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基于连续卷积网络的帕金森病早期诊断:基于无模板离线手绘的笔迹识别。

Early diagnosis of Parkinson's disease using Continuous Convolution Network: Handwriting recognition based on off-line hand drawing without template.

机构信息

School of Electronics and Information Engineering, Hangzhou Dianzi University, Zhejiang 310018, China.

Neurology Department, Zhejiang Hospital, Zhejiang 310013, China.

出版信息

J Biomed Inform. 2022 Jun;130:104085. doi: 10.1016/j.jbi.2022.104085. Epub 2022 Apr 29.

Abstract

The examination of patients' handwriting has become an important auxiliary method for the diagnosis and treatment of Parkinson's disease which can be used for early self-diagnosis of patients with Parkinson's disease. However, at present, the recognition of writing disorders based on artificial intelligence technology mainly relies on pattern templates and intelligent dynamic acquisition equipment, which has some design limitations. And professional acquisition equipment is not suitable for ordinary home patients. In order to facilitate the diagnosis of Parkinson's disease and get more accurate diagnostic results, this paper is devoted to studying various features of spiral hand drawing of Parkinson's disease and developing an auxiliary diagnosis scheme based on hand drawing. Firstly, through the ablation experiment with open dataset, it is verified that the visual information of hand drawing can better reflect the characteristics of hand drawing of patients with Parkinson's disease than the original dynamic information. Secondly, an Archimedes spiral hand drawing dataset is established that can accurately reflect the tremor, shape and spacing characteristics of the image, with no limitation of the application scenario. Finally, Continuous Convolution Network (CC-Net) is proposed to reduce the pooling layer. Compared with the traditional classification network, CC-Net can accurately extract diversified features of hand drawings and maximize the retention of image information, and obtain a higher classification accuracy with qualified stability (the classification accuracy on the dataset of this paper is about 89.3%, MCC is about 0.733, and average AUC is about 0.934).

摘要

对患者笔迹的检查已成为帕金森病诊断和治疗的重要辅助方法,可用于帕金森病患者的早期自我诊断。然而,目前基于人工智能技术的书写障碍识别主要依赖于模式模板和智能动态采集设备,存在一定的设计局限性。并且专业的采集设备并不适合普通家庭患者。为了便于帕金森病的诊断并获得更准确的诊断结果,本文致力于研究帕金森病螺旋手绘的各种特征,并开发基于手绘的辅助诊断方案。首先,通过对公开数据集的消融实验验证,手绘的视觉信息比原始动态信息更能反映帕金森病患者手绘的特征。其次,建立了阿基米德螺旋手绘数据集,能够准确地反映图像的震颤、形状和间距特征,不受应用场景的限制。最后,提出了连续卷积网络(CC-Net)来减少池化层。与传统分类网络相比,CC-Net 可以准确地提取手绘的多样化特征,并最大限度地保留图像信息,在具有合格稳定性的情况下获得更高的分类精度(本文数据集的分类精度约为 89.3%,MCC 约为 0.733,平均 AUC 约为 0.934)。

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