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帕金森病预测:一种基于注意力机制的多模态融合框架,利用笔迹和临床数据

Parkinson's Disease Prediction: An Attention-Based Multimodal Fusion Framework Using Handwriting and Clinical Data.

作者信息

Benredjem Sabrina, Mekhaznia Tahar, Rawad Abdulghafor, Turaev Sherzod, Bennour Akram, Sofiane Bourmatte, Aborujilah Abdulaziz, Al Sarem Mohamed

机构信息

Laboratory of Mathematics, Informatics and Systems (LAMIS), Echahid Cheikh Larbi Tebessi University, Tebessa 12002, Algeria.

Faculty of Computer Studies (FCS), Arab Open University-Oman, P.O. Box 1596, Muscat 130, Oman.

出版信息

Diagnostics (Basel). 2024 Dec 24;15(1):4. doi: 10.3390/diagnostics15010004.

DOI:10.3390/diagnostics15010004
PMID:39795532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11720238/
Abstract

BACKGROUND

Neurodegenerative diseases (NGD) encompass a range of progressive neurological conditions, such as Alzheimer's disease (AD) and Parkinson's disease (PD), characterised by the gradual deterioration of neuronal structure and function. This degeneration manifests as cognitive decline, movement impairment, and dementia. Our focus in this investigation is on PD, a neurodegenerative disorder characterized by the loss of dopamine-producing neurons in the brain, leading to motor disturbances. Early detection of PD is paramount for enhancing quality of life through timely intervention and tailored treatment. However, the subtle nature of initial symptoms, like slow movements, tremors, muscle rigidity, and psychological changes, often reduce daily task performance and complicate early diagnosis.

METHOD

To assist medical professionals in timely diagnosis of PD, we introduce a cutting-edge Multimodal Diagnosis framework (PMMD). Based on deep learning techniques, the PMMD framework integrates imaging, handwriting, drawing, and clinical data to accurately detect PD. Notably, it incorporates cross-modal attention, a methodology previously unexplored within the area, which facilitates the modelling of interactions between different data modalities.

RESULTS

The proposed method exhibited an accuracy of 96% on the independent tests set. Comparative analysis against state-of-the-art models, along with an in-depth exploration of attention mechanisms, highlights the efficacy of PMMD in PD classification.

CONCLUSIONS

The obtained results highlight exciting new prospects for the use of handwriting as a biomarker, along with other information, for optimal model performance. PMMD's success in integrating diverse data sources through cross-modal attention underscores its potential as a robust diagnostic decision support tool for accurately diagnosing PD.

摘要

背景

神经退行性疾病(NGD)涵盖一系列进行性神经疾病,如阿尔茨海默病(AD)和帕金森病(PD),其特征是神经元结构和功能逐渐退化。这种退化表现为认知能力下降、运动障碍和痴呆。我们在本次研究中的重点是帕金森病,这是一种神经退行性疾病,其特征是大脑中产生多巴胺的神经元丧失,导致运动障碍。帕金森病的早期检测对于通过及时干预和量身定制的治疗来提高生活质量至关重要。然而,初始症状的微妙性质,如运动缓慢、震颤、肌肉僵硬和心理变化,常常会降低日常任务表现并使早期诊断复杂化。

方法

为了帮助医学专业人员及时诊断帕金森病,我们引入了一个前沿的多模态诊断框架(PMMD)。基于深度学习技术,PMMD框架整合了成像、笔迹、绘图和临床数据,以准确检测帕金森病。值得注意的是,它纳入了跨模态注意力,这是该领域以前未探索过的一种方法,有助于对不同数据模态之间的相互作用进行建模。

结果

所提出的方法在独立测试集上的准确率为96%。与最先进模型的比较分析以及对注意力机制的深入探索,突出了PMMD在帕金森病分类中的有效性。

结论

所获得的结果突出了将笔迹作为生物标志物以及与其他信息一起用于实现最佳模型性能的令人兴奋的新前景。PMMD通过跨模态注意力成功整合各种数据源,强调了其作为一种强大的诊断决策支持工具准确诊断帕金森病的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/61b691b41e07/diagnostics-15-00004-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/75993d0f0ef0/diagnostics-15-00004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/7dad2bc2e3bd/diagnostics-15-00004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/bd733304f197/diagnostics-15-00004-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/30deb6122f65/diagnostics-15-00004-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/7b5f26dcc647/diagnostics-15-00004-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/d3cbe8c1d474/diagnostics-15-00004-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/53c595108db9/diagnostics-15-00004-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/61b691b41e07/diagnostics-15-00004-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/75993d0f0ef0/diagnostics-15-00004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/7dad2bc2e3bd/diagnostics-15-00004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/bd733304f197/diagnostics-15-00004-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/30deb6122f65/diagnostics-15-00004-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/7b5f26dcc647/diagnostics-15-00004-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/d3cbe8c1d474/diagnostics-15-00004-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/53c595108db9/diagnostics-15-00004-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae6/11720238/61b691b41e07/diagnostics-15-00004-g008.jpg

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Functional Impairment in Individuals With Prodromal or Unrecognized Parkinson Disease.前驱期或未识别的帕金森病患者的功能障碍。
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A nationwide study of the incidence, prevalence and mortality of Parkinson's disease in the Norwegian population.
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