Wrist sensor-based tremor severity quantification in Parkinson's disease using convolutional neural network.

Journal: Computers in biology and medicine
Published Date:

Abstract

Tremor is a commonly observed symptom in patients of Parkinson's disease (PD), and accurate measurement of tremor severity is essential in prescribing appropriate treatment to relieve its symptoms. We propose a tremor assessment system based on the use of a convolutional neural network (CNN) to differentiate the severity of symptoms as measured in data collected from a wearable device. Tremor signals were recorded from 92 PD patients using a custom-developed device (SNUMAP) equipped with an accelerometer and gyroscope mounted on a wrist module. Neurologists assessed the tremor symptoms on the Unified Parkinson's Disease Rating Scale (UPDRS) from simultaneously recorded video footages. The measured data were transformed into the frequency domain and used to construct a two-dimensional image for training the network, and the CNN model was trained by convolving tremor signal images with kernels. The proposed CNN architecture was compared to previously studied machine learning algorithms and found to outperform them (accuracy = 0.85, linear weighted kappa = 0.85). More precise monitoring of PD tremor symptoms in daily life could be possible using our proposed method.

Authors

  • Han Byul Kim
  • Woong Woo Lee
    Department of Neurology, Eulji General Hospital, Seoul, South Korea.
  • Aryun Kim
    Department of Neurology, Seoul National University Hospital, Seoul, South Korea.
  • Hong Ji Lee
  • Hye Young Park
    Department of Neurology, Seoul National University Hospital, Seoul, South Korea.
  • Hyo Seon Jeon
    Graduate Program of Bioengineering, Seoul National University, Seoul, South Korea.
  • Sang Kyong Kim
  • Beomseok Jeon
  • Kwang S Park
    Department of Biomedical Engineering, College of Medicine, Seoul National University, South Korea. Electronic address: kwspark@snu.ac.kr.