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使用动态模式分解对步态冻结进行个性化预测。

Personalized prediction of gait freezing using dynamic mode decomposition.

作者信息

Fu Zhiwen, Lin Congping, Zhang Yiwei

机构信息

Department of Mathematics and SUSTech International Center for Mathematics, Southern University of Science and Technology, Shenzhen, China.

School of Mathematics and Statistics, Hubei Key Lab of Engineering Modelling and Scientific, Center for Mathematical Sciences, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Sci Rep. 2025 May 28;15(1):18749. doi: 10.1038/s41598-025-88110-4.

DOI:10.1038/s41598-025-88110-4
PMID:40437121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12119878/
Abstract

Freezing of gait (FoG) is a common severe gait disorder in patients with advanced Parkinson's disease. The ability to predict the onset of FoG episodes early on allows for timely intervention, which is essential for improving the life quality of patients. Machine learning and deep learning, the current methods, face real-time diagnosis challenges due to comprehensive data processing requirements. Their "black box" nature makes interpreting features and classification boundaries difficult. In this manuscript, we explored a dynamic mode decomposition (DMD)-based approach together with optimal delay embedding time to reconstruct and predict the time evolution of acceleration signals, and introduced a triple index based on DMD to predict and classify FoG. Our predictive analysis shows 86.5% accuracy in classification, and an early prediction ratio of 81.97% with an average early prediction time of 6.13 s. This DMD-based approach has the potential for real-time patient-specific FoG prediction.

摘要

冻结步态(FoG)是晚期帕金森病患者常见的严重步态障碍。能够早期预测FoG发作的开始时间有助于及时进行干预,这对于提高患者的生活质量至关重要。机器学习和深度学习作为当前的方法,由于需要全面的数据处理,面临实时诊断挑战。它们的“黑箱”性质使得解释特征和分类边界变得困难。在本手稿中,我们探索了一种基于动态模式分解(DMD)的方法,并结合最优延迟嵌入时间来重构和预测加速度信号的时间演变,并引入了基于DMD的三重指标来预测和分类FoG。我们的预测分析显示分类准确率为86.5%,早期预测率为81.97%,平均早期预测时间为6.13秒。这种基于DMD的方法具有针对患者进行实时FoG预测的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/972fe916d593/41598_2025_88110_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/30bafecb4c65/41598_2025_88110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/22a9d75164ee/41598_2025_88110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/917e5b26d9bb/41598_2025_88110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/84e00f3f459c/41598_2025_88110_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/f0b025222b29/41598_2025_88110_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/3e8429f010a4/41598_2025_88110_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/ff0f566aeb56/41598_2025_88110_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/972fe916d593/41598_2025_88110_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/30bafecb4c65/41598_2025_88110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/22a9d75164ee/41598_2025_88110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/917e5b26d9bb/41598_2025_88110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/84e00f3f459c/41598_2025_88110_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/f0b025222b29/41598_2025_88110_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/3e8429f010a4/41598_2025_88110_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/ff0f566aeb56/41598_2025_88110_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e448/12119878/972fe916d593/41598_2025_88110_Fig8_HTML.jpg

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本文引用的文献

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Machine learning and wearable sensors for automated Parkinson's disease diagnosis aid: a systematic review.机器学习和可穿戴传感器在帕金森病自动化诊断辅助中的应用:系统综述。
J Neurol. 2024 Oct;271(10):6452-6470. doi: 10.1007/s00415-024-12611-x. Epub 2024 Aug 14.
2
A Koopman operator-based prediction algorithm and its application to COVID-19 pandemic and influenza cases.基于 Koopman 算子的预测算法及其在 COVID-19 大流行和流感病例中的应用。
Sci Rep. 2024 Mar 9;14(1):5788. doi: 10.1038/s41598-024-55798-9.
3
Detection and prediction of freezing of gait with wearable sensors in Parkinson's disease.
使用可穿戴传感器检测和预测帕金森病患者的冻结步态。
Neurol Sci. 2024 Feb;45(2):431-453. doi: 10.1007/s10072-023-07017-y. Epub 2023 Oct 16.
4
Data-driven modeling and prediction of non-linearizable dynamics via spectral submanifolds.通过谱子流形对不可线性化动力学进行数据驱动建模与预测。
Nat Commun. 2022 Feb 15;13(1):872. doi: 10.1038/s41467-022-28518-y.
5
Data-Driven Prediction of Freezing of Gait Events From Stepping Data.基于步行动作数据的步态冻结事件数据驱动预测
Front Med Technol. 2020 Nov 20;2:581264. doi: 10.3389/fmedt.2020.581264. eCollection 2020.
6
Prediction of Freezing of Gait in Parkinson's Disease Using Wearables and Machine Learning.使用可穿戴设备和机器学习预测帕金森病的步态冻结。
Sensors (Basel). 2021 Jan 17;21(2):614. doi: 10.3390/s21020614.
7
Prediction of Freezing of Gait in Patients With Parkinson's Disease by Identifying Impaired Gait Patterns.通过识别受损步态模式预测帕金森病患者的冻结步态
IEEE Trans Neural Syst Rehabil Eng. 2020 Mar;28(3):591-600. doi: 10.1109/TNSRE.2020.2969649. Epub 2020 Jan 27.
8
Wearable-Sensor-based Detection and Prediction of Freezing of Gait in Parkinson's Disease: A Review.基于可穿戴传感器的帕金森病冻结步态检测与预测:综述。
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Towards Real-Time Prediction of Freezing of Gait in Patients With Parkinson's Disease: Addressing the Class Imbalance Problem.实时预测帕金森病患者的冻结步态:解决类别不平衡问题。
Sensors (Basel). 2019 Sep 10;19(18):3898. doi: 10.3390/s19183898.
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