ATST-Net: A method to identify early symptoms in the upper and lower extremities of PD.

Journal: Medical engineering & physics
Published Date:

Abstract

Bradykinesia, a core symptom of motor disorders in Parkinson's disease (PD), is a major criterion for screening early PD patients in clinical practice. Currently, many studies have proposed automatic assessment schemes for bradykinesia in PD. However, existing schemes suffer from problems such as dependence on professional equipment, single evaluation tasks, difficulty in obtaining samples and low accuracy. This paper proposes a manual feature extraction- and neural network-based method to evaluate bradykinesia, effectively solving the problem of a small sample size. This method can automatically assess finger tapping (FT), hand movement (HM), toe tapping (TT) and bilateral foot sensitivity tasks (LA) through a unified model. Data were obtained from 120 individuals, including 93 patients with Parkinson's disease and 27 age- and sex-matched normal controls (NCs). Manual feature extraction and Attention Time Series Two-stream Networks (ATST-Net) were used for classification. Accuracy rates of 0.844, 0.819, 0.728, and 0.768 were achieved for FT, HM, TT, and LA, respectively. To our knowledge, this study is the first to simultaneously evaluate the upper and lower limbs using a unified model that has significant advantages in both model training and transfer learning.

Authors

  • Yuanyuan Liu
    College of Computer Science and Technology, Chongqing University of Posts and Telecommunications, Chongqing 400065, China.
  • Zhaoyi Yang
    School of Electronics and Information, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China.
  • Miao Cai
    Neurology Department, Zhejiang Hospital, Hangzhou, Zhejiang, 310013, China. Electronic address: caimiao1985@126.com.
  • Yanwen Wang
    National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China.
  • Xiaoli Liu
    Neurology Department, Zhejiang Hospital, Zhejiang 310013, China.
  • Hexing Tong
    School of Electronics and Information, Hangzhou Dianzi University, Hangzhou, Zhejiang, 310018, China.
  • Yuhang Peng
    Department of Clinical Hematology, Key Laboratory of Laboratory Medical Diagnostics Designated by the Ministry of Education, School of Laboratory Medicine, Chongqing Medical University, No. 1, Yixueyuan Road, Chongqing, 400016, China.
  • Yue Lou
    Department of Neurology, Zhejiang Hospital, Hangzhou, China.
  • Zhu Li
    School of Electronics and Information, Hangzhou Dianzi University, Hangzhou 310018, China. Electronic address: lz1126@hdu.edu.cn.