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发声测试可以通过贝叶斯推理来区分帕金森病患者。

The phonation test can distinguish the patient with Parkinson's disease via Bayes inference.

作者信息

Liu Yifeng, Gong Hongjie, Mouse Meimei, Xu Fan, Zou Xianwei, Yang Jingsheng, Xue Qingping, Huang Min

机构信息

Department of clinical Medicine, School of Clinic Medicine, Chengdu Medical College, Sichuan, 610500 China.

Department of Evidence-based Medicine and Social Medicine, School of Public Health, Chengdu Medical College, Sichuan, 610500 China.

出版信息

Cogn Neurodyn. 2025 Dec;19(1):18. doi: 10.1007/s11571-024-10194-x. Epub 2025 Jan 9.

Abstract

UNLABELLED

Parkinson's disease (PD) is a neurodegenerative disease with various clinical manifestations caused by multiple risk factors. However, the effect of different factors and relationships between different features related to PD and the extent of those factors leading to the incidence of PD remains unclear. we employed Bayesian network to construct a prediction model. The prediction system was trained on the data of 35 patients and 26 controls. The structure learning and parameter learning of Bayesian Network was completed through the tree-augmented network (TAN) and Netica software, respectively. We employed four Bayesian Networks in terms of the syllable, including monosyllables, disyllables, multisyllables and unsegmented syllables. The area under the curve (AUC) of monosyllabic, disyllabic, multisyllabic, and unsegmented-syllable models were 0.95, 0.83, 0.80 and 0.84, respectively. In the monosyllabic tests, the best predictor of PD was duration, the posterior probability of which was 92.70%. Meanwhile, minimum f0 (61.60%) predicted best in the disyllabic tests and the variables that predicted best in multisyllables and unsegmented syllables were end f0 (59.40%) and maximum f0 (58.40%). In the cross-sectional comparison, the prediction effect of each variable in the monosyllabic tests was generally higher than that of other test groups. The monosyllabic models had the highest predicted performance of PD. Among acoustic parameters, duration was the strongest feature in predicting the prevalence of PD in monosyllabic tests. We believe that this network methodology will be a useful tool for the clinical prediction of Parkinson's disease.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s11571-024-10194-x.

摘要

未标注

帕金森病(PD)是一种由多种风险因素引起的具有多种临床表现的神经退行性疾病。然而,不同因素的作用以及与PD相关的不同特征之间的关系,以及这些因素导致PD发病的程度仍不清楚。我们采用贝叶斯网络构建预测模型。该预测系统在35例患者和26例对照的数据上进行训练。贝叶斯网络的结构学习和参数学习分别通过树增强网络(TAN)和Netica软件完成。我们根据音节采用了四个贝叶斯网络,包括单音节、双音节、多音节和未分割音节。单音节、双音节、多音节和未分割音节模型的曲线下面积(AUC)分别为0.95、0.83、0.80和0.84。在单音节测试中,PD的最佳预测指标是时长,其后验概率为92.70%。同时,在双音节测试中最小基频(61.60%)预测效果最佳,在多音节和未分割音节中预测效果最佳的变量分别是末尾基频(59.40%)和最大基频(58.40%)。在横断面比较中,单音节测试中各变量的预测效果总体上高于其他测试组。单音节模型对PD的预测性能最高。在声学参数中,时长是单音节测试中预测PD患病率的最强特征。我们认为这种网络方法将成为帕金森病临床预测的有用工具。

补充信息

在线版本包含可在10.1007/s11571-024-10194-x获取的补充材料。

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本文引用的文献

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Robust and language-independent acoustic features in Parkinson's disease.帕金森病中稳健且与语言无关的声学特征。
Front Neurol. 2023 Jun 13;14:1198058. doi: 10.3389/fneur.2023.1198058. eCollection 2023.
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