Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms

Background: Parkinson's disease (PD) is the second most common neurodegenerative disorder whose prevalence rises with age, yet clinical diagnosis is still a challenging task due to similar manifestations of other neurodegenerative movement disorders. In untreated patients or those with unclear...

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Main Authors: Minja Belić, Zaharije Radivojević, Vladislava Bobić, Vladimir Kostić, Milica Đurić-Jovičić
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023020315
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author Minja Belić
Zaharije Radivojević
Vladislava Bobić
Vladimir Kostić
Milica Đurić-Jovičić
author_facet Minja Belić
Zaharije Radivojević
Vladislava Bobić
Vladimir Kostić
Milica Đurić-Jovičić
author_sort Minja Belić
collection DOAJ
description Background: Parkinson's disease (PD) is the second most common neurodegenerative disorder whose prevalence rises with age, yet clinical diagnosis is still a challenging task due to similar manifestations of other neurodegenerative movement disorders. In untreated patients or those with unclear responses to medication, correct percentages of early diagnoses go as low as 26%. Technology has been used in various forms to facilitate discerning between persons with PD and healthy individuals, but much less work has been dedicated to separating PD and atypical parkinsonisms. Methods: A wearable system was developed based on inertial sensors that capture the movements of fingers during repetitive finger tapping. A k-nearest-neighbor classifier was used on features extracted from gyroscope recordings for quick aid in differential diagnostics, discerning patients with PD, progressive supranuclear palsy (PSP), multiple system atrophy (MSA) and healthy controls (HC). Results: The overall classification accuracy achieved was 85.18% in the multiclass setup. MSA and HC groups were the easiest to discern (100%), while PSP was the most elusive diagnosis, as some patients were incorrectly assigned to MSA and HC groups. Conclusions: The system shows potential for use as a tool for quick diagnostic aid, and in the era of big data, offers a means of standardization of data collection that could allow scientists to aggregate multi-center data for further research.
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spelling doaj.art-4a30748d5c6349dbac4c177dc52c9c182023-04-29T14:51:11ZengElsevierHeliyon2405-84402023-04-0194e14824Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonismsMinja Belić0Zaharije Radivojević1Vladislava Bobić2Vladimir Kostić3Milica Đurić-Jovičić4University of Belgrade, Serbia; Corresponding author.School of Electrical Engineering, University of Belgrade, SerbiaInnovation Center of the School of Electrical Engineering in Belgrade, SerbiaSerbian Academy of Sciences and Arts, Belgrade, SerbiaInnovation Center of the School of Electrical Engineering in Belgrade, SerbiaBackground: Parkinson's disease (PD) is the second most common neurodegenerative disorder whose prevalence rises with age, yet clinical diagnosis is still a challenging task due to similar manifestations of other neurodegenerative movement disorders. In untreated patients or those with unclear responses to medication, correct percentages of early diagnoses go as low as 26%. Technology has been used in various forms to facilitate discerning between persons with PD and healthy individuals, but much less work has been dedicated to separating PD and atypical parkinsonisms. Methods: A wearable system was developed based on inertial sensors that capture the movements of fingers during repetitive finger tapping. A k-nearest-neighbor classifier was used on features extracted from gyroscope recordings for quick aid in differential diagnostics, discerning patients with PD, progressive supranuclear palsy (PSP), multiple system atrophy (MSA) and healthy controls (HC). Results: The overall classification accuracy achieved was 85.18% in the multiclass setup. MSA and HC groups were the easiest to discern (100%), while PSP was the most elusive diagnosis, as some patients were incorrectly assigned to MSA and HC groups. Conclusions: The system shows potential for use as a tool for quick diagnostic aid, and in the era of big data, offers a means of standardization of data collection that could allow scientists to aggregate multi-center data for further research.http://www.sciencedirect.com/science/article/pii/S2405844023020315Parkinson's diseaseAtypical parkinsonismsDiagnosticsMachine learningInertial sensorsFinger tapping
spellingShingle Minja Belić
Zaharije Radivojević
Vladislava Bobić
Vladimir Kostić
Milica Đurić-Jovičić
Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
Heliyon
Parkinson's disease
Atypical parkinsonisms
Diagnostics
Machine learning
Inertial sensors
Finger tapping
title Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
title_full Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
title_fullStr Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
title_full_unstemmed Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
title_short Quick computer aided differential diagnostics based on repetitive finger tapping in Parkinson’s disease and atypical parkinsonisms
title_sort quick computer aided differential diagnostics based on repetitive finger tapping in parkinson s disease and atypical parkinsonisms
topic Parkinson's disease
Atypical parkinsonisms
Diagnostics
Machine learning
Inertial sensors
Finger tapping
url http://www.sciencedirect.com/science/article/pii/S2405844023020315
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