Publications

Refine Results

(Filters Applied) Clear All

Detecting Parkinson's disease from wrist-worn accelerometry in the U.K. Biobank

Published in:
Sensors, Vol. 21, No. 6, 2021, Art. No. 2047.

Summary

Parkinson's disease (PD) is a chronic movement disorder that produces a variety of characteristic movement abnormalities. The ubiquity of wrist-worn accelerometry suggests a possible sensor modality for early detection of PD symptoms and subsequent tracking of PD symptom severity. As an initial proof of concept for this technological approach, we analyzed the U.K. Biobank data set, consisting of one week of wrist-worn accelerometry from a population with a PD primary diagnosis and an age-matched healthy control population. Measures of movement dispersion were extracted from automatically segmented gait data, and measures of movement dimensionality were extracted from automatically segmented low-movement data. Using machine learning classifiers applied to one week of data, PD was detected with an area under the curve (AUC) of 0.69 on gait data, AUC = 0.84 on low-movement data, and AUC = 0.85 on a fusion of both activities. It was also found that classification accuracy steadily improved across the one-week data collection, suggesting that higher accuracy could be achievable from a longer data collection. These results suggest the viability of using a low-cost and easy-to-use activity sensor for detecting movement abnormalities due to PD and motivate further research on early PD detection and tracking of PD symptom severity.
READ LESS

Summary

Parkinson's disease (PD) is a chronic movement disorder that produces a variety of characteristic movement abnormalities. The ubiquity of wrist-worn accelerometry suggests a possible sensor modality for early detection of PD symptoms and subsequent tracking of PD symptom severity. As an initial proof of concept for this technological approach, we...

READ MORE

Using oculomotor features to predict changes in optic nerve sheath diameter and ImPACT scores from contact-sport athletes

Summary

There is mounting evidence linking the cumulative effects of repetitive head impacts to neuro-degenerative conditions. Robust clinical assessment tools to identify mild traumatic brain injuries are needed to assist with timely diagnosis for return-to-field decisions and appropriately guide rehabilitation. The focus of the present study is to investigate the potential for oculomotor features to complement existing diagnostic tools, such as measurements of Optic Nerve Sheath Diameter (ONSD) and Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). Thirty-one high school American football and soccer athletes were tracked through the course of a sports season. Given the high risk of repetitive head impacts associated with both soccer and football, our hypotheses were that (1) ONSD and ImPACT scores would worsen through the season and (2) oculomotor features would effectively capture both neurophysiological changes reflected by ONSD and neuro-functional status assessed via ImPACT. Oculomotor features were used as input to Linear Mixed-Effects Regression models to predict ONSD and ImPACT scores as outcomes. Prediction accuracy was evaluated to identify explicit relationships between eye movements, ONSD, and ImPACT scores. Significant Pearson correlations were observed between predicted and actual outcomes for ONSD (Raw = 0.70; Normalized = 0.45) and for ImPACT (Raw = 0.86; Normalized = 0.71), demonstrating the capability of oculomotor features to capture neurological changes detected by both ONSD and ImPACT. The most predictive features were found to relate to motor control and visual-motor processing. In future work, oculomotor models, linking neural structures to oculomotor function, can be built to gain extended mechanistic insights into neurophysiological changes observed through seasons of participation in contact sports.
READ LESS

Summary

There is mounting evidence linking the cumulative effects of repetitive head impacts to neuro-degenerative conditions. Robust clinical assessment tools to identify mild traumatic brain injuries are needed to assist with timely diagnosis for return-to-field decisions and appropriately guide rehabilitation. The focus of the present study is to investigate the potential...

READ MORE

Investigation of the relationship of vocal, eye-tracking, and fMRI ROI time-series measures with preclinical mild traumatic brain injury

Summary

In this work, we are examining correlations between vocal articulatory features, ocular smooth pursuit measures, and features from the fMRI BOLD response in regions of interest (ROI) time series in a high school athlete population susceptible to repeated head impact within a sports season. Initial results have indicated relationships between vocal features and brain ROIs that may show which components of the neural speech networks effected are effected by preclinical mild traumatic brain injury (mTBI). The data used for this study was collected by Purdue University on 32 high school athletes over the entirety of a sports season (Helfer, et al., 2014), and includes fMRI measurements made pre-season, in-season, and postseason. The athletes are 25 male football players and 7 female soccer players. The Immediate Post-Concussion Assessment and Cognitive Testing suite (ImPACT) was used as a means of assessing cognitive performance (Broglio, Ferrara, Macciocchi, Baumgartner, & Elliott, 2007). The test is made up of six sections, which measure verbal memory, visual memory, visual motor speed, reaction time, impulse control, and a total symptom composite. Using each test, a threshold is set for a change in cognitive performance. The threshold for each test is defined as a decline from baseline that exceeds one standard deviation, where the standard deviation is computed over the change from baseline across all subjects’ test scores. Speech features were extracted from audio recordings of the Grandfather Passage, which provides a standardized and phonetically balanced sample of speech. Oculomotor testing included two experimental conditions. In the smooth pursuit condition, a single target moving circularly, at constant speed. In the saccade condition, a target was jumped between one of three location along the horizontal midline of the screen. In both trial types, subjects visually tracked the targets during the trials, which lasted for one minute. The fMRI features are derived from the bold time-series data from resting state fMRI scans of the subjects. The pre-processing of the resting state fMRI and accompanying structural MRI data (for Atlas registration) was performed with the toolkit CONN (Whitfield-Gabrieli & Nieto-Castanon, 2012). Functional connectivity was generated using cortical and sub-cortical atlas registrations. This investigation will explores correlations between these three modalities and a cognitive performance assessment.
READ LESS

Summary

In this work, we are examining correlations between vocal articulatory features, ocular smooth pursuit measures, and features from the fMRI BOLD response in regions of interest (ROI) time series in a high school athlete population susceptible to repeated head impact within a sports season. Initial results have indicated relationships between...

READ MORE

Detecting depression using vocal, facial and semantic communication cues

Summary

Major depressive disorder (MDD) is known to result in neurophysiological and neurocognitive changes that affect control of motor, linguistic, and cognitive functions. MDD's impact on these processes is reflected in an individual's communication via coupled mechanisms: vocal articulation, facial gesturing and choice of content to convey in a dialogue. In particular, MDD-induced neurophysiological changes are associated with a decline in dynamics and coordination of speech and facial motor control, while neurocognitive changes influence dialogue semantics. In this paper, biomarkers are derived from all of these modalities, drawing first from previously developed neurophysiologically motivated speech and facial coordination and timing features. In addition, a novel indicator of lower vocal tract constriction in articulation is incorporated that relates to vocal projection. Semantic features are analyzed for subject/avatar dialogue content using a sparse coded lexical embedding space, and for contextual clues related to the subject's present or past depression status. The features and depression classification system were developed for the 6th International Audio/Video Emotion Challenge (AVEC), which provides data consisting of audio, video-based facial action units, and transcribed text of individuals communicating with the human-controlled avatar. A clinical Patient Health Questionnaire (PHQ) score and binary depression decision are provided for each participant. PHQ predictions were obtained by fusing outputs from a Gaussian staircase regressor for each feature set, with results on the development set of mean F1=0.81, RMSE=5.31, and MAE=3.34. These compare favorably to the challenge baseline development results of mean F1=0.73, RMSE=6.62, and MAE=5.52. On test set evaluation, our system obtained a mean F1=0.70, which is similar to the challenge baseline test result. Future work calls for consideration of joint feature analyses across modalities in an effort to detect neurological disorders based on the interplay of motor, linguistic, affective, and cognitive components of communication.
READ LESS

Summary

Major depressive disorder (MDD) is known to result in neurophysiological and neurocognitive changes that affect control of motor, linguistic, and cognitive functions. MDD's impact on these processes is reflected in an individual's communication via coupled mechanisms: vocal articulation, facial gesturing and choice of content to convey in a dialogue. In...

READ MORE

Relation of automatically extracted formant trajectories with intelligibility loss and speaking rate decline in amyotrophic lateral sclerosis

Summary

Effective monitoring of bulbar disease progression in persons with amyotrophic lateral sclerosis (ALS) requires rapid, objective, automatic assessment of speech loss. The purpose of this work was to identify acoustic features that aid in predicting intelligibility loss and speaking rate decline in individuals with ALS. Features were derived from statistics of the first (F1) and second (F2) formant frequency trajectories and their first and second derivatives. Motivated by a possible link between components of formant dynamics and specific articulator movements, these features were also computed for low-pass and high-pass filtered formant trajectories. When compared to clinician-rated intelligibility and speaking rate assessments, F2 features, particularly mean F2 speed and a novel feature, mean F2 acceleration, were most strongly correlated with intelligibility and speaking rate, respectively (Spearman correlations > 0.70, p < 0.0001). These features also yielded the best predictions in regression experiments (r > 0.60, p < 0.0001). Comparable results were achieved using low-pass filtered F2 trajectory features, with higher correlations and lower prediction errors achieved for speaking rate over intelligibility. These findings suggest information can be exploited in specific frequency components of formant trajectories, with implications for automatic monitoring of ALS.
READ LESS

Summary

Effective monitoring of bulbar disease progression in persons with amyotrophic lateral sclerosis (ALS) requires rapid, objective, automatic assessment of speech loss. The purpose of this work was to identify acoustic features that aid in predicting intelligibility loss and speaking rate decline in individuals with ALS. Features were derived from statistics...

READ MORE

A vocal modulation model with application to predicting depression severity

Published in:
13th IEEE Int. Conf. on Wearable and Implantable Body Sensor Networks, BSN 2016, 14-17 June 2016.

Summary

Speech provides a potential simple and noninvasive "on-body" means to identify and monitor neurological diseases. Here we develop a model for a class of vocal biomarkers exploiting modulations in speech, focusing on Major Depressive Disorder (MDD) as an application area. Two model components contribute to the envelope of the speech waveform: amplitude modulation (AM) from respiratory muscles, and AM from interaction between vocal tract resonances (formants) and frequency modulation in vocal fold harmonics. Based on the model framework, we test three methods to extract envelopes capturing these modulations of the third formant for synthesized sustained vowels. Using subsequent modulation features derived from the model, we predict MDD severity scores with a Gaussian Mixture Model. Performing global optimization over classifier parameters and number of principal components, we evaluate performance of the features by examining the root-mean-squared error (RMSE), mean absolute error (MAE), and Spearman correlation between the actual and predicted MDD scores. We achieved RMSE and MAE values 10.32 and 8.46, respectively (Spearman correlation=0.487, p<0.001), relative to a baseline RMSE of 11.86 and MAE of 10.05, obtained by predicting the mean MDD severity score. Ultimately, our model provides a framework for detecting and monitoring vocal modulations that could also be applied to other neurological diseases.
READ LESS

Summary

Speech provides a potential simple and noninvasive "on-body" means to identify and monitor neurological diseases. Here we develop a model for a class of vocal biomarkers exploiting modulations in speech, focusing on Major Depressive Disorder (MDD) as an application area. Two model components contribute to the envelope of the speech...

READ MORE

Assessing functional neural connectivity as an indicator of cognitive performance

Published in:
5th NIPS Workshop on Machine Learning and Interpretation in Neuroimaging, MLINI 2015, 11-12 December 2015.

Summary

Studies in recent years have demonstrated that neural organization and structure impact an individual's ability to perform a given task. Specifically, individuals with greater neural efficiency have been shown to outperform those with less organized functional structure. In this work, we compare the predictive ability of properties of neural connectivity on a working memory task. We provide two novel approaches for characterizing functional network connectivity from electroencephalography (EEG), and compare these features to the average power across frequency bands in EEG channels. Our first novel approach represents functional connectivity structure through the distribution of eigenvalues making up channel coherence matrices in multiple frequency bands. Our second approach creates a connectivity network at each frequency band, and assesses variability in average path lengths of connected components and degree across the network. Failures in digit and sentence recall on single trials are detected using a Gaussian classifier for each feature set, at each frequency band. The classifier results are then fused across frequency bands, with the resulting detection performance summarized using the area under the receiver operating characteristic curve (AUC) statistic. Fused AUC results of 0.63/0.58/0.61 for digit recall failure and 0.58/0.59/0.54 for sentence recall failure are obtained from the connectivity structure, graph variability, and channel power features respectively.
READ LESS

Summary

Studies in recent years have demonstrated that neural organization and structure impact an individual's ability to perform a given task. Specifically, individuals with greater neural efficiency have been shown to outperform those with less organized functional structure. In this work, we compare the predictive ability of properties of neural connectivity...

READ MORE

Showing Results

1-7 of 7