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| Name | Class |
|---|---|
| Tencent AI Lab | UNKNOWN |
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This study is a pilot study, mainly to explore the potential application value of specific pattern movement after video-based quantitative methods in the early recognition and assessment of Parkinson's disease. According to UPDRS III, a series of motion indicators related to the characteristics of the disease were determined and quantitatively analysed. Motor function scores were given by the senior physicians and the AI video analysis team separately to evaluate the accuracy of the scores of AI video analysis compared with that of senior specialists' team of movement disorders.
In this study, participants are asked to perform video-recorded UPDRS-III test, and the unmarked motion feature identification and quantitative analysis based on the video were conducted.
The investigators have collected standardized motor function videos of patients with Parkinson's disease from outpatient clinics and follow-up since August 2017. Based on the UPDRS III motor function test, the investigators screened five pattern actions that are both disease-characteristic and easy to visualize, including finger tapping, hand movements, pronation-supination movements of hands and gait test. With the assistance of the artificial intelligence team, the characteristic value quantification (frequency, distance, angle, etc.) of the above pattern actions has been initially implemented. Considering that the characteristic values of the pattern action under the identification of video are all continuous variables and cannot be directly compared with the discrete UPDRS rating scale, the investigators initially explored the construction of deep learning algorithm based on UPDRS rating in the previous work to verify the effectiveness of video analysis in motor function evaluation.
In this study, the investigators plan to include patients with Parkinson's disease with different disease severity and analyse the consistency between UPDRS scores evaluated by specialists of movement disorders and video quantification score. The results of this study will hopefully lay a good foundation for launching a large-scale, multi-centre clinical trial in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| H&Y 0 | Age-matched non-disease population, or prodromal Parkinson's patients with no noticeable motor symptoms. This group of patients will perform the video-recorded UPDRS-III test at the time of enrollment and evaluate the motor function using video-based quantitative methods. |
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| H&Y 1 | Hoehn and Yahr disability stage was 1: Unilateral involvement only usually with minimal or no functional disability. This group of patients will perform the video-recorded UPDRS-III test at the time of enrollment and evaluate the motor function using video-based quantitative methods. |
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| H&Y 2 | Hoehn and Yahr disability stage was 2: Bilateral or midline involvement without impairment of balance. This group of patients will perform the video-recorded UPDRS-III test at the time of enrollment and evaluate the motor function using video-based quantitative methods. |
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| H&Y 3 | Hoehn and Yahr disability stage was 3: Bilateral disease: mild to moderate disability with impaired postural reflexes; physically independent. This group of patients will perform the video-recorded UPDRS-III test at the time of enrollment and evaluate the motor function using video-based quantitative methods. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video-based quantitative methods | Diagnostic Test | The AI video analysis is used to automatically identify motion details and quantify motion features such as amplitude and angular velocity, then an algorithm will be applied to generate the degree of motor dysfunction. |
| Measure | Description | Time Frame |
|---|---|---|
| Video-based motor function evaluation (motor function score) | The patient will perform the motor test in Unified Parkinson's Disease Rating Scale (UPDRS III) under the guidance of a movement disorder specialist and recorded by a high-speed camera. The subject's motor function score will be automatically generated in the video sample and compared to a doctor-based scoring score. According to the different pattern actions, the scale is divided into 11 score subscales, each of which is ranged from 0-4 points according to the degree of involvement of the action execution, higher scores represent a worse motor function. The scores of each subscale are summed with the highest score is 44 points. This technology has the potential to be a novel approach to clinical diagnosis and disease assessment. As a pilot study, the sample size is not sufficient to conclude the reliability and effectiveness of the technology. The results of this study will be useful for future sample size estimation of large-scale, multi-centre preclinical trials. | Through study completion, an average of 2 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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outpatients with idiopathic Parkinson's disease
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huashan Hospital | Shanghai | Shanghai Municipality | 200040 | China |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D009461 | Neurologic Manifestations |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| H&Y 4 |
Hoehn and Yahr disability stage was 4: Severely disabling disease; still able to walk or stand unassisted. This group of patients will perform the video-recorded UPDRS-III test at the time of enrollment and evaluate the motor function using video-based quantitative methods. |
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| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |