Automated Machine Learning for EEG-Based Classification of Parkinson’s Disease Patients

The treatment of Parkinson’s Disease (PD) with Deep Brain Stimulation (DBS) can provide a constant level of motor functioning. Several patients, however, may suffer from postoperative cognitive deterioration. The DBS screening therefore includes an assessment of cognitive functioning prior to DBS surgery. However, these assessments may be influenced by factors such as fatigue or motivation and there is a need for novel biomarkers of cognitive dysfunction to complement the DBS screening. Electroencephalography (EEG) has been previously suggested to identify potential cognitive impairment in PD patients and may have utility during the DBS screening. A limited set of biomarkers (features) from the EEG has been identified for this purpose. Finding new biomarkers is time-consuming and there is no driving hypothesis on which new biomarkers may be important. Based on EEG time series of 40 DBS candidates, this research focuses on automated machine learning techniques to develop EEG-based algorithms for the evaluation of the cognitive function of PD patients. The automated pipeline consists of feature extraction, feature selection, modelling algorithm and optimization. With this approach we extract 794 features from each of the 21 EEG channels which results in a massive feature space. From this feature space the most significant features are selected and used for modelling. The hyperparameters of the model are optimized by a Bayesian technique as part of the automated approach. Aside from the automatically computed features, we also explore the use of features commonly used during clinical evaluation of the EEG, with the result that the model based on automatically computed features achieves a significant higher accuracy (84.0%). The newly identified features are potentially new biomarkers. We used the knowledge gathered from our automated approach to build a hand-crafted model resulting in an accuracy of 91.0%.

[1]  Nacim Betrouni,et al.  Electroencephalography‐based machine learning for cognitive profiling in Parkinson's disease: Preliminary results , 2018, Movement disorders : official journal of the Movement Disorder Society.

[2]  Bart De Moor,et al.  Hyperparameter Search in Machine Learning , 2015, ArXiv.

[3]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[4]  Matteo Pardini,et al.  Prediction of cognitive worsening in de novo Parkinson's disease: Clinical use of biomarkers , 2017, Movement disorders : official journal of the Movement Disorder Society.

[5]  V.J. Geraedts,et al.  Selecting candidates for Deep Brain Stimulation in Parkinson's disease: the role of patients' expectations. , 2019, Parkinsonism & related disorders.

[6]  Masoud Nikravesh,et al.  Feature Extraction: Foundations and Applications (Studies in Fuzziness and Soft Computing) , 2006 .

[7]  Lauren C. Frey,et al.  Electroencephalography (EEG): An Introductory Text and Atlas of Normal and Abnormal Findings in Adults, Children, and Infants , 2016 .

[8]  Markus Hofmann,et al.  Text Mining and Visualization: Case Studies Using Open-Source Tools , 2016 .

[9]  Peter Fuhr,et al.  Increase of EEG Spectral Theta Power Indicates Higher Risk of the Development of Severe Cognitive Decline in Parkinson’s Disease after 3 Years , 2016, Front. Aging Neurosci..

[10]  Volker Roth,et al.  Phase lag index and spectral power as QEEG features for identification of patients with mild cognitive impairment in Parkinson's disease , 2019, Clinical Neurophysiology.

[11]  Hao Wang,et al.  Cooling Strategies for the Moment-Generating Function in Bayesian Global Optimization , 2018, 2018 IEEE Congress on Evolutionary Computation (CEC).

[12]  Andreas W. Kempa-Liehr,et al.  Distributed and parallel time series feature extraction for industrial big data applications , 2016, ArXiv.

[13]  Thomas Bäck,et al.  Machine Learning for Predicting the Damaged Parts of a Low Speed Vehicle Crash , 2018, 2018 Thirteenth International Conference on Digital Information Management (ICDIM).

[14]  Pablo Martinez-Martin,et al.  Evaluation of severity of predominantly non-dopaminergic symptoms in Parkinson's disease: The SENS-PD scale. , 2016, Parkinsonism & related disorders.

[15]  Hao Wang,et al.  A new acquisition function for Bayesian optimization based on the moment-generating function , 2017, 2017 IEEE International Conference on Systems, Man, and Cybernetics (SMC).

[16]  E. Valuations A REVIEW ON EVALUATION METRICS FOR DATA CLASSIFICATION EVALUATIONS , 2015 .

[17]  J. Cummings,et al.  The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment , 2005, Journal of the American Geriatrics Society.

[18]  Cornelis J Stam,et al.  Clinical correlates of quantitative EEG in Parkinson disease , 2018, Neurology.

[19]  Thomas Bäck,et al.  Machine Learning for Predicting the Impact Point of a Low Speed Vehicle Crash , 2018, 2018 17th IEEE International Conference on Machine Learning and Applications (ICMLA).

[20]  M. Muenter,et al.  Frequency of levodopa‐related dyskinesias and motor fluctuations as estimated from the cumulative literature , 2001, Movement disorders : official journal of the Movement Disorder Society.

[21]  Andreas W. Kempa-Liehr,et al.  Time Series FeatuRe Extraction on basis of Scalable Hypothesis tests (tsfresh - A Python package) , 2018, Neurocomputing.

[22]  Witold R. Rudnicki,et al.  Feature Selection with the Boruta Package , 2010 .

[23]  H. Jasper Report of the committee on methods of clinical examination in electroencephalography , 1958 .

[24]  Laura Bonanni,et al.  The democratic aspect of machine learning: Limitations and opportunities for Parkinson's disease , 2018, Movement disorders : official journal of the Movement Disorder Society.