Accurate detection of cerebellar smooth pursuit eye movement abnormalities via mobile phone video and machine learning
Autor: | Christopher D. Stephen, Guillermo Sapiro, Hau-Tieng Wu, Jeremy D. Schmahmann, Anoopum S. Gupta, Zhuoqing Chang, Ziyu Chen |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Ataxia Neurology Adolescent Eye Movements genetic structures lcsh:Medicine Machine learning computer.software_genre Article Smooth pursuit Eye movement abnormalities Machine Learning Young Adult 03 medical and health sciences 0302 clinical medicine Cerebellum Humans Medicine Cerebellar disorder Child lcsh:Science Multidisciplinary business.industry lcsh:R Eye movement Diagnostic markers medicine.disease Pursuit Smooth 030104 developmental biology Child Preschool Spinocerebellar ataxia Female lcsh:Q Artificial intelligence medicine.symptom business computer Cell Phone 030217 neurology & neurosurgery |
Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-10 (2020) Scientific Reports |
ISSN: | 2045-2322 |
DOI: | 10.1038/s41598-020-75661-x |
Popis: | Eye movements are disrupted in many neurodegenerative diseases and are frequent and early features in conditions affecting the cerebellum. Characterizing eye movements is important for diagnosis and may be useful for tracking disease progression and response to therapies. Assessments are limited as they require an in-person evaluation by a neurology subspecialist or specialized and expensive equipment. We tested the hypothesis that important eye movement abnormalities in cerebellar disorders (i.e., ataxias) could be captured from iPhone video. Videos of the face were collected from individuals with ataxia (n = 102) and from a comparative population (Parkinson’s disease or healthy participants, n = 61). Computer vision algorithms were used to track the position of the eye which was transformed into high temporal resolution spectral features. Machine learning models trained on eye movement features were able to identify abnormalities in smooth pursuit (a key eye behavior) and accurately distinguish individuals with abnormal pursuit from controls (sensitivity = 0.84, specificity = 0.77). A novel machine learning approach generated severity estimates that correlated well with the clinician scores. We demonstrate the feasibility of capturing eye movement information using an inexpensive and widely accessible technology. This may be a useful approach for disease screening and for measuring severity in clinical trials. |
Databáze: | OpenAIRE |
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