论文标题
使用运动学,几何和非线性特征分析和评估帕金森氏病患者的笔迹
Analysis and Evaluation of Handwriting in Patients with Parkinson's Disease Using kinematic, Geometrical, and Non-linear Features
论文作者
论文摘要
背景和目标:帕金森氏病是一种神经系统疾病,会影响运动系统,导致缺乏协调性,静止震颤和僵化。手写障碍是该疾病的主要症状之一。手写分析可以帮助支持诊断和监测疾病的进展。本文旨在评估不同特征组对帕金森氏病引起的手写缺陷的重要性;以及这些功能如何能够区分帕金森氏病患者和健康受试者。 方法:基于运动学,几何和非线性动力学分析的特征,以对帕金森氏病和健康受试者进行分类。考虑了基于K-Neartiment邻居,支持向量机和随机森林的分类器。 结果:在患者和健康对照组的分类中获得了高达$ 93.1 \%$的准确性。对特征的相关性分析表明,与速度,加速度和压力相关的分析是最判别的。在疾病不同阶段的患者自动分类显示,$κ$指数在$ 0.36 $至0.44美元之间。在仅用于验证目的的不同数据集中获得了高达$ 83.3 \%$的准确性。 结论:当我们考虑不同的健康受试者群体时,结果证实了衰老在分类过程中的负面影响。此外,与单独的验证集进行的结果还构成了开发自动化工具以支持临床实践中诊断过程的步骤。
Background and objectives: Parkinson's disease is a neurological disorder that affects the motor system producing lack of coordination, resting tremor, and rigidity. Impairments in handwriting are among the main symptoms of the disease. Handwriting analysis can help in supporting the diagnosis and in monitoring the progress of the disease. This paper aims to evaluate the importance of different groups of features to model handwriting deficits that appear due to Parkinson's disease; and how those features are able to discriminate between Parkinson's disease patients and healthy subjects. Methods: Features based on kinematic, geometrical and non-linear dynamics analyses were evaluated to classify Parkinson's disease and healthy subjects. Classifiers based on K-nearest neighbors, support vector machines, and random forest were considered. Results: Accuracies of up to $93.1\%$ were obtained in the classification of patients and healthy control subjects. A relevance analysis of the features indicated that those related to speed, acceleration, and pressure are the most discriminant. The automatic classification of patients in different stages of the disease shows $κ$ indexes between $0.36$ and $0.44$. Accuracies of up to $83.3\%$ were obtained in a different dataset used only for validation purposes. Conclusions: The results confirmed the negative impact of aging in the classification process when we considered different groups of healthy subjects. In addition, the results reported with the separate validation set comprise a step towards the development of automated tools to support the diagnosis process in clinical practice.