Analysis of in-air movement in handwriting: A novel marker for Parkinson's disease
•We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis of PD.•By applying feature selection algorithms and support vector machine learning methods to separate PD from HC, we demonstrated 85% classification acc...
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Published in | Computer methods and programs in biomedicine Vol. 117; no. 3; pp. 405 - 411 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Kidlington
Elsevier Ireland Ltd
01.12.2014
Elsevier |
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Abstract | •We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis of PD.•By applying feature selection algorithms and support vector machine learning methods to separate PD from HC, we demonstrated 85% classification accuracy.•Decision support system based on handwriting analysis can be complementary method to diagnosis made by clinician or other decision support systems.
Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis.
We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls.
By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy.
Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD. |
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AbstractList | Background and objective: Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis. Methods: We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls. Results: By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy. Conclusions: Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD. Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis.BACKGROUND AND OBJECTIVEParkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis.We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls.METHODSWe exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls.By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy.RESULTSBy applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy.Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD.CONCLUSIONSAssessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD. •We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis of PD.•By applying feature selection algorithms and support vector machine learning methods to separate PD from HC, we demonstrated 85% classification accuracy.•Decision support system based on handwriting analysis can be complementary method to diagnosis made by clinician or other decision support systems. Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis. We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls. By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy. Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD. Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent hallmarks and usually also the first manifestation of PD is deterioration of handwriting characterized by micrographia and changes in kinematics of handwriting. There is no objective quantitative method of clinical diagnosis of PD. It is thought that PD can only be definitively diagnosed at postmortem, which further highlights the complexities of diagnosis. We exploit the fact that movement during handwriting of a text consists not only from the on-surface movements of the hand, but also from the in-air trajectories performed when the hand moves in the air from one stroke to the next. We used a digitizing tablet to assess both in-air and on-surface kinematic variables during handwriting of a sentence in 37 PD patients on medication and 38 age- and gender-matched healthy controls. By applying feature selection algorithms and support vector machine learning methods to separate PD patients from healthy controls, we demonstrated that assessing the in-air/on-surface hand movements led to accurate classifications in 84% and 78% of subjects, respectively. Combining both modalities improved the accuracy by another 1% over the evaluation of in-air features alone and provided medically relevant diagnosis with 85.61% prediction accuracy. Assessment of in-air movements during handwriting has a major impact on disease classification accuracy. This study confirms that handwriting can be used as a marker for PD and can be with advance used in decision support systems for differential diagnosis of PD. Highlights • We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis of PD. • By applying feature selection algorithms and support vector machine learning methods to separate PD from HC, we demonstrated 85% classification accuracy. • Decision support system based on handwriting analysis can be complementary method to diagnosis made by clinician or other decision support systems. |
Author | Faundez-Zanuy, Marcos Mekyska, Jiří Drotár, Peter Rektorová, Irena Masarová, Lucia Smékal, Zdenek |
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Keywords | Decision support systems Handwriting In-air movement Parkinson's disease Disease classification Micrographia Human Computer vision Cognitive disorder Motion estimation Decision support system Parkinson disease Text Marker Hand Kinematics Body movement Vector support machine Diagnosis Manuscript character Elderly Sentence Age Micrography |
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Snippet | •We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis of PD.•By... Highlights • We exploit the fact that movement during handwriting of a text consists of on-surface and in-air movements and use it for differential diagnosis... Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One of the most frequent... Background and objective: Parkinson's disease (PD) is the second most common neurodegenerative disease affecting significant portion of elderly population. One... |
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SubjectTerms | Accuracy Aged Algorithms Applied sciences Artificial Intelligence Biological and medical sciences Biomechanical Phenomena Case-Control Studies Classifications Computer science; control theory; systems Computerized, statistical medical data processing and models in biomedicine Control equipment Data processing. List processing. Character string processing Decision support systems Decision Support Systems, Clinical Diagnosis Diagnosis, Differential Disease classification Exact sciences and technology Female Hand - physiology Handwriting Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans In-air movement Internal Medicine Male Markers Medical sciences Memory organisation. Data processing Micrographia Middle Aged Models and simulation Motor Skills Movement Nervous system (semeiology, syndromes) Neurology Other Parkinson Disease - diagnosis Parkinson Disease - physiopathology Parkinson's disease Patients Pattern recognition. Digital image processing. Computational geometry Reproducibility of Results Software Support Vector Machine |
Title | Analysis of in-air movement in handwriting: A novel marker for Parkinson's disease |
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