The University of Manchester, Department of Electrical and Electronic Engineering, Manchester, United Kingdom.
The University of Manchester, School of Biological Sciences, Manchester, United Kingdom.
Sci Rep. 2020 May 20;10(1):8346. doi: 10.1038/s41598-020-65384-4.
Autism is a developmental condition currently identified by experts using observation, interview, and questionnaire techniques and primarily assessing social and communication deficits. Motor function and movement imitation are also altered in autism and can be measured more objectively. In this study, motion and eye tracking data from a movement imitation task were combined with supervised machine learning methods to classify 22 autistic and 22 non-autistic adults. The focus was on a reliable machine learning application. We have used nested validation to develop models and further tested the models with an independent data sample. Feature selection was aimed at selection stability to assure result interpretability. Our models predicted diagnosis with 73% accuracy from kinematic features, 70% accuracy from eye movement features and 78% accuracy from combined features. We further explored features which were most important for predictions to better understand movement imitation differences in autism. Consistent with the behavioural results, most discriminative features were from the experimental condition in which non-autistic individuals tended to successfully imitate unusual movement kinematics while autistic individuals tended to fail. Machine learning results show promise that future work could aid in the diagnosis process by providing quantitative tests to supplement current qualitative ones.
自闭症是一种发育状况,目前专家主要通过观察、访谈和问卷调查技术来识别,这些技术主要评估社交和沟通缺陷。自闭症患者的运动功能和动作模仿也会发生改变,可以更客观地进行测量。在这项研究中,动作模仿任务的运动和眼动追踪数据与监督机器学习方法相结合,对 22 名自闭症患者和 22 名非自闭症成年人进行分类。研究重点是可靠的机器学习应用。我们使用嵌套验证来开发模型,并使用独立的数据集进一步测试模型。特征选择旨在选择稳定性,以确保结果的可解释性。我们的模型从运动学特征中预测诊断的准确率为 73%,从眼动特征中预测诊断的准确率为 70%,从综合特征中预测诊断的准确率为 78%。我们进一步探讨了对预测最重要的特征,以更好地了解自闭症患者在动作模仿方面的差异。与行为结果一致的是,最具区分度的特征来自实验条件,在该条件下,非自闭症个体往往能够成功模仿不寻常的运动运动学,而自闭症个体往往会失败。机器学习结果表明,未来的工作可以通过提供定量测试来辅助诊断过程,从而补充当前的定性测试。