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      Classification of Parkinson’s disease utilizing multi-edit nearest-neighbor and ensemble learning algorithms with speech samples

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          Abstract

          Background

          The use of speech based data in the classification of Parkinson disease (PD) has been shown to provide an effect, non-invasive mode of classification in recent years. Thus, there has been an increased interest in speech pattern analysis methods applicable to Parkinsonism for building predictive tele-diagnosis and tele-monitoring models. One of the obstacles in optimizing classifications is to reduce noise within the collected speech samples, thus ensuring better classification accuracy and stability. While the currently used methods are effect, the ability to invoke instance selection has been seldomly examined.

          Methods

          In this study, a PD classification algorithm was proposed and examined that combines a multi-edit-nearest-neighbor (MENN) algorithm and an ensemble learning algorithm. First, the MENN algorithm is applied for selecting optimal training speech samples iteratively, thereby obtaining samples with high separability. Next, an ensemble learning algorithm, random forest (RF) or decorrelated neural network ensembles (DNNE), is used to generate trained samples from the collected training samples. Lastly, the trained ensemble learning algorithms are applied to the test samples for PD classification. This proposed method was examined using a more recently deposited public datasets and compared against other currently used algorithms for validation.

          Results

          Experimental results showed that the proposed algorithm obtained the highest degree of improved classification accuracy (29.44%) compared with the other algorithm that was examined. Furthermore, the MENN algorithm alone was found to improve classification accuracy by as much as 45.72%. Moreover, the proposed algorithm was found to exhibit a higher stability, particularly when combining the MENN and RF algorithms.

          Conclusions

          This study showed that the proposed method could improve PD classification when using speech data and can be applied to future studies seeking to improve PD classification methods.

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          Most cited references34

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          Suitability of dysphonia measurements for telemonitoring of Parkinson's disease.

          We present an assessment of the practical value of existing traditional and non-standard measures for discriminating healthy people from people with Parkinson's disease (PD) by detecting dysphonia. We introduce a new measure of dysphonia, Pitch Period Entropy (PPE), which is robust to many uncontrollable confounding effects including noisy acoustic environments and normal, healthy variations in voice frequency. We collected sustained phonations from 31 people, 23 with PD. We then selected 10 highly uncorrelated measures, and an exhaustive search of all possible combinations of these measures finds four that in combination lead to overall correct classification performance of 91.4%, using a kernel support vector machine. In conclusion, we find that non-standard methods in combination with traditional harmonics-to-noise ratios are best able to separate healthy from PD subjects. The selected non-standard methods are robust to many uncontrollable variations in acoustic environment and individual subjects, and are thus well-suited to telemonitoring applications.
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            Prevalence of Parkinson's disease in Europe: A collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group.

            The results of seven population-based studies were examined separately and pooled to obtain age- and sex-specific estimates of the prevalence of PD. An in-person screening instrument and diagnostic clinical examination were used to detect potential PD cases. The overall prevalence (per 100 population) in persons 65 years of age and older was 1.8, with an increase from 0.6 for those age 65 to 69 years to 2.6 for those 85 to 89 years. There were no sex differences in prevalence of PD.
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              • Article: not found

              A comparison of multiple classification methods for diagnosis of Parkinson disease

              Resul Das (2010)
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                Author and article information

                Contributors
                zhanghehua@vip.163.com
                2363194740@qq.com
                941027895@qq.com
                wangpin@cqu.edu.cn
                gaiety@126.com
                yongmingli@cqu.edu.cn
                qiumg_2002@sina.com
                1105837317@qq.com
                601583618@qq.com
                Journal
                Biomed Eng Online
                Biomed Eng Online
                BioMedical Engineering OnLine
                BioMed Central (London )
                1475-925X
                16 November 2016
                16 November 2016
                2016
                : 15
                : 122
                Affiliations
                [1 ]Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042 China
                [2 ]College of Communication Engineering, Chongqing University, Chongqing, 400044 China
                [3 ]Department of Medical Image, College of Biomedical Engineering, Third Military Medical University, Chongqing, 400038 China
                Article
                242
                10.1186/s12938-016-0242-6
                5112697
                27852279
                8c51f2a2-f9d6-4570-bff0-f1fabf4013c8
                © The Author(s) 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 17 July 2016
                : 7 November 2016
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;
                Award ID: 61108086
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100002858, China Postdoctoral Science Foundation;
                Award ID: 2013M532153
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2016

                Biomedical engineering
                classification of parkinson disease,optimal selection of speech samples,multi-edit-nearest-neighbor algorithm (menn),ensemble learning,random forest (rf),decorrelated neural network ensembles (dnne)

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