Selection of entropy based features for the analysis of the Archimedes' spiral applied to essential tremor

Biomedical systems are regulated by interacting mechanisms that operate across multiple spatial and temporal scales and produce biosignals with linear and non-linear information inside. In this sense entropy could provide a useful measure about disorder in the system, lack of information in time-series and/or irregularity of the signals. Essential tremor (ET) is the most common movement disorder, being 20 times more common than Parkinson's disease, and 50-70% of this disease cases are estimated to be genetic in origin. Archimedes spiral drawing is one of the most used standard tests for clinical diagnosis. This work, on selection of nonlinear biomarkers from drawings and handwriting, is part of a wide-ranging cross study for the diagnosis of essential tremor in BioDonostia Health Institute. Several entropy algorithms are used to generate nonlinear feayures. The automatic analysis system consists of several Machine Learning paradigms.

A multimodal approach for Parkinson disease analysis

Parkinson's disease (PD) is the second most frequent neurodegenerative disease with prevalence among general population reaching 0.1-1 %, and an annual incidence between 1.3-2.0/10000 inhabitants. The mean age at diagnosis of PD is 55 and most patients are between 50 and 80 years old. The most obvious symptoms are movement-related; these include tremor, rigidity, slowness of movement and walking difficulties. Frequently these are the symptoms that lead to the PD diagnoses. Later, thinking and behavioral problems may arise, and other symptoms include cognitive impairment and sensory, sleep and emotional problems. In this paper we will present an ongoing project that will evaluate if voice and handwriting analysis can be reliable predictors/indicators of swallowing and balance impairments in PD. An important advantage of voice and handwritten analysis is its low intrusiveness and easy implementation in clinical practice. Thus, if a significant correlation between these simple analyses and the gold standard video-fluoroscopic analysis will imply simpler and less stressing diagnostic test for the patients as well as the use of cheaper analysis systems.