Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning

Abstract Background Automated and accurate assessment for postural abnormalities is necessary to monitor the clinical progress of Parkinson’s disease (PD). The combination of depth camera and machine learning makes this purpose possible. Methods Kinect was used to collect the postural images from 70...

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Autores principales: Zhuoyu Zhang, Ronghua Hong, Ao Lin, Xiaoyun Su, Yue Jin, Yichen Gao, Kangwen Peng, Yudi Li, Tianyu Zhang, Hongping Zhi, Qiang Guan, LingJing Jin
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Publicado: BMC 2021
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spelling oai:doaj.org-article:bbfb35c0b43e4991ab0d06267f4a261a2021-12-05T12:24:44ZAutomated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning10.1186/s12984-021-00959-41743-0003https://doaj.org/article/bbfb35c0b43e4991ab0d06267f4a261a2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12984-021-00959-4https://doaj.org/toc/1743-0003Abstract Background Automated and accurate assessment for postural abnormalities is necessary to monitor the clinical progress of Parkinson’s disease (PD). The combination of depth camera and machine learning makes this purpose possible. Methods Kinect was used to collect the postural images from 70 PD patients. The collected images were processed to extract three-dimensional body joints, which were then converted to two-dimensional body joints to obtain eight quantified coronal and sagittal features (F1-F8) of the trunk. The decision tree classifier was carried out over a data set established by the collected features and the corresponding doctors’ MDS-UPDRS-III 3.13 (the 13th item of the third part of Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale) scores. An objective function was implanted to further improve the human–machine consistency. Results The automated grading of postural abnormalities for PD patients was realized with only six selected features. The intraclass correlation coefficient (ICC) between the machine’s and doctors’ score was 0.940 (95%CI, 0.905–0.962), meaning the machine was highly consistent with the doctors’ judgement. Besides, the decision tree classifier performed outstandingly, reaching 90.0% of accuracy, 95.7% of specificity and 89.1% of sensitivity in rating postural severity. Conclusions We developed an intelligent evaluation system to provide accurate and automated assessment of trunk postural abnormalities in PD patients. This study demonstrates the practicability of our proposed method in the clinical scenario to help making the medical decision about PD.Zhuoyu ZhangRonghua HongAo LinXiaoyun SuYue JinYichen GaoKangwen PengYudi LiTianyu ZhangHongping ZhiQiang GuanLingJing JinBMCarticleParkinson’s diseasePostural abnormalitiesKinectMachine learningNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENJournal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Parkinson’s disease
Postural abnormalities
Kinect
Machine learning
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Parkinson’s disease
Postural abnormalities
Kinect
Machine learning
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Zhuoyu Zhang
Ronghua Hong
Ao Lin
Xiaoyun Su
Yue Jin
Yichen Gao
Kangwen Peng
Yudi Li
Tianyu Zhang
Hongping Zhi
Qiang Guan
LingJing Jin
Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
description Abstract Background Automated and accurate assessment for postural abnormalities is necessary to monitor the clinical progress of Parkinson’s disease (PD). The combination of depth camera and machine learning makes this purpose possible. Methods Kinect was used to collect the postural images from 70 PD patients. The collected images were processed to extract three-dimensional body joints, which were then converted to two-dimensional body joints to obtain eight quantified coronal and sagittal features (F1-F8) of the trunk. The decision tree classifier was carried out over a data set established by the collected features and the corresponding doctors’ MDS-UPDRS-III 3.13 (the 13th item of the third part of Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale) scores. An objective function was implanted to further improve the human–machine consistency. Results The automated grading of postural abnormalities for PD patients was realized with only six selected features. The intraclass correlation coefficient (ICC) between the machine’s and doctors’ score was 0.940 (95%CI, 0.905–0.962), meaning the machine was highly consistent with the doctors’ judgement. Besides, the decision tree classifier performed outstandingly, reaching 90.0% of accuracy, 95.7% of specificity and 89.1% of sensitivity in rating postural severity. Conclusions We developed an intelligent evaluation system to provide accurate and automated assessment of trunk postural abnormalities in PD patients. This study demonstrates the practicability of our proposed method in the clinical scenario to help making the medical decision about PD.
format article
author Zhuoyu Zhang
Ronghua Hong
Ao Lin
Xiaoyun Su
Yue Jin
Yichen Gao
Kangwen Peng
Yudi Li
Tianyu Zhang
Hongping Zhi
Qiang Guan
LingJing Jin
author_facet Zhuoyu Zhang
Ronghua Hong
Ao Lin
Xiaoyun Su
Yue Jin
Yichen Gao
Kangwen Peng
Yudi Li
Tianyu Zhang
Hongping Zhi
Qiang Guan
LingJing Jin
author_sort Zhuoyu Zhang
title Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
title_short Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
title_full Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
title_fullStr Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
title_full_unstemmed Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning
title_sort automated and accurate assessment for postural abnormalities in patients with parkinson’s disease based on kinect and machine learning
publisher BMC
publishDate 2021
url https://doaj.org/article/bbfb35c0b43e4991ab0d06267f4a261a
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