Many studies showed the feasibility of detecting Freezing of Gait (FOG) of Parkinson patients by using several numbers of inertial sensors worn at the body and back-end computing power. This work uses machine learning approaches analyzing the data of one single body-worn inertial sensor system to classify and detect FOG. Long-Short-Term-Memory (LSTM) is employed as the FOG detection algorithm and the Daphnet (FOG and normal gait) dataset provides the data for model training and testing in this paper. The model considers raw data from three channels of the acceleration sensor mounted on the patient's shank and ignores all other data from other sensors. The model is patient dependent and sensitivity and specificity metrics are used to evaluate the model's performance. In this paper, we propose a novel padding method that is applied to the windows of FOG and non-FOG with zero overlaps on the training set and adapts the padding to the individual regions. This method produces windows containing only one type of data and label. The proposed padding method reduces the padding amount by two orders of magnitude compared to bigger batch-sizes in the sequence splitting method offered by MATLAB 2019a. The padding amount is independent of the batch-size. Raw data is fed to the model in the testing mode without any pre-processing or data transformation. The standard rolling window generates fixed-size windows for the test set without overlap and the higher amount of FOG or Normal walking data defines the label of the individual window. The model for one-second long windows applied in this work outperformed the literature results with a sensitivity of 92.57% and a specificity of 95.62% compared to 82% and 94% reported by Masiala et al.
Objectives: This retrospective case study evaluated the interrater and intrarater reliability of seven common extensor tendon pathologic features on musculoskeletal ultrasonography (MSK-US). Materials and Methods: A cohort of 50 patients were imaged due to presenting with atraumatic nonradicular lateral elbow pain. Three experienced and two novice readers rated the images on two separate occasions, and AC1 and kappa coefficients were calculated for each feature. Results: The interrater reliability was fair with respect to fascial thickening/scarring (AC1 = 0.26), tearing (AC1 = 0.35), tendon thickening (AC1 = 0.38), and intratendinous calcification (AC1 = 0.33); substantial for enthesophytes (AC1 = 0.80); and near complete for hyperemia (AC1 = 0.83) and hypoechogenicity (AC1 = 0.92). Intrarater reliability was moderate for fascial thickening/scarring (κ = 0.48), tearing (κ = 0.41), tendon thickening (0.47), intratendinous calcification (κ = 0.56), and hypoechogenicity (κ = 0.47); substantial for hyperemia (κ = 0.71); and almost perfect for enthesophytes (κ = 0.86). Conclusion: MSK-US may be a reliable tool to determine soft tissue changes in common extensor tendon pathology.
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