A screening method for cervical myelopathy using machine learning to analyze a drawing behavior

Abstract Early detection of cervical myelopathy (CM) is important for a favorable outcome, as its prognosis is poor when left untreated. We developed a screening method for CM using machine learning-based analysis of the drawing behavior of 38 patients with CM and 66 healthy volunteers. Using a styl...

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Main Authors: Eriku Yamada, Koji Fujita, Takuro Watanabe, Takafumi Koyama, Takuya Ibara, Akiko Yamamoto, Kazuya Tsukamoto, Hidetoshi Kaburagi, Akimoto Nimura, Toshitaka Yoshii, Yuta Sugiura, Atsushi Okawa
Format: Article
Language:English
Published: Nature Portfolio 2023-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-37253-3
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author Eriku Yamada
Koji Fujita
Takuro Watanabe
Takafumi Koyama
Takuya Ibara
Akiko Yamamoto
Kazuya Tsukamoto
Hidetoshi Kaburagi
Akimoto Nimura
Toshitaka Yoshii
Yuta Sugiura
Atsushi Okawa
author_facet Eriku Yamada
Koji Fujita
Takuro Watanabe
Takafumi Koyama
Takuya Ibara
Akiko Yamamoto
Kazuya Tsukamoto
Hidetoshi Kaburagi
Akimoto Nimura
Toshitaka Yoshii
Yuta Sugiura
Atsushi Okawa
author_sort Eriku Yamada
collection DOAJ
description Abstract Early detection of cervical myelopathy (CM) is important for a favorable outcome, as its prognosis is poor when left untreated. We developed a screening method for CM using machine learning-based analysis of the drawing behavior of 38 patients with CM and 66 healthy volunteers. Using a stylus pen, the participants traced three different shapes displayed on a tablet device. During the tasks, writing behaviors, such as the coordinates, velocity, and pressure of the stylus tip, along with the drawing time, were recorded. From these data, features related to the drawing pressure, and time to trace each shape and combination of shapes were used as training data for the support vector machine, a machine learning algorithm. To evaluate the accuracy, a receiver operating characteristic curve was generated, and the area under the curve (AUC) was calculated. Models with triangular waveforms tended to be the most accurate. The best triangular wave model identified patients with and without CM with 76% sensitivity and 76% specificity, yielding an AUC of 0.80. Our model was able to classify CM with high accuracy and could be applied to the development of disease screening systems useful outside the hospital setting.
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spelling doaj.art-fa3b5d5e08be4cd5aa36a4541e7579eb2023-06-25T11:18:02ZengNature PortfolioScientific Reports2045-23222023-06-011311810.1038/s41598-023-37253-3A screening method for cervical myelopathy using machine learning to analyze a drawing behaviorEriku Yamada0Koji Fujita1Takuro Watanabe2Takafumi Koyama3Takuya Ibara4Akiko Yamamoto5Kazuya Tsukamoto6Hidetoshi Kaburagi7Akimoto Nimura8Toshitaka Yoshii9Yuta Sugiura10Atsushi Okawa11Department of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio UniversityDepartment of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Department of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio UniversityDepartment of Orthopedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU)Abstract Early detection of cervical myelopathy (CM) is important for a favorable outcome, as its prognosis is poor when left untreated. We developed a screening method for CM using machine learning-based analysis of the drawing behavior of 38 patients with CM and 66 healthy volunteers. Using a stylus pen, the participants traced three different shapes displayed on a tablet device. During the tasks, writing behaviors, such as the coordinates, velocity, and pressure of the stylus tip, along with the drawing time, were recorded. From these data, features related to the drawing pressure, and time to trace each shape and combination of shapes were used as training data for the support vector machine, a machine learning algorithm. To evaluate the accuracy, a receiver operating characteristic curve was generated, and the area under the curve (AUC) was calculated. Models with triangular waveforms tended to be the most accurate. The best triangular wave model identified patients with and without CM with 76% sensitivity and 76% specificity, yielding an AUC of 0.80. Our model was able to classify CM with high accuracy and could be applied to the development of disease screening systems useful outside the hospital setting.https://doi.org/10.1038/s41598-023-37253-3
spellingShingle Eriku Yamada
Koji Fujita
Takuro Watanabe
Takafumi Koyama
Takuya Ibara
Akiko Yamamoto
Kazuya Tsukamoto
Hidetoshi Kaburagi
Akimoto Nimura
Toshitaka Yoshii
Yuta Sugiura
Atsushi Okawa
A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
Scientific Reports
title A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
title_full A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
title_fullStr A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
title_full_unstemmed A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
title_short A screening method for cervical myelopathy using machine learning to analyze a drawing behavior
title_sort screening method for cervical myelopathy using machine learning to analyze a drawing behavior
url https://doi.org/10.1038/s41598-023-37253-3
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