Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Detecting Minor Symptoms of Parkinson’s Disease in the Wild Using Bi-LSTM with Attention Mechanism

Version 1 : Received: 14 August 2023 / Approved: 15 August 2023 / Online: 15 August 2023 (08:21:28 CEST)

A peer-reviewed article of this Preprint also exists.

Skaramagkas, V.; Boura, I.; Spanaki, C.; Michou, E.; Karamanis, G.; Kefalopoulou, Z.; Tsiknakis, M. Detecting Minor Symptoms of Parkinson’s Disease in the Wild Using Bi-LSTM with Attention Mechanism. Sensors 2023, 23, 7850. Skaramagkas, V.; Boura, I.; Spanaki, C.; Michou, E.; Karamanis, G.; Kefalopoulou, Z.; Tsiknakis, M. Detecting Minor Symptoms of Parkinson’s Disease in the Wild Using Bi-LSTM with Attention Mechanism. Sensors 2023, 23, 7850.

Abstract

Parkinson’s Disease (PD) is a neurodegenerative disorder characterized by motor and non-motor impairment with various implications on patients’ quality of life. Since currently available therapies are only symptomatic, identifying individuals with prodromal, preclinical or early-stage PD is crucial, as they would be ideal candidates for future disease-modifying therapies. Our analysis aims to develop a robust model for accurate PD detection using accelerometer data collected from PD and non-PD individuals with mild or no tremor during phone conversations. An open-access dataset comprising accelerometer recordings from 22 PD patients and 11 healthy controls (HC) was utilized. The data were pre-processed to extract relevant time, frequency and energy-related features, and a Bidirectional Long Short-Term Memory (Bi-LSTM) model with attention mechanism was employed for classification. The performance of the model was evaluated using 5-fold cross-validation, and metrics of accuracy, precision, recall, specificity, and f1-score were computed. The proposed model demonstrated high accuracy (98%), precision (99%), recall (98%), specificity (96%), and f1-score (98%) in accurately distinguishing PD patients from HC. Our findings indicate that the proposed model outperforms existing approaches and holds promise for detection of PD with subtle symptoms, like tremor, in the wild. Such symptoms can present in the early or even prodromal stage of the disease, and appropriate mobile-based applications may be a practical tool in real-life settings to alert individuals at risk to seek medical assistance or give patients feedback in monitoring their symptoms.

Keywords

Parkinson’s disease; Bi-LSTM with attention; in the wild detection; accelerometer; deep learning

Subject

Engineering, Bioengineering

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