Amooei Elmira, Sharifi Arash, Manthouri Mohammad
Department of Computer Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Department of Electrical and Electronic Engineering, Shahed University, Tehran, Iran.
J Healthc Inform Res. 2023 Feb 13;7(1):104-124. doi: 10.1007/s41666-023-00130-9. eCollection 2023 Mar.
Early diagnosis of neurodegenerative diseases has always been a major challenge that physicians and medical practitioners face. Therefore, using any method or device that helps with prognostics is of great importance. In recent years, deep neural networks have become popular in medical fields, and the reason is that these networks can help diagnose diseases quickly and precisely. In this research, two novel models based on a CNN-LSTM network are introduced. The main goal is to classify three neurodegenerative diseases, including ALS, Parkinson's disease, and Huntington's disease, from one another and from healthy control patients using the gait signals, which are transformed into spectrogram images. In the first model, the spectrogram images derived from the gait signals are fed into a CNN-LSTM network directly. This model achieved 99.42% accuracy. In the second model, the same input data was used to be classified using a CNN-LSTM network, which uses wavelet transform as a feature extractor before the LSTM unit. During the experiments with the second model, the detail sub-bands were eliminated one by one, and the classification results were compared. Comparing these two models has shown that using the wavelet transform and, in particular, the approximation sub-bands can result in a lighter and faster prognosis with nearly 103 times fewer training parameters overall. The classification result using only approximation sub-bands was 95.37%, using three sub-bands was 94.04%, and including all sub-bands was 94.53%, which is remarkable.
神经退行性疾病的早期诊断一直是医生和医学从业者面临的重大挑战。因此,使用任何有助于预后诊断的方法或设备都非常重要。近年来,深度神经网络在医学领域变得很流行,原因是这些网络可以帮助快速、准确地诊断疾病。在本研究中,引入了两种基于CNN-LSTM网络的新型模型。主要目标是利用步态信号(转换为频谱图图像)对三种神经退行性疾病(包括肌萎缩侧索硬化症、帕金森病和亨廷顿舞蹈症)与健康对照患者进行相互分类。在第一个模型中,将从步态信号中获得的频谱图图像直接输入到CNN-LSTM网络中。该模型的准确率达到了99.42%。在第二个模型中,使用相同的输入数据,通过一个在LSTM单元之前使用小波变换作为特征提取器的CNN-LSTM网络进行分类。在第二个模型的实验过程中,逐个消除细节子带,并比较分类结果。比较这两个模型表明,使用小波变换,特别是近似子带,可以实现更轻量、更快速的预后诊断,总体训练参数减少近103倍。仅使用近似子带的分类结果为95.37%,使用三个子带的分类结果为94.04%,包括所有子带的分类结果为94.53%,这一结果非常显著。