuracy of the proposed PD classification approach with those of the other state-of-the-art approaches, which utilized the same gait dataset, reveal that the proposed method outperforms several other PD classification methods. (c) 2020 Elsevier B.V. All rights reserved.
机译:在诊断帕金森病(PD)的同时,神经根学家往往使用若干临床表现,并根据统一的帕金森病评定量表(UPDRS)来评估严重程度。这种评级主要取决于医生的专业知识,这不仅是主观的,而且是低效的。因此,本文可以帮助临床医师诊断PD阶段的基于机器学习的步态分类系统。在评估人类流动性方面发挥着重要作用的步态模式是一个重要的生物标志物,以分类受试者是否健康或受到PD的影响。因此,我们利用垂直地反作用力(VGRF)步态数据集,并使用统计分析提取最小特征载体。随后,使用Shapiro-Wilk测试验证数据的正态分布,并且从步态模式的空间和时间特征,使用基于相关的特征选择技术来识别突出的生物标志物。四个监督机学习算法即决策树(DT),支持向量机(SVM),集合分类器(EC)和贝叶斯分类器(BC)用于统计和运动学分析,预测PD的严重性。使用精度,灵敏度和特异性量化的分类器功效突出显示所提出的框架可以有效地利用基于HOHEN和YAHR(H&Y)规模的PD的严重性。此外,比较所提出的PD分类方法的准确性与使用相同的步态数据集的其他最先进的方法,揭示所提出的方法优于几种其他PD分类方法。 (c)2020 Elsevier B.V.保留所有权利。

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