Among neural disorders related to movement, essential tremor has the highest prevalence; in fact, it is twenty times more common than Parkinson’s disease. The drawing of the Archimedes’ spiral is the gold standard test to distinguish between both pathologies. The aim of this paper is to select non-linear biomarkers based on the analysis of digital drawings. It belongs to a larger cross study for early diagnosis of essential tremor that also includes genetic information. The proposed automatic analysis system consists in a hybrid solution: Machine Learning paradigms and automatic selection of features based on statistical tests using medical criteria. Moreover, the selected biomarkers comprise not only commonly used linear features (static and dynamic), but also other non-linear ones: Shannon entropy and Fractal Dimension. The results are hopeful, and the developed tool can easily be adapted to users; and taking into account social and economic points of view, it could be very helpful in real complex environments.
Biomedical systems are regulated by interacting mechanisms that operate across multiple spatial and temporal scales and produce biosignals with linear and non-linear information inside. In this sense entropy could provide a useful measure about disorder in the system, lack of information in time-series and/or irregularity of the signals. Essential tremor (ET) is the most common movement disorder, being 20 times more common than Parkinson's disease, and 50-70% of this disease cases are estimated to be genetic in origin. Archimedes spiral drawing is one of the most used standard tests for clinical diagnosis. This work, on selection of nonlinear biomarkers from drawings and handwriting, is part of a wide-ranging cross study for the diagnosis of essential tremor in BioDonostia Health Institute. Several entropy algorithms are used to generate nonlinear feayures. The automatic analysis system consists of several Machine Learning paradigms.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.