Biomed Eng Lett.  2018 Feb;8(1):29-39. 10.1007/s13534-017-0051-2.

Performance of machine learning methods in diagnosing Parkinson's disease based on dysphonia measures

Affiliations
  • 1Montreal Neurological Institute, McGill University, Montreal, QC, Canada. salim.lahmiri@mail.mcgill.ca, amir.shmuel@mcgill.ca
  • 2Department of Neurology, McGill University, Montreal, QC, Canada.
  • 3Department of Neurosurgery, McGill University, Montreal, QC, Canada.
  • 4Department of Physiology, McGill University, Montreal, QC, Canada.
  • 5Department of Biomedical Engineering, McGill University, Montreal, QC, Canada.

Abstract

Parkinson's disease (PD) is a widespread degenerative syndrome that affects the nervous system. Its early appearing symptoms include tremor, rigidity, and vocal impairment (dysphonia). Consequently, speech indicators are important in the identification of PD based on dysphonic signs. In this regard, computer-aided-diagnosis systems based on machine learning can be useful in assisting clinicians in identifying PD patients. In this work, we evaluate the performance of machine learning based techniques for PD diagnosis based on dysphonia symptoms. Several machine learning techniques were considered and trained with a set of twenty-two voice disorder measurements to classify healthy and PD patients. These machine learning methods included linear discriminant analysis (LDA), k nearest-neighbors (k-NN), naïve Bayes (NB), regression trees (RT), radial basis function neural networks (RBFNN), support vector machine (SVM), and Mahalanobis distance classifier. We evaluated the performance of these methods by means of a tenfold cross validation protocol. Experimental results show that the SVM classifier achieved higher average performance than all other classifiers in terms of overall accuracy, G-mean, and area under the curve of the receiver operating characteristic plot. The SVM classifier achieved higher performance measures than the majority of the other classifiers also in terms of sensitivity, specificity, and F-measure statistics. The LDA, k-NN and RT achieved the highest average precision. The RBFNN method yielded the highest F-measure.; however, it performed poorly in terms of other performance metrics. Finally, t tests were performed to evaluate statistical significance of the results, confirming that the SVM outperformed most of the other classifiers on the majority of performance measures. SVM is a promising method for identifying PD patients based on classification of dysphonia measurements.

Keyword

Parkinson's disease; Dysphonia measurements; Machine learning; Classification

MeSH Terms

Bays
Classification
Diagnosis
Dysphonia*
Humans
Machine Learning*
Methods*
Nervous System
Parkinson Disease*
ROC Curve
Sensitivity and Specificity
Support Vector Machine
Trees
Tremor
Voice Disorders
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