• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

用于神经紊乱识别的深度可解释人工智能框架。

A deep explainable artificial intelligent framework for neurological disorders discrimination.

机构信息

Concordia Institute for Information Systems Engineering, Concordia University, Montreal, QC, H3G 1M8, Canada.

Departments of Electrical and Computer Engineering, and Mechanical and Aerospace Engineering, New York University (NYU), New York, NY, 10003, USA.

出版信息

Sci Rep. 2021 May 5;11(1):9630. doi: 10.1038/s41598-021-88919-9.

DOI:10.1038/s41598-021-88919-9
PMID:33953261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8099874/
Abstract

Pathological hand tremor (PHT) is a common symptom of Parkinson's disease (PD) and essential tremor (ET), which affects manual targeting, motor coordination, and movement kinetics. Effective treatment and management of the symptoms relies on the correct and in-time diagnosis of the affected individuals, where the characteristics of PHT serve as an imperative metric for this purpose. Due to the overlapping features of the corresponding symptoms, however, a high level of expertise and specialized diagnostic methodologies are required to correctly distinguish PD from ET. In this work, we propose the data-driven [Formula: see text] model, which processes the kinematics of the hand in the affected individuals and classifies the patients into PD or ET. [Formula: see text] is trained over 90 hours of hand motion signals consisting of 250 tremor assessments from 81 patients, recorded at the London Movement Disorders Centre, ON, Canada. The [Formula: see text] outperforms its state-of-the-art counterparts achieving exceptional differential diagnosis accuracy of [Formula: see text]. In addition, using the explainability and interpretability measures for machine learning models, clinically viable and statistically significant insights on how the data-driven model discriminates between the two groups of patients are achieved.

摘要

病理性手震颤(PHT)是帕金森病(PD)和特发性震颤(ET)的常见症状,它会影响手部的目标定位、运动协调和运动动力学。有效治疗和管理这些症状依赖于对受影响个体的正确和及时诊断,其中 PHT 的特征是实现这一目的的重要指标。然而,由于相应症状存在重叠,因此需要高水平的专业知识和专门的诊断方法来正确区分 PD 和 ET。在这项工作中,我们提出了基于数据驱动的[Formula: see text]模型,该模型处理受影响个体手部的运动学,并将患者分为 PD 或 ET。[Formula: see text]在 90 多个小时的手部运动信号上进行了训练,这些信号由来自加拿大安大略省伦敦运动障碍中心的 81 名患者的 250 次震颤评估记录组成。[Formula: see text]的表现优于其最先进的同类产品,达到了卓越的鉴别诊断准确率[Formula: see text]。此外,通过使用机器学习模型的可解释性和可解释性度量,可以获得有关数据驱动模型如何区分两组患者的可行且具有统计学意义的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/330bc335fedd/41598_2021_88919_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/7d9f6a60b286/41598_2021_88919_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/46f867c9a5a7/41598_2021_88919_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/999975eb9612/41598_2021_88919_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/94c120c1098d/41598_2021_88919_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/7444d1d8cc1c/41598_2021_88919_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/3f045dc5839f/41598_2021_88919_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/54d9b7c6eb8d/41598_2021_88919_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/330bc335fedd/41598_2021_88919_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/7d9f6a60b286/41598_2021_88919_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/46f867c9a5a7/41598_2021_88919_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/999975eb9612/41598_2021_88919_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/94c120c1098d/41598_2021_88919_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/7444d1d8cc1c/41598_2021_88919_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/3f045dc5839f/41598_2021_88919_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/54d9b7c6eb8d/41598_2021_88919_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bd0/8099874/330bc335fedd/41598_2021_88919_Fig8_HTML.jpg

相似文献

1
A deep explainable artificial intelligent framework for neurological disorders discrimination.用于神经紊乱识别的深度可解释人工智能框架。
Sci Rep. 2021 May 5;11(1):9630. doi: 10.1038/s41598-021-88919-9.
2
PHTNet: Characterization and Deep Mining of Involuntary Pathological Hand Tremor using Recurrent Neural Network Models.PHTNet:基于循环神经网络模型的非自主病理性手震颤特征描述与深度挖掘。
Sci Rep. 2020 Feb 10;10(1):2195. doi: 10.1038/s41598-020-58912-9.
3
Combined brain topological metrics with machine learning to distinguish essential tremor and tremor-dominant Parkinson's disease.结合脑拓扑度量与机器学习以区分特发性震颤和震颤为主型帕金森病。
Neurol Sci. 2024 Sep;45(9):4323-4334. doi: 10.1007/s10072-024-07472-1. Epub 2024 Mar 25.
4
Comparison of motor and non-motor features between essential tremor and tremor dominant Parkinson's disease.特发性震颤与震颤为主型帕金森病的运动和非运动特征比较。
J Neurol Sci. 2016 Feb 15;361:34-8. doi: 10.1016/j.jns.2015.12.016. Epub 2015 Dec 10.
5
Eye movement abnormalities in essential tremor versus tremor dominant Parkinson's disease.特发性震颤与震颤为主型帕金森病的眼球运动异常。
Clin Neurophysiol. 2019 May;130(5):683-691. doi: 10.1016/j.clinph.2019.01.026. Epub 2019 Feb 23.
6
Temporal fluctuations of tremor signals from inertial sensor: a preliminary study in differentiating Parkinson's disease from essential tremor.来自惯性传感器的震颤信号的时间波动:区分帕金森病与特发性震颤的初步研究
Biomed Eng Online. 2015 Nov 4;14:101. doi: 10.1186/s12938-015-0098-1.
7
Are smartphones and machine learning enough to diagnose tremor?智能手机和机器学习足以诊断震颤吗?
J Neurol. 2022 Nov;269(11):6104-6115. doi: 10.1007/s00415-022-11293-7. Epub 2022 Jul 21.
8
Differential diagnosis between Parkinson's disease and essential tremor using the smartphone's accelerometer.使用智能手机加速度计对帕金森病和特发性震颤进行鉴别诊断。
PLoS One. 2017 Aug 25;12(8):e0183843. doi: 10.1371/journal.pone.0183843. eCollection 2017.
9
Real-time classification of movement patterns of tremor patients.实时分类震颤患者的运动模式。
Biomed Tech (Berl). 2022 Feb 24;67(2):119-130. doi: 10.1515/bmt-2021-0140. Print 2022 Apr 26.
10
The relationship between essential tremor and Parkinson's disease.特发性震颤与帕金森病之间的关系。
Parkinsonism Relat Disord. 2016 Jan;22 Suppl 1:S162-5. doi: 10.1016/j.parkreldis.2015.09.032. Epub 2015 Oct 9.

引用本文的文献

1
Subclinical tremor differentiation using long short-term memory networks.使用长短期记忆网络进行亚临床震颤鉴别
Phys Eng Sci Med. 2025 Feb 24. doi: 10.1007/s13246-025-01526-0.
2
A multimodal fusion network based on a cross-attention mechanism for the classification of Parkinsonian tremor and essential tremor.基于交叉注意力机制的多模态融合网络用于帕金森震颤和特发性震颤的分类。
Sci Rep. 2024 Nov 14;14(1):28050. doi: 10.1038/s41598-024-79111-w.
3
Detecting Minor Symptoms of Parkinson's Disease in the Wild Using Bi-LSTM with Attention Mechanism.

本文引用的文献

1
Combined accelerometer and genetic analysis to differentiate essential tremor from Parkinson's disease.联合加速度计与基因分析以鉴别特发性震颤与帕金森病。
PeerJ. 2018 Jul 20;6:e5308. doi: 10.7717/peerj.5308. eCollection 2018.
2
Hand Tremor Questionnaire: A Useful Screening Tool for Differentiating Patients with Hand Tremor between Parkinson's Disease and Essential Tremor.手部震颤问卷:一种区分帕金森病和特发性震颤手部震颤患者的有用筛查工具。
J Clin Neurol. 2018 Jul;14(3):381-386. doi: 10.3988/jcn.2018.14.3.381.
3
Wrist sensor-based tremor severity quantification in Parkinson's disease using convolutional neural network.
使用带注意力机制的 Bi-LSTM 模型在野外检测帕金森病的微小症状。
Sensors (Basel). 2023 Sep 13;23(18):7850. doi: 10.3390/s23187850.
4
Using histogram analysis of the intrinsic brain activity mapping to identify essential tremor.利用大脑固有活动图谱的直方图分析来识别特发性震颤。
Front Neurol. 2023 Jun 19;14:1165603. doi: 10.3389/fneur.2023.1165603. eCollection 2023.
5
Explainable machine learning with pairwise interactions for the classification of Parkinson's disease and SWEDD from clinical and imaging features.基于两两交互的可解释机器学习在帕金森病和 SWEDD 的临床和影像特征分类中的应用。
Brain Imaging Behav. 2022 Oct;16(5):2188-2198. doi: 10.1007/s11682-022-00688-9. Epub 2022 May 26.
基于腕部传感器的帕金森病震颤严重程度的卷积神经网络定量分析。
Comput Biol Med. 2018 Apr 1;95:140-146. doi: 10.1016/j.compbiomed.2018.02.007. Epub 2018 Feb 15.
4
How Wearable Sensors Can Support Parkinson's Disease Diagnosis and Treatment: A Systematic Review.可穿戴传感器如何支持帕金森病的诊断与治疗:一项系统综述
Front Neurosci. 2017 Oct 6;11:555. doi: 10.3389/fnins.2017.00555. eCollection 2017.
5
Differential diagnosis between Parkinson's disease and essential tremor using the smartphone's accelerometer.使用智能手机加速度计对帕金森病和特发性震颤进行鉴别诊断。
PLoS One. 2017 Aug 25;12(8):e0183843. doi: 10.1371/journal.pone.0183843. eCollection 2017.
6
Rest tremor revisited: Parkinson's disease and other disorders.再谈静止性震颤:帕金森病及其他疾病
Transl Neurodegener. 2017 Jun 16;6:16. doi: 10.1186/s40035-017-0086-4. eCollection 2017.
7
A data mining approach using cortical thickness for diagnosis and characterization of essential tremor.利用皮质厚度进行数据挖掘,以诊断和表征特发性震颤。
Sci Rep. 2017 May 19;7(1):2190. doi: 10.1038/s41598-017-02122-3.
8
Tremor stability index: a new tool for differential diagnosis in tremor syndromes.震颤稳定性指数:一种用于震颤综合征鉴别诊断的新工具。
Brain. 2017 Jul 1;140(7):1977-1986. doi: 10.1093/brain/awx104.
9
Functional Ability Improved in Essential Tremor by IncobotulinumtoxinA Injections Using Kinematically Determined Biomechanical Patterns - A New Future.使用运动学确定的生物力学模式注射英科博妥毒素A可改善特发性震颤的功能能力——新的未来。
PLoS One. 2016 Apr 21;11(4):e0153739. doi: 10.1371/journal.pone.0153739. eCollection 2016.
10
Closed-Loop Control of Tremor-Predominant Parkinsonian State Based on Parameter Estimation.基于参数估计的震颤为主型帕金森状态闭环控制。
IEEE Trans Neural Syst Rehabil Eng. 2016 Oct;24(10):1109-1121. doi: 10.1109/TNSRE.2016.2535358. Epub 2016 Feb 29.