Tremor is one of the common symptoms of Parkinson’s disease (PD). Thanks to the recent evolution of digital technologies, monitoring of PD patients’ hand movements employing contactless methods gained momentum. Objective: We aimed to quantitatively assess hand movements in patients suffering from PD using the artificial intelligence (AI)-based hand-tracking technologies of MediaPipe. Method: High-frame-rate videos and accelerometer data were recorded from 11 PD patients, two of whom showed classical Parkinsonian-type tremor. In the OFF-state and 30 Minutes after taking their standard oral medication (ON-state), video recordings were obtained. First, we investigated the frequency and amplitude relationship between the video and accelerometer data. Then, we focused on quantifying the effect of taking standard oral treatments. Results: The data extracted from the video correlated well with the accelerometer-based measurement system. Our video-based approach identified the tremor frequency with a small error rate (mean absolute error 0.229 (±0.174) Hz) and an amplitude with a high correlation. The frequency and amplitude of the hand movement before and after medication in PD patients undergoing medication differ. PD Patients experienced a decrease in the mean value for frequency from 2.012 (±1.385) Hz to 1.526 (±1.007) Hz and in the mean value for amplitude from 8.167 (±15.687) a.u. to 4.033 (±5.671) a.u. Conclusions: Our work achieved an automatic estimation of the movement frequency, including the tremor frequency with a low error rate, and to the best of our knowledge, this is the first paper that presents automated tremor analysis before/after medication in PD, in particular using high-frame-rate video data.
Photoacoustic microscopy (PAM) is classified as a hybrid imaging technique based on the photoacoustic effect and has been frequently studied in recent years. Photoacoustic (PA) signals are inherently recorded in a noisy environment and are also exposed to noise by system components. Therefore, it is essential to reduce the noise in PA signals to reconstruct images with less error. In this study, an image reconstruction algorithm for PAM system was implemented and different filtering approaches for denoising were compared. Studies were carried out in three steps: simulation, experimental phantom and blood cell studies. FIR low-pass and band-pass filters and Discrete Wavelet Transform (DWT) based filters (mother wavelets: "bior3.5", "bior3.7", "sym7") with four different thresholding techniques were examined. For the evaluation purpose, Root Mean Square Error (RMSE), Signal to Noise Ratio (SNR) and Contrast to Noise Ratio *Revised manuscript (clean) Click here to download Revised manuscript (clean): CBM Revised Clean-2.docx (CNR) metrics were calculated. In the simulation studies, the most effective methods were obtained as; sym7/heursure/hard thresh. combination (low and medium level noise) and bior3.7/sqtwolog/soft thresh. combination (high-level noise). In experimental phantom studies, noise was classified into five levels. Different filtering approaches perform better depending on the SNR of PA images. For the blood cell study, based on the standard deviation in the background, sym7/sqtwolog/soft thresh. combination provided the best improvement and this result supported the experimental phantom results.
Deep learning (DL) algorithms have achieved important successes in data analysis tasks, thanks to their capability of revealing complex patterns in data. With the advance of new sensors, data storage, and processing hardware, DL algorithms start dominating various fields including neuropsychiatry. There are many types of DL algorithms for different data types from survey data to functional magnetic resonance imaging scans. Because of limitations in diagnosing, estimating prognosis and treatment response of neuropsychiatric disorders; DL algorithms are becoming promising approaches. In this review, we aim to summarize the most common DL algorithms and their applications in neuropsychiatry and also provide an overview to guide the researchers in choosing the proper DL architecture for their research.
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