CN113545771B - Integrated K-neighbor quantitative Parkinson disease diagnosis system based on plantar pressure - Google Patents
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Abstract
An integrated K-nearest neighbor quantitative Parkinson disease diagnosis system based on plantar pressure comprises a signal acquisition preprocessing module, a feature extraction module, a training learning output module and a control module, wherein the signal acquisition preprocessing module is used for acquiring a signal; the signal acquisition and preprocessing module acquires pressure signals of a Parkinson disease person and a healthy person, and preprocessing the pressure signals to obtain signal fragments; the feature extraction module is used for extracting the plantar pressure features, firstly standardizing, secondly determining the intercepting step length, and then determining the plantar pressure feature type and feature set; the training learning output module trains the K neighbor classification model, acquires partial features from the training feature set as input of a K neighbor classification algorithm to form a plurality of K neighbor base classifiers, calculates the output performance of each K neighbor base classifier, calculates the weight of each K neighbor base classifier, completes integrated learning, and completes quantitative diagnosis of the Parkinson's disease by taking the label with the maximum output probability as the health state corresponding to the plantar pressure signal; the invention can efficiently and intelligently complete the quantitative diagnosis of the disease degree of the Parkinson disease patient.
Description
Technical Field
The invention belongs to the technical field of Parkinson disease diagnosis, and particularly relates to an integrated K-nearest neighbor Parkinson disease quantitative diagnosis system based on plantar pressure.
Background
With the aggravation of the aging phenomenon of the society, the number of common senile patients such as the Parkinson disease and the like is increased greatly. As a third killer for middle-aged and elderly people after tumor and cardiovascular and cerebrovascular diseases, the diagnosis and treatment of the Parkinson disease are widely concerned by experts in various fields. However, early symptoms are hidden, and when typical clinical symptoms do not appear yet, the patient has nervous system degenerative changes, and the disease course is progressive, so that quantitative diagnosis is needed to provide support for clinical treatment. The international unified Parkinson disease rating scale which is commonly used is a UPDRS scale, normal, mild, moderate, severe and extreme severe degrees of the Parkinson disease are evaluated by observing patients by doctors, and the methods have certain credibility and effectiveness on the evaluation of the severe degree of the Parkinson disease, but have strong subjectivity and can not accurately and uniformly evaluate the Parkinson disease. The plantar pressure in the normal walking process is used as observation data, has the advantages of non-invasion, small interference, high comfort and the like, and can become basic characteristic source data for evaluating the severity and the development of the Parkinson disease. As a classic mode classification method, the K nearest neighbor method can identify and classify data according to existing empirical data. The method has the advantages of relatively simple structure and algorithm, and the like, and is widely applied to multiple fields of voice, images and the like.
However, the conventional K-nearest neighbor algorithm has two problems when applied to quantitative diagnosis of parkinson's disease. (1) The human healthy individuals have obvious self-difference and are influenced by living habits, occupation, education degrees and the like, different individuals show different changes of sole pressure, and in addition, pathological representation is also complicated and changeable under the influence of environmental factors, so that the difference of healthy groups and Parkinson disease patient groups is submerged in the self-difference of the individuals, and the diagnosis precision is reduced; (2) In the actual clinical diagnosis process, the number of samples of healthy patients and patients with mild diseases is huge, however, the gait data sample volume of patients with serious diseases is extremely rare, and the data with extremely unbalanced distribution cannot learn to obtain a reliable K neighbor classification model which can sufficiently represent the whole fault data distribution, so that the low diagnosis precision is finally caused, and the good diagnosis effect is difficult to obtain.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide an integrated K-nearest neighbor quantitative diagnosis system for Parkinson's disease based on plantar pressure, which can efficiently and intelligently complete quantitative diagnosis of the disease degree of Parkinson's disease patients in a wearable background.
In order to achieve the purpose, the invention adopts the technical scheme that:
an integrated K-nearest neighbor quantitative diagnosis system for Parkinson disease based on plantar pressure comprises a signal acquisition preprocessing module, a feature extraction module and a training learning output module;
the signal acquisition preprocessing module: pressure signals of different positions of soles of a Parkinson patient and a healthy person in the normal walking process are obtained to form a sole pressure signal setPreprocessing the plantar pressure signal to obtain a signal segment;
a feature extraction module: carrying out gait feature extraction, firstly standardizing the signal segment, and secondly determining the step length I of the intercepted signal segment train Then determining the type and the characteristic set of the plantar pressure characteristic;
training and learning output module: training the K neighbor classification model, and training the feature set for multiple timesPartial acquired features are used as input of a K neighbor classification algorithm to form a plurality of different K neighbor base classifiers; calculating the output performance g of each K neighbor base classifier m And F1 m ;
G according to each base classifier m And F1 m Calculating the weight of each K neighbor base classifier, completing ensemble learning, and after training is completed, taking the label with the maximum output probability as a plantar pressure signal x n And according to the health state, completing the quantitative diagnosis of the Parkinson disease.
The pressure signals of different positions of the sole in the signal acquisition preprocessing module comprise: heel, inner and outer arch, inner and outer sole and sole pressure change information at the position of thumb 8.
The signal processing process in the feature extraction module specifically comprises the following steps:
firstly, the plantar pressure signals of the signal segments are standardized, and the signals of all pressure sensors on the soles are divided by the body weight of a tested person to construct a standard signal setFrom plantar pressure signals of each individual separatelyIn step I train Intercepting N in Sample fragments of length, constituting a set of sample fragmentsWherein, the first and the second end of the pipe are connected with each other,is the jth sample fragment of the nth individual and contains N in A data point;
respectively obtaining the pressure mean value characteristics of the sample segmentsWherein the content of the first and second substances,is the ith point in the jth sample segment of the nth individual and the coefficient of variation characteristics of the sample segmentThen extracting the asymmetric characteristics representing the coordination of the left and right lower limbs,forming training feature sets
The training and learning process in the training and learning output module is specifically as follows:
training feature setRandomly assigning features in the set to different training sets of base classifiersForming m different K neighbor base classifiers as the input characteristics of the mth K neighbor classification algorithm, and calculating the output performance of each K neighbor base classifier, g m And F 1 Is to evaluate the effective index for the unbalanced data classification algorithm,for multi-classification, the real class label is 1 as the concerned class, TP is that the predicted class is consistent with the real class, TN is also accurate when the predicted class is the class, FN is that other classes are predicted as the concerned class, FP is that other classes are predicted as the classes;
calculating the weight value of each K neighbor base classifier in the ensemble learning processAnd (4) taking the weight of each base classifier as an integration standard in the integrated learning process to finish integrated K nearest neighbor classification and realize quantitative diagnosis of the Parkinson disease.
The beneficial effects of the invention are as follows:
the invention integrates a K nearest neighbor classification algorithm, directly extracts disease degree characteristics from plantar pressure signals, overcomes individual difference of characteristics of the traditional method, and extracts characteristics with pathological differentiation; and secondly, the diagnosis precision is finally improved for the quantitative diagnosis of the Parkinson disease by utilizing the integrated K nearest neighbor learning method.
Drawings
Fig. 1 is a signal processing flow chart of the present invention.
FIG. 2 is a graph comparing diagnostic results of examples of the present invention.
Detailed Description
The invention is described in further detail below with reference to the figures and examples.
Referring to fig. 1, the integrated K-nearest neighbor quantitative Parkinson disease diagnosis system based on plantar pressure comprises a signal acquisition preprocessing module, a feature extraction module and a training output module;
the signal acquisition preprocessing module: acquiring pressure signals of different positions of soles of a Parkinson patient and healthy old people in the normal walking process, comprising the following steps of: the change information of the plantar pressure at the heel, the inner heel, the outer heel, the inner arch, the outer sole and the thumb 8 forms a plantar pressure signal setPreprocessing the plantar pressure signal, and removing a head effect and a tail effect by using signal data in a walking stabilization stage to obtain a signal segment;
a feature extraction module: performing gait feature extraction, firstly normalizing the signal segments to eliminate partial individual differences, and secondly determining the step length I of intercepting the signal segments train And then determining the plantar pressure characteristic type and the characteristic set, specifically:
firstly, the plantar pressure signals of the signal segments are standardized, and the signals of all pressure sensors on the soles are divided by the body weight of a tested person to construct a standard signal setFrom plantar pressure signals of each individual separatelyIn step I train Intercepting N in Sample fragments of length, constituting a set of sample fragmentsWherein, the first and the second end of the pipe are connected with each other,is the jth sample fragment of the nth individual and contains N in A data point;
respectively obtaining the pressure mean value characteristics of the sample segmentsWherein the content of the first and second substances,is the ith point in the jth sample segment of the nth individual and the coefficient of variation characteristics of the sample segmentThen extracting the asymmetric characteristics representing the coordination of the left and right lower limbs,forming training feature sets
A training output module: training the K neighbor classification model, and performing multiple times of training feature setPartial acquired features are used as input of a K neighbor classification algorithm to form a plurality of different K neighbor base classifiers; the output performance of each K-neighbor base classifier is calculated,
g according to each base classifier m And F1 m Calculating to obtain the weight of each K neighbor base classifier, completing ensemble learning, and after training is completed, taking the label with the maximum output probability as a plantar pressure signal x n And (3) completing quantitative diagnosis of the Parkinson disease according to the corresponding health state, specifically comprising the following steps:
training feature setRandomly assigning features in the set to different training sets of base classifiersForming m different K neighbor base classifiers as the input characteristics of the mth K neighbor classification algorithm, and calculating the output performance of each K neighbor base classifier due to g m And F 1 Is to evaluate the effective index for the unbalanced data classification algorithm,for multi-classification, for example, in classification of four classes, 0,1,2,3, the true class label is 1 as the concerned class, TP is that the predicted class is consistent with the true class, that is, the prediction class label is 1, tn is accurate when the predicted class is the class label of the predicted class, that is, the prediction class 0 is 0, and the prediction class 2 is 2, etc.; FN is to predict other classes as the class of interest, i.e. possibly class labeled 0,2,3 is to predict class 1, FP is to predict other classes as class, i.e. possibly class labeled 0 is to predict class labeled 2 or 3;
calculating the weight value of each K neighbor base classifier in the integrated learning processAnd (3) taking the weight of each base classifier as an integration standard in the integrated learning process to finish the integrated K nearest neighbor classification and realize the quantitative diagnosis of the Parkinson disease.
Example (b): the invention is further described by intelligent quantitative diagnosis of disease degree in parkinson's patients of different disease degree.
The gait data set of Parkinson disease comprises gait data of 71 healthy old people and 91 Parkinson disease people, wherein 55 of 91 Parkinson disease people are H&Y2 stage, 27 names of Pah&Y2.5, 9 being H&Y3 phase, containing about 4000 data points per sample; about 80% of all samples were used for model training, and the remaining samples were used for model accuracy testing. Make it possible toThe invention is used for diagnosing the gait data set of the Parkinson disease, and the step length I of the sample segment is intercepted aiming at the data set train At 20, using the present invention, a training accuracy of 96.91% and a testing accuracy of 95.02% can be achieved (a single K-nearest neighbor method yields a training accuracy of 96.71% and a testing accuracy of 94.15%). To verify the effectiveness of the present invention, the diagnostic results of the present invention are compared to those based on time phase characteristics and integrated SVM methods. In a conventional gait phase feature-based diagnostic method (method 1), the extracted features include: gait cycle, swing phase time, stance phase time, double support phase time, and the coefficient of variation and left and right foot asymmetry of these features; then, the characteristics are respectively used as input, and the intelligent quantitative diagnosis of the Parkinson disease with different disease degrees is completed by utilizing the integrated K nearest neighbor method provided by the invention; in the diagnostic method (method 2) of the integrated SVM, the plantar pressure characteristic provided by the invention is taken as input, and the disease degree quantitative diagnosis of the Parkinson disease is completed by using the integrated SVM method.
Compared with the three diagnosis results shown in fig. 2, it can be seen from the comparison result of fig. 2 that the training precision of the time phase feature is 82.65% and the testing precision is 76.03%, which are far lower than the training precision and the testing precision of the present invention, which shows that the pressure feature of the present invention contains more disease state information than the traditional time phase feature, has better distinguishing capability, overcomes the problem that the traditional time phase feature is difficult to be classified by an intelligent algorithm, and obtains higher diagnosis precision. The training precision of the integrated SVM method is 73.24%, and the testing precision is 72.59%, which are lower than the training precision and the testing precision of the method, so that the method can overcome the imbalance of empirical data and realize accurate diagnosis of diseases in different degrees.
Through the analysis of the specific treatment process of the quantitative diagnosis of the Parkinson disease degree and the diagnosis result based on the plantar pressure signal characteristics, the plantar pressure characteristics of the invention have better disease degree identification capability, but the invention can overcome the problem that the distribution of samples of patients with different disease degrees is unbalanced and is not beneficial to the classification of an intelligent algorithm, and the high-efficiency and reliable quantitative intelligent diagnosis is carried out on the Parkinson disease patients with different disease degrees by combining an integrated K neighbor classification method based on the provided plantar pressure signal characteristics, so that higher diagnosis precision is obtained.
Claims (1)
1. An integrated K-nearest neighbor quantitative diagnosis system for Parkinson disease based on plantar pressure is characterized in that: the system comprises a signal acquisition preprocessing module, a feature extraction module and a training learning output module;
the signal acquisition preprocessing module: pressure signals of different positions of soles of a Parkinson patient and a healthy person in the normal walking process are obtained to form a sole pressure signal setPreprocessing the plantar pressure signal to obtain a signal segment;
a feature extraction module: carrying out gait feature extraction, firstly standardizing the signal segment, and secondly determining the step length I of intercepting the signal segment train Then determining the type and the characteristic set of the plantar pressure characteristic;
the training and learning output module: training the K neighbor classification model, and performing multiple times of training feature setPartial acquired features are used as input of a K neighbor classification algorithm to form a plurality of different K neighbor base classifiers; calculating the output performance g of each K neighbor base classifier m And F1 m (ii) a G according to each base classifier m And F1 m Calculating to obtain the weight of each K neighbor base classifier, completing ensemble learning, and after training is completed, using the label with the maximum output probability as the plantar pressure signal x n Completing quantitative diagnosis of the Parkinson disease according to the corresponding health state;
the pressure signals of different positions of the sole in the signal acquisition preprocessing module comprise: heel, inner and outer heels, inner and outer foot arches, inner and outer soles and sole pressure change information at the position of the thumb 8;
the signal processing process in the feature extraction module is specifically as follows:
firstly, the plantar pressure signals of the signal segments are standardized, and the signals of all pressure sensors on the soles are divided by the body weight of a tested person to construct a standard signal setFrom plantar pressure signals of each individual separatelyIn step I train Intercepting N in Sample fragments of length, constituting a set of sample fragmentsWherein the content of the first and second substances,is the jth sample fragment of the nth individual and contains N in A data point;
respectively obtaining the pressure mean value characteristics of the sample segmentsWherein, the first and the second end of the pipe are connected with each other,is the ith point in the jth sample segment of the nth individual and the coefficient of variation characteristics of the sample segmentThen extracting the asymmetric characteristics representing the coordination of the left and right lower limbs,forming training feature sets
The training and learning process in the training and learning output module is specifically as follows:
training feature setRandomly assigning features in the graph to different training sets of base classifiersForming m different K neighbor base classifiers as the input characteristics of the mth K neighbor classification algorithm, and calculating the output performance of each K neighbor base classifier, g m And F 1 Is to evaluate the effective index for the unbalanced data classification algorithm,for multi-classification, the real class label is 1 as the concerned class, TP is the predicted class which is consistent with the real class, TN is the predicted class which is also accurate, FN is the class which predicts other classes as the concerned class, FP is the class which predicts other classes as classes;
calculating the weight value of each K neighbor base classifier in the integrated learning processAnd (3) taking the weight of each base classifier as an integration standard in the integrated learning process to finish the integrated K nearest neighbor classification and realize the quantitative diagnosis of the Parkinson disease.
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