Automated Objective Speech Markers for Differential Diagnosis Between Parkinson's Disease and Atypical Parkinsonian Disorders

Automated Objective Speech Markers for Differential Diagnosis Between Parkinson's Disease and Atypical Parkinsonian Disorders
Author: Biswajit Das
Publisher:
Total Pages: 0
Release: 2021
Genre:
ISBN:

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Speech disorder is an early and prominent manifestation of neurological disorders. Therefore, the breakdown of speech disorders and detecting underlying pathophysiology have invaluable importance to clinical practice. Speech disorder is commonly attributed to aging onset, however, the pattern is mostly distinct for neurogenic voice. Parkinsonism is one of the neurological disorder that refers to idiopathic Parkinson's Disease (PD) and Atypical Parkinsonian Syndromes (APS), such as Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy (MSA). Differential diagnosis of latter disease groups is remains an challenging task due to similar symptoms at the early stages, while early diagnostic certainty is essential for the patient because of the diverging prognosis. Indeed, despite recent efforts, no validated objective speech marker is currently available to guide the clinician for the differential diagnosis. This thesis thus aims to design and define the speech markers that would provide deep insight into speech disorders caused by neurological diseases, and followed by differential diagnosis.Analysis of speech disorder demands at least a speech database by which pattern of speech abnormalities can be assessed. Speech database consisting PD and MSA-P neurological diseases is not available in French language. Thus development of a speech database (Voice4PD-MSA) from PD and MSA-P groups was one of the target of this thesis. While developing Voice4PD-MSA database, we explored CzechData database comprises of speech samples in Czech language for differential diagnosis.The automatic algorithm always in demand to quantify perceptual and visual observation to capture particular speech disorders. Clinically interpretable speech components are considered to capture speech abnormalities in respiration, vowel production, articulator movements, and prosody by objective methods from sustained vowel, word-initial consonants, diadochokinetic (DDK) tasks, and continuous speech. Imprecise vowel comprises deficits in vocal folds opening and closing, involuntary movements of articulator, hypernasality, tremor, and changes in vowel space area are observed to be important for differential diagnosis of MSA-P and PD patients. In imprecise obstruents, devoicing in voiced obstruents and burst in fricatives (anti-spirantization) are identified as distinctive speech markers for MSA-P. In addition, speech indexes related to the subsystem of speech production and dysarthria yield encouraging differentiation and disease specificity in disease groups. Given small amount of data, two-dimensional speech features are designed such that one of the disease group predominates in one speech dimension and consequently discriminate disease groups with good classification score.Early differential diagnosis was another critical objective of the current investigation. The present study observed some encouraging indications about early differential diagnosis exploring the trend of speech markers w.r.t. clinical signs. Thus we aspire that the presented methodology in this thesis would serve as a potential diagnosis tool in clinical practice and further inspire to develop automatic methods to investigate speech disorders in parkinsonism.

An Essay on the Shaking Palsy

An Essay on the Shaking Palsy
Author: James Parkinson
Publisher:
Total Pages: 86
Release: 1817
Genre: Parkinson's disease
ISBN:

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The Dysarthrias

The Dysarthrias
Author: Malcolm Ray McNeil
Publisher:
Total Pages: 276
Release: 1984
Genre: Medical
ISBN:

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Neurologic Differential Diagnosis

Neurologic Differential Diagnosis
Author: Alan B. Ettinger
Publisher: Cambridge University Press
Total Pages: 693
Release: 2014-04-17
Genre: Medical
ISBN: 1107014557

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Unique case-based guide to generating diagnostic possibilities based on the patients' symptoms. Invaluable for psychiatrists and neurologists.

The Neurology of Olfaction

The Neurology of Olfaction
Author: Christopher H. Hawkes
Publisher: Cambridge University Press
Total Pages: 265
Release: 2009-02-12
Genre: Medical
ISBN: 0521682169

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"Written by two experts in the field, this book provides information useful to physicians for assessing and managing chemosensory disorders - with appropriate case-histories - and summarizes the current scientific knowledge of human olfaction. It will be of particular interest to neurologists, otolaryngologists, psychologists, psychiatrists, and neuroscientists."--BOOK JACKET.

Non-Motor Symptoms of Parkinson's Disease

Non-Motor Symptoms of Parkinson's Disease
Author: K. Ray Chaudhuri
Publisher: Oxford University Press, USA
Total Pages: 517
Release: 2014
Genre: Medical
ISBN: 0199684243

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Patients with Parkinson's disease (PD) are known to suffer from motor symptoms of the disease, but they also experience non-motor symptoms (NMS) that are often present before diagnosis or that inevitably emerge with disease progression. The motor symptoms of Parkinson's disease have been extensively researched, and effective clinical tools for their assessment and treatment have been developed and are readily available. In contrast, researchers have only recently begun to focus on the NMS of Parkinson's Disease, which are poorly recognized and inadequately treated by clinicians. The NMS of PD have a significant impact on patient quality of life and mortality and include neuropsychiatric, sleep-related, autonomic, gastrointestinal, and sensory symptoms. While some NMS can be improved with currently available treatments, others may be more refractory and will require research into novel (non-dopaminergic) drug therapies for the future. Edited by members of the UK Parkinson's Disease Non-Motor Group (PD-NMG) and with contributions from international experts, this new edition summarizes the current understanding of NMS symptoms in Parkinson's disease and points the way towards future research.

Movement Disorder Emergencies

Movement Disorder Emergencies
Author: Steven J. Frucht
Publisher: Springer Science & Business Media
Total Pages: 250
Release: 2008-02-10
Genre: Medical
ISBN: 1592599028

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Movement Disorder Emergencies: Diagnosis and Treatment provides a fresh and unique approach to what is already a high-profile subspecialty area in clinical neurology. The disorders covered in this volume are standard fare in the field but emphasize the urgencies and emergencies that can occur. One of the very attractive features of the field of movement disorders is that diagnosis is often based on unique visible and sometimes audible phenomenological symptoms and signs. Therefore, in this era of highly sophisticated laboratory and radiological diagnostic tools, the diagnosis of many movement disorders is still largely made in the clinic where pattern recognition is key. Crucial to astute clinical diagnosis is broad clinical experience. In short, you have to have seen one to recognize one! Patients with movement disorders nearly always present as outpatients but, as aptly recognized by Drs. Frucht and Fahn, this may include acute manifestations leading to emergency presentations, often in an emergency room setting, where they are very likely to be unrecognized and therefore poorly managed. The authors define an “emergency” movement disorder as one in which failure to promptly diagnose and treat may result in significant morbidity or mortality. However, they also stress the importance of certain “can’t miss” diagnoses such as Wilson’s disease, dopa-responsive dystonia, and Whipple’s disease in which delayed diagnosis in less emergent situations can lead to slowly evolving and often irreversible neurological damage with tragic consequences.

Diseases of the Brain, Head and Neck, Spine 2020–2023

Diseases of the Brain, Head and Neck, Spine 2020–2023
Author: Juerg Hodler
Publisher: Springer Nature
Total Pages: 252
Release: 2020-02-14
Genre: Medical
ISBN: 303038490X

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This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.

Applied Computing in Medicine and Health

Applied Computing in Medicine and Health
Author: Dhiya Al-Jumeily
Publisher: Morgan Kaufmann
Total Pages: 367
Release: 2015-08-21
Genre: Computers
ISBN: 012803498X

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Applied Computing in Medicine and Health is a comprehensive presentation of on-going investigations into current applied computing challenges and advances, with a focus on a particular class of applications, primarily artificial intelligence methods and techniques in medicine and health. Applied computing is the use of practical computer science knowledge to enable use of the latest technology and techniques in a variety of different fields ranging from business to scientific research. One of the most important and relevant areas in applied computing is the use of artificial intelligence (AI) in health and medicine. Artificial intelligence in health and medicine (AIHM) is assuming the challenge of creating and distributing tools that can support medical doctors and specialists in new endeavors. The material included covers a wide variety of interdisciplinary perspectives concerning the theory and practice of applied computing in medicine, human biology, and health care. Particular attention is given to AI-based clinical decision-making, medical knowledge engineering, knowledge-based systems in medical education and research, intelligent medical information systems, intelligent databases, intelligent devices and instruments, medical AI tools, reasoning and metareasoning in medicine, and methodological, philosophical, ethical, and intelligent medical data analysis. Discusses applications of artificial intelligence in medical data analysis and classifications Provides an overview of mobile health and telemedicine with specific examples and case studies Explains how behavioral intervention technologies use smart phones to support a patient centered approach Covers the design and implementation of medical decision support systems in clinical practice using an applied case study approach

Rehabilitation in Movement Disorders

Rehabilitation in Movement Disorders
Author: Robert Iansek
Publisher: Cambridge University Press
Total Pages: 263
Release: 2013-05-23
Genre: Medical
ISBN: 110701400X

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Provides a broad overview of current rehabilitation approaches, emphasizing the need for interdisciplinary management and focussing on deliverable outcomes.