Our code is available at https//github.com/itsmeafra/Sublevel-Set-TDA.The analysis of gait data is one approach to support clinicians with the diagnosis and therapy of diseases, for example Parkinson's disease (PD). Traditionally, gait data of standardized tests in the clinic is analyzed, ensuring a predefined setting. In recent years, long-term home-based gait analysis has been used to acquire a more representative picture of the patient's disease status. Data is recorded in a less artificial setting and therefore allows a more realistic perception of the disease progression. However, fully unsupervised gait data without additional context information impedes interpretation. As an intermediate solution, performance of gait tests at home was introduced. Integration of instrumented gait test requires annotations of those tests for their identification and further processing. To overcome these limitations, we developed an algorithm for automatic detection of standardized gait tests from continuous sensor data with the goal of making manual annotations obsolete. The method is based on dynamic time warping, which compares an input signal with a predefined template and quantifies similarity between both. Different templates were compared and an optimized template was created. The classification scored a F1-measure of 86.7% for evaluation on a data set acquired in a clinical setting. We believe that this approach can be transferred to home-monitoring systems and will facilitate a more efficient and automated gait analysis.Application and use of deep learning algorithms for different healthcare applications is gaining interest at a steady pace. However, use of such algorithms can prove to be challenging as they require large amounts of training data that capture different possible variations. This makes it difficult to use them in a clinical setting since in most health applications researchers often have to work with limited data. Less data can cause the deep learning model to over-fit. In this paper, we ask how can we use data from a different environment, different use-case, with widely differing data distributions. We exemplify this use case by using single-sensor accelerometer data from healthy subjects performing activities of daily living - ADLs (source dataset), to extract features relevant to multi-sensor accelerometer gait data (target dataset) for Parkinson's disease classification. We train the pre-trained model using the source dataset and use it as a feature extractor. We show that the features extracted for the target dataset can be used to train an effective classification model. https://www.selleckchem.com/MEK.html Our pretrained source model consists of a convolutional autoencoder, and the target classification model is a simple multi-layer perceptron model. We explore two different pre-trained source models, trained using different activity groups, and analyze the influence the choice of pre-trained model has over the task of Parkinson's disease classification.Parkinson's disease is diagnosed based on expert clinical observation of movements. One important clinical feature is decrement, whereby the range of finger motion decreases over the course of the observation. This decrement has been assumed to be linear but has not been examined closely.We previously developed a method to extract a time series representation of a finger-tapping clinical test from 137 smart- phone video recordings. Here, we show how the signal can be processed to visualize archetypal progression of decrement. We use k-means with features derived from dynamic time warping to compare similarity of time series. To generate the archetypal time series corresponding to each cluster, we apply both a simple arithmetic mean, and dynamic time warping barycenter averaging to the time series belonging to each cluster.Visual inspection of the cluster-average time series showed two main trends. These corresponded well with participants with no bradykinesia and participants with severe bradykinesia. The visualizations support the concept that decrement tends to present as a linear decrease in range of motion over time.Clinical relevance- Our work visually presents the archetypal types of bradykinesia amplitude decrement, as seen in the Parkinson's finger-tapping test. We found two main patterns, one corresponding to no bradykinesia, and the other showing linear decrement over time.Drug Induced Parkinsonism (DIP) is the most common, debilitating movement disorder induced by antipsychotics. There is no tool available in clinical practice to effectively diagnose the symptoms at the onset of the disease. In this study, the variations in gait accelerometer data due to the intermittency of tremor at the initial stages is examined. These variations are used to train a logistic regression model to predict subjects with early-stage DIP. The logistic classifier predicts if a subject is a DIP or control with approximately 89% sensitivity and 96% specificity. This paper discusses the algorithm used to extract the features in gait data for training the classifier to predict DIP at the earliest.Clinical Relevance- Diagnosing the disease and the causative drug is vital as the physical health of a patient who is mentally unstable can deteriorate with prolonged usage of the drug. The proposed model helps clinicians to diagnose the disease at the onset of tremors with an accuracy of 93.58%.A stethoscope is a ubiquitous tool used to 'listen' to sounds from the chest in order to assess lung and heart conditions. With advances in health technologies including digital devices and new wearable sensors, access to these sounds is becoming easier and abundant; yet proper measures of signal quality do not exist. In this work, we develop an objective quality metric of lung sounds based on low-level and high-level features in order to independently assess the integrity of the signal in presence of interference from ambient sounds and other distortions. The proposed metric outlines a mapping of auscultation signals onto rich low-level features extracted directly from the signal which capture spectral and temporal characteristics of the signal. Complementing these signal-derived attributes, we propose high-level learnt embedding features extracted from a generative auto-encoder trained to map auscultation signals onto a representative space that best captures the inherent statistics of lung sounds. Integrating both low-level (signal-derived) and high-level (embedding) features yields a robust correlation of 0.
Our code is available at https//github.com/itsmeafra/Sublevel-Set-TDA.The analysis of gait data is one approach to support clinicians with the diagnosis and therapy of diseases, for example Parkinson's disease (PD). Traditionally, gait data of standardized tests in the clinic is analyzed, ensuring a predefined setting. In recent years, long-term home-based gait analysis has been used to acquire a more representative picture of the patient's disease status. Data is recorded in a less artificial setting and therefore allows a more realistic perception of the disease progression. However, fully unsupervised gait data without additional context information impedes interpretation. As an intermediate solution, performance of gait tests at home was introduced. Integration of instrumented gait test requires annotations of those tests for their identification and further processing. To overcome these limitations, we developed an algorithm for automatic detection of standardized gait tests from continuous sensor data with the goal of making manual annotations obsolete. The method is based on dynamic time warping, which compares an input signal with a predefined template and quantifies similarity between both. Different templates were compared and an optimized template was created. The classification scored a F1-measure of 86.7% for evaluation on a data set acquired in a clinical setting. We believe that this approach can be transferred to home-monitoring systems and will facilitate a more efficient and automated gait analysis.Application and use of deep learning algorithms for different healthcare applications is gaining interest at a steady pace. However, use of such algorithms can prove to be challenging as they require large amounts of training data that capture different possible variations. This makes it difficult to use them in a clinical setting since in most health applications researchers often have to work with limited data. Less data can cause the deep learning model to over-fit. In this paper, we ask how can we use data from a different environment, different use-case, with widely differing data distributions. We exemplify this use case by using single-sensor accelerometer data from healthy subjects performing activities of daily living - ADLs (source dataset), to extract features relevant to multi-sensor accelerometer gait data (target dataset) for Parkinson's disease classification. We train the pre-trained model using the source dataset and use it as a feature extractor. We show that the features extracted for the target dataset can be used to train an effective classification model. https://www.selleckchem.com/MEK.html Our pretrained source model consists of a convolutional autoencoder, and the target classification model is a simple multi-layer perceptron model. We explore two different pre-trained source models, trained using different activity groups, and analyze the influence the choice of pre-trained model has over the task of Parkinson's disease classification.Parkinson's disease is diagnosed based on expert clinical observation of movements. One important clinical feature is decrement, whereby the range of finger motion decreases over the course of the observation. This decrement has been assumed to be linear but has not been examined closely.We previously developed a method to extract a time series representation of a finger-tapping clinical test from 137 smart- phone video recordings. Here, we show how the signal can be processed to visualize archetypal progression of decrement. We use k-means with features derived from dynamic time warping to compare similarity of time series. To generate the archetypal time series corresponding to each cluster, we apply both a simple arithmetic mean, and dynamic time warping barycenter averaging to the time series belonging to each cluster.Visual inspection of the cluster-average time series showed two main trends. These corresponded well with participants with no bradykinesia and participants with severe bradykinesia. The visualizations support the concept that decrement tends to present as a linear decrease in range of motion over time.Clinical relevance- Our work visually presents the archetypal types of bradykinesia amplitude decrement, as seen in the Parkinson's finger-tapping test. We found two main patterns, one corresponding to no bradykinesia, and the other showing linear decrement over time.Drug Induced Parkinsonism (DIP) is the most common, debilitating movement disorder induced by antipsychotics. There is no tool available in clinical practice to effectively diagnose the symptoms at the onset of the disease. In this study, the variations in gait accelerometer data due to the intermittency of tremor at the initial stages is examined. These variations are used to train a logistic regression model to predict subjects with early-stage DIP. The logistic classifier predicts if a subject is a DIP or control with approximately 89% sensitivity and 96% specificity. This paper discusses the algorithm used to extract the features in gait data for training the classifier to predict DIP at the earliest.Clinical Relevance- Diagnosing the disease and the causative drug is vital as the physical health of a patient who is mentally unstable can deteriorate with prolonged usage of the drug. The proposed model helps clinicians to diagnose the disease at the onset of tremors with an accuracy of 93.58%.A stethoscope is a ubiquitous tool used to 'listen' to sounds from the chest in order to assess lung and heart conditions. With advances in health technologies including digital devices and new wearable sensors, access to these sounds is becoming easier and abundant; yet proper measures of signal quality do not exist. In this work, we develop an objective quality metric of lung sounds based on low-level and high-level features in order to independently assess the integrity of the signal in presence of interference from ambient sounds and other distortions. The proposed metric outlines a mapping of auscultation signals onto rich low-level features extracted directly from the signal which capture spectral and temporal characteristics of the signal. Complementing these signal-derived attributes, we propose high-level learnt embedding features extracted from a generative auto-encoder trained to map auscultation signals onto a representative space that best captures the inherent statistics of lung sounds. Integrating both low-level (signal-derived) and high-level (embedding) features yields a robust correlation of 0.
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