Predicting Parkinson's Disease Severity using Telemonitoring Data and Machine Learning Models: A Principal Component Analysis-based Approach for Remote Healthcare Services during COVID-19 Pandemic
DOI:
https://doi.org/10.59796/jcst.V13N2.2023.694Keywords:
Parkinson's disease diagnosis, Supervised regression model, Machine learning, Complexity reduced model, Intelligent diagnostic software, Telemedicine, Principal componentAbstract
Parkinson's disease (PD) is a progressive and chronic neurological condition that affects about 1% of the world's over-60 population. The COVID-19 pandemic has emphasized the significance of remote healthcare services, such as telemedicine, in managing chronic diseases such as PD. This research intends to construct machine learning (ML) models to predict PD severity utilizing vocal data derived from the UCI database for motor and total Unified Parkinson's disease rating scale (UPDRS) ratings. ML was used to study the association between voice vibration and PD, and PCA and ML models were utilized to minimize model complexity and compare the predictive performance of various statistical models for PD regression. The dataset included 5,875 medical voice records from 42 patients with early-stage PD who participated in a six-month clinical trial. The proposed PCA model simplified the model and achieved a root-mean-square error of 1.78 with an R-squared value of 0.95 for predicting the motor UPDRS and 1.78 with an R-squared value of 0.97 for predicting the total UPDRS. This work can give a framework for developing remote healthcare services for Parkinson's disease and other chronic conditions, which can be helpful during pandemics and other situations where access to in-person care is limited.
References
Ahmed, S., Komeili, M., & Park, J. (2022). Predictive modelling of Parkinson’s disease progression based on RNA-Sequence with densely connected deep recurrent neural networks. Scientific Reports, 12(1), 21469. https://doi.org/10.1038/s41598-022-25454-1
Bhat, S., Acharya, U. R., Hagiwara, Y., Dadmehr, N., & Adeli, H. (2018). Parkinson's disease: Cause factors, measurable indicators, and early diagnosis. Computers in Biology and Medicine, 102, 234-241. https://doi.org/10.1016/j.compbiomed.2018.09.008
Camargo Maluf, F., Feder, D., & Alves de Siqueira Carvalho, A. (2019). Analysis of the relationship between type II diabetes mellitus and Parkinson’s disease: a systematic review. Parkinson’s Disease, 2019. https://doi.org/10.1155/2019/4951379
Cruz, M. J., Nieblas-Bedolla, E., Young, C. C., Feroze, A. H., Williams, J. R., Ellenbogen, R. G., & Levitt, M. R. (2021). United States medicolegal progress and innovation in telemedicine in the age of COVID-19: a primer for neurosurgeons. Neurosurgery. https://doi.org/10.1093/neuros/nyab185
Cuenca-Bermejo, L., Almela, P., Navarro-Zaragoza, J., Fernández Villalba, E., González-Cuello, A.-M., Laorden, M.-L., & Herrero, M.-T. (2021). Cardiac changes in Parkinson’s disease: Lessons from clinical and experimental evidence. International Journal of Molecular Sciences, 22(24), 13488. https://doi.org/10.3390/ijms222413488
Dauer, W., & Przedborski, S. (2003). Parkinson's disease: mechanisms and models. Neuron, 39(6), 889-909. https://doi.org/10.1016/s0896-6273(03)00568-3
Disease, Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease (2003). The unified Parkinson's disease rating scale (UPDRS): status and recommendations. Movement Disorders, 18(7), 738-750. https://doi.org/10.1002/mds.10473
Goldstein, D. S., & Sharabi, Y. (2019). The heart of PD: Lewy body diseases as neurocardiologic disorders. Brain research, 1702, 74-84. https://doi.org/10.1016/j.brainres.2017.09.033
Grover, S., Bhartia, S., Yadav, A., & Seeja, K. (2018). Predicting severity of Parkinson’s disease using deep learning. Procedia computer science, 132, 1788-1794. https://doi.org/10.1016/j.procs.2018.05.154
Idiaquez, J., & Roman, G. C. (2011). Autonomic dysfunction in neurodegenerative dementias. Journal of the neurological sciences, 305(1-2), 22-27. https://doi.org/10.1016/j.jns.2011.02.033
Jiménez, M. C., & Vingerhoets, F. J. (2012). Tremor revisited: treatment of PD tremor. Parkinsonism & related disorders, 18, S93-S95. https://doi.org/10.1016/S1353-8020(11)70030-X
Klockgether, T. (2004). Parkinson’s disease: clinical aspects. Cell and tissue research, 318, 115-120. https://doi.org/10.1007/s00441-004-0975-6
Krämer, H. H., Lautenschläger, G., de Azevedo, M., Doppler, K., Schänzer, A., Best, C., . . . Birklein, F. (2019). Reduced central sympathetic activity in Parkinson's disease. Brain and behavior, 9(12), e01463. https://doi.org/10.1002/brb3.1463
Lamotte, G., Holmes, C., Wu, T., & Goldstein, D. S. (2019). Long-term trends in myocardial sympathetic innervation and function in synucleinopathies. Parkinsonism & related disorders, 67, 27-33. https://doi.org/10.1016/j.parkreldis.2019.09.014
Marino, B. L., de Souza, L. R., Sousa, K., Ferreira, J. V., Padilha, E. C., da Silva, C. H., . . . Hage-Melim, L. I. (2020). Parkinson’s disease: a review from pathophysiology to treatment. Mini reviews in medicinal chemistry, 20(9), 754-767. https://doi.org/10.2174/1389557519666191104110908
Muqtadar, H., Testai, F. D., & Gorelick, P. B. (2012). The dementia of cardiac disease. Current cardiology reports, 14, 732-740. https://doi.org/10.1007/s11886-012-0304-8
Organization, W. H. (2006). Neurological disorders: public health challenges: World Health Organization.
Panyamit, T., Sukvivatn, P., Chanma, P., Kim, Y., Premratanachai, P., & Pechprasarn, S. (2022). Identification of factors in the survival rate of heart failure patients using machine learning models and principal component analysis. Journal of Current Science and Technology, 12(2), 336-348.
Pfeiffer, R. F. (2016). Non-motor symptoms in Parkinson's disease. Parkinsonism & related disorders, 22, S119-S122. https://doi.org/10.1016/j.parkreldis.2015.09.004
Polverino, P., Ajčević, M., Catalan, M., Bertolotti, C., Furlanis, G., Marsich, A., . . . Manganotti, P. (2022). Comprehensive telemedicine solution for remote monitoring of Parkinson’s disease patients with orthostatic hypotension during COVID-19 pandemic. Neurological Sciences, 43(6), 3479-3487. https://doi.org/10.1007/s10072-022-05972-6
Prell, T., Schaller, D., Perner, C., Witte, O. W., & Grosskreutz, J. (2020). Sicca symptoms in Parkinson’s disease: association with other nonmotor symptoms and health-related quality of life. Parkinson’s Disease, 2020. https://doi.org/10.1155/2020/2958635
Raundale, P., Thosar, C., & Rane, S. (2021). Prediction of Parkinson’s disease and severity of the disease using Machine Learning and Deep Learning algorithm. Paper presented at the 2021 2nd International Conference for Emerging Technology (INCET). https://doi.org/10.1109/INCET51464.2021.9456292
Shahid, A. H., & Singh, M. P. (2020). A deep learning approach for prediction of Parkinson’s disease progression. Biomedical Engineering Letters, 10, 227-239. https://doi.org/10.1007/s13534-020-00156-7
Shibata, M., Morita, Y., Shimizu, T., Takahashi, K., & Suzuki, N. (2009). Cardiac parasympathetic dysfunction concurrent with cardiac sympathetic denervation in Parkinson's disease. Journal of the neurological sciences, 276(1-2), 79-83. https://doi.org/10.1016/j.jns.2008.09.005
Simon, K. C., Chen, H., Schwarzschild, M., & Ascherio, A. (2007). Hypertension, hypercholesterolemia, diabetes, and risk of Parkinson disease. Neurology, 69(17), 1688-1695. https://doi.org/10.1212/01.wnl.0000271883.45010.8a
Skorvanek, M., Martinez‐Martin, P., Kovacs, N., Rodriguez‐Violante, M., Corvol, J. C., Taba, P., …, Foltynie, T. (2017). Differences in MDS‐UPDRS scores based on Hoehn and Yahr stage and disease duration. Movement disorders clinical practice, 4(4), 536-544. https://doi.org/10.1002/mdc3.12476
Sood, T., & Khandnor, P. (2019). Classification of parkinson’s disease using various machine learning techniques. Paper presented at the Advances in Computing and Data Sciences: Third International Conference, ICACDS 2019, Ghaziabad, India, April 12–13, 2019, Revised Selected Papers, Part I 3. https://doi.org/10.1007/978-981-13-9939-8_27
Tsanas, A., Little, M., McSharry, P., & Ramig, L. (2009). Accurate telemonitoring of Parkinson’s disease progression by non-invasive speech tests. Nature Precedings, 1-1. https://doi.org/10.1038/npre.2009.3920.1
Wan, S., Liang, Y., Zhang, Y., & Guizani, M. (2018). Deep multi-layer perceptron classifier for behavior analysis to estimate Parkinson’s disease severity using smartphones. IEEE Access, 6, 36825-36833. https://doi.org/10.1109/ACCESS.2018.2851382
Warner, T. T., & Schapira, A. H. (2003). Genetic and environmental factors in the cause of Parkinson's disease. Annals of Neurology: Official Journal of the American Neurological Association and the Child Neurology Society, 53(S3), S16-S25. https://doi.org/10.1001/archneur.1969.00480160015001
Yahr, M. D., Duvoisin, R. C., Schear, M. J., Barrett, R. E., & Hoehn, M. M. (1969). Treatment of parkinsonism with levodopa. Archives of neurology, 21(4), 343-354. https://doi.org/10.1001/archneur.1969.00480160015001
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Journal of Current Science and Technology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.