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帕金森病的运动症状:早期人工智能辅助诊断的关键标志物。

Motor symptoms of Parkinson's disease: critical markers for early AI-assisted diagnosis.

作者信息

Yang Ni, Liu Jing, Sun Dan, Ding Jiajun, Sun Lingzhi, Qi Xianghua, Yan Wei

机构信息

Department of First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.

College of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.

出版信息

Front Aging Neurosci. 2025 Jul 18;17:1602426. doi: 10.3389/fnagi.2025.1602426. eCollection 2025.

DOI:10.3389/fnagi.2025.1602426
PMID:40756325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313583/
Abstract

Parkinson's disease is a prevalent neurodegenerative disorder, where early diagnosis is essential for slowing disease progression and optimizing treatment strategies. The latest developments in artificial intelligence (AI) have introduced new opportunities for early detection. Studies have demonstrated that before obvious motor symptoms appear, PD patients exhibit a range of subtle but quantifiable motor abnormalities. This article provides an overview of AI-driven early detection approaches based on various motor symptoms of PD, including eye movement, facial expression, speech, handwriting, finger tapping, and gait. Specifically, we summarized the characteristic manifestations of these motor symptoms, analyzed the features of the data currently collected for AI-assisted diagnosis, collected the publicly available datasets, evaluated the performance of existing diagnostic models, and discussed their limitations. By scrutinizing the existing research methodologies, this review summarizes the application progress of motor symptom-based AI technology in the early detection of PD, explores the key challenges from experimental techniques to clinical translation applications, and proposes future research directions to promote the clinical practice of AI technology in PD diagnosis.

摘要

帕金森病是一种常见的神经退行性疾病,早期诊断对于减缓疾病进展和优化治疗策略至关重要。人工智能(AI)的最新发展为早期检测带来了新机遇。研究表明,在明显的运动症状出现之前,帕金森病患者就表现出一系列细微但可量化的运动异常。本文概述了基于帕金森病各种运动症状的人工智能驱动的早期检测方法,包括眼球运动、面部表情、言语、笔迹、手指敲击和步态。具体而言,我们总结了这些运动症状的特征表现,分析了当前为人工智能辅助诊断所收集数据的特点,收集了公开可用的数据集,评估了现有诊断模型的性能,并讨论了它们的局限性。通过审视现有的研究方法,本综述总结了基于运动症状的人工智能技术在帕金森病早期检测中的应用进展,探讨了从实验技术到临床转化应用的关键挑战,并提出了未来的研究方向,以促进人工智能技术在帕金森病诊断中的临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/ddafcaed73ec/fnagi-17-1602426-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/c4e6f0114995/fnagi-17-1602426-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/c6b354b4611e/fnagi-17-1602426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/ddafcaed73ec/fnagi-17-1602426-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/c4e6f0114995/fnagi-17-1602426-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/c6b354b4611e/fnagi-17-1602426-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a1/12313583/ddafcaed73ec/fnagi-17-1602426-g003.jpg

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本文引用的文献

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Smartphone-derived multidomain features including voice, finger-tapping movement and gait aid early identification of Parkinson's disease.源自智能手机的多领域特征,包括语音、手指敲击动作和步态,有助于早期识别帕金森病。
NPJ Parkinsons Dis. 2025 May 5;11(1):111. doi: 10.1038/s41531-025-00953-w.
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Dual stream transformer for medication state classification in Parkinson's disease patients using facial videos.用于帕金森病患者药物状态分类的双流变压器,使用面部视频。
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Advances in autonomic dysfunction research in Parkinson's disease.
帕金森病自主神经功能障碍研究进展
Front Aging Neurosci. 2025 Mar 12;17:1468895. doi: 10.3389/fnagi.2025.1468895. eCollection 2025.
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Eye-tracking in Mixed Reality for Diagnosis of Neurodegenerative Diseases.混合现实中的眼动追踪用于神经退行性疾病的诊断
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Treadmill exercise mitigates rotenone-induced neuroinflammation and α-synuclein level in a mouse model of Parkinson's disease.跑步机运动可减轻帕金森病小鼠模型中鱼藤酮诱导的神经炎症和α-突触核蛋白水平。
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Eye Tracking as Biomarker Compared to Neuropsychological Tests in Parkinson Syndromes: An Exploratory Pilot Study Before and After Deep Transcranial Magnetic Stimulation.与神经心理学测试相比,眼动追踪作为帕金森综合征生物标志物的研究:深部经颅磁刺激前后的探索性初步研究
Brain Sci. 2025 Feb 11;15(2):180. doi: 10.3390/brainsci15020180.
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A quantitative Lewy-fold-specific alpha-synuclein seed amplification assay as a progression marker for Parkinson's disease.一种定量的路易小体特异性α-突触核蛋白种子扩增检测法作为帕金森病的病情进展标志物
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