Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation

Gait impairment in Parkinson’s Disease (PD) is quantitatively assessed using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), a well-established clinical tool. Objective and efficient PD gait assessment is crucial for developing interventions...

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Main Authors: Haoyu Tian, Haiyun Li, Wenjing Jiang, Xin Ma, Xiang Li, Hanbo Wu, Yibin Li
Format: Article
Language:English
Published: IEEE 2024-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10387461/
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author Haoyu Tian
Haiyun Li
Wenjing Jiang
Xin Ma
Xiang Li
Hanbo Wu
Yibin Li
author_facet Haoyu Tian
Haiyun Li
Wenjing Jiang
Xin Ma
Xiang Li
Hanbo Wu
Yibin Li
author_sort Haoyu Tian
collection DOAJ
description Gait impairment in Parkinson’s Disease (PD) is quantitatively assessed using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), a well-established clinical tool. Objective and efficient PD gait assessment is crucial for developing interventions to slow or halt its advancement. Skeleton-based PD gait MDS-UPDRS score estimation has attracted increasing interest in improving diagnostic efficiency and objectivity. However, previous works ignore the important cross-spacetime dependencies between joints in PD gait. Moreover, existing PD gait skeleton datasets are very small, which is a big issue in deep learning-based gait studies. In this work, we collect a sizable PD gait skeleton dataset by multi-view Azure Kinect sensors. The collected dataset contains 102 PD patients and 30 healthy older adults. In addition, gait data from 16 young adults (aged 24–50 years) are collected to further examine the effect of age on PD gait assessment. For skeleton-based automatic PD gait analysis, we propose a novel cross-spatiotemporal graph convolution network (CST-GCN) to learn complex features of gait patterns. Specifically, a gait graph labeling strategy is designed to assemble and group cross-spacetime neighbors of the root node according to the spatiotemporal semantics of the gait skeleton. Based on this strategy, the CST-GCN module explicitly models the cross-spacetime dependencies among joints. Finally, a dual-path model is presented to realize the modeling and fusion of spatial, temporal, and cross-spacetime gait features. Extensive experiments validate the effectiveness of our method on the collected dataset.
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spelling doaj.art-a387d588c37f4c3baced8e051d0d69532024-01-23T00:00:09ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1558-02102024-01-013241242110.1109/TNSRE.2024.335200410387461Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score EstimationHaoyu Tian0https://orcid.org/0000-0003-3789-2084Haiyun Li1https://orcid.org/0000-0001-6803-4117Wenjing Jiang2https://orcid.org/0000-0002-1559-9744Xin Ma3https://orcid.org/0000-0003-4402-1957Xiang Li4https://orcid.org/0000-0003-1529-7057Hanbo Wu5https://orcid.org/0000-0002-7924-5072Yibin Li6https://orcid.org/0000-0002-5906-5074Center of Robotics School of Control Science and Engineering, Shandong University, Jinan, ChinaQilu Hospital of Shandong University, Jinan, ChinaQilu Hospital of Shandong University, Jinan, ChinaCenter of Robotics School of Control Science and Engineering, Shandong University, Jinan, ChinaCenter of Robotics School of Control Science and Engineering, Shandong University, Jinan, ChinaCenter of Robotics School of Control Science and Engineering, Shandong University, Jinan, ChinaCenter of Robotics School of Control Science and Engineering, Shandong University, Jinan, ChinaGait impairment in Parkinson’s Disease (PD) is quantitatively assessed using the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), a well-established clinical tool. Objective and efficient PD gait assessment is crucial for developing interventions to slow or halt its advancement. Skeleton-based PD gait MDS-UPDRS score estimation has attracted increasing interest in improving diagnostic efficiency and objectivity. However, previous works ignore the important cross-spacetime dependencies between joints in PD gait. Moreover, existing PD gait skeleton datasets are very small, which is a big issue in deep learning-based gait studies. In this work, we collect a sizable PD gait skeleton dataset by multi-view Azure Kinect sensors. The collected dataset contains 102 PD patients and 30 healthy older adults. In addition, gait data from 16 young adults (aged 24–50 years) are collected to further examine the effect of age on PD gait assessment. For skeleton-based automatic PD gait analysis, we propose a novel cross-spatiotemporal graph convolution network (CST-GCN) to learn complex features of gait patterns. Specifically, a gait graph labeling strategy is designed to assemble and group cross-spacetime neighbors of the root node according to the spatiotemporal semantics of the gait skeleton. Based on this strategy, the CST-GCN module explicitly models the cross-spacetime dependencies among joints. Finally, a dual-path model is presented to realize the modeling and fusion of spatial, temporal, and cross-spacetime gait features. Extensive experiments validate the effectiveness of our method on the collected dataset.https://ieeexplore.ieee.org/document/10387461/Parkinsonian gaitquantitative assessmentgraph convolutional networkskeleton-based data
spellingShingle Haoyu Tian
Haiyun Li
Wenjing Jiang
Xin Ma
Xiang Li
Hanbo Wu
Yibin Li
Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Parkinsonian gait
quantitative assessment
graph convolutional network
skeleton-based data
title Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
title_full Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
title_fullStr Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
title_full_unstemmed Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
title_short Cross-Spatiotemporal Graph Convolution Networks for Skeleton-Based Parkinsonian Gait MDS-UPDRS Score Estimation
title_sort cross spatiotemporal graph convolution networks for skeleton based parkinsonian gait mds updrs score estimation
topic Parkinsonian gait
quantitative assessment
graph convolutional network
skeleton-based data
url https://ieeexplore.ieee.org/document/10387461/
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