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Norel, R.

Publications and source records attributed to Norel, R..

3 recordsLinked to original sources

Speech-based identification of L-DOPA ON/OFF state in Parkinson’s Disease subjects

BackgroundParkinsons disease patients (PDP) are evaluated using the unified Parkinsons disease rating scale (UP-DRS) to follow the longitudinal course of the disease. UP-DRS evaluation is performed by a neurologist, and hence its use is limited in the evaluation of short-term (daily) fluctuations. Subjects taking L-DOPA as part of treatment to reduce symptoms exhibit motor fluctuations as a common complication.\n\nObjectivesThe aim of the study is to assess the use of speech analysis as a proxy to continuously monitor PDP medication state.\n\nMethodsWe combine acoustic, prosody, and semantic features to characterize three speech tasks (picture description, reverse counting and diadochokinetic rate) of 25 PDP evaluated under different medication states: \"ON\" and \"OFF\" L-DOPA.\n\nResultsClassification of medication states using features extracted from audio recordings results in cross-validated accuracy rates of 0.88, 0.84 and 0.71 for the picture description, reverse counting and diadochokinetic rate tasks, respectively. When adding feature selection and semantic features, the accuracy rates increase to 1.00, 0.96 and 0.83 respectively; thus reaching very high classification accuracy on 3 different tasks.\n\nConclusionsWe show that speech-based features are highly predictive of medication state. Given that the highest performance was obtained with a very naturalistic task (picture description), our results suggest the feasibility of accurate, non-burdensome and high-frequency monitoring of medication effects.

neuroscience

Stratification of amyotrophic lateral sclerosis patients: a crowdsourcing approach

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease with substantial heterogeneity in clinical presentation with an urgent need for better stratification tools for clinical development and care. In this study we used a crowdsourcing approach to address the problem of ALS patient stratification. The DREAM Prize4Life ALS Stratification Challenge was a crowdsourcing initiative using data from >10,000 patients from completed ALS clinical trials and 1479 patients from community-based patient registers. Challenge participants used machine learning and clustering techniques to predict ALS progression and survival. By developing new approaches, the best performing teams were able to predict disease outcomes better than currently available methods. At the same time, the integration of clustering components across methods led to the emergence of distinct consensus clusters, separating patients into four consistent groups, each with its unique predictors for classification. This analysis reveals for the first time the potential of a crowdsourcing approach to uncover covert patient sub-populations, and to accelerate disease understanding and therapeutic development.

bioinformatics

Reverse-engineering human olfactory perception from chemical features of odor molecules

Despite 25 years of progress in understanding the molecular mechanisms of olfaction, it is still not possible to predict whether a given molecule will have a perceived odor, or what olfactory percept it will produce. To address this stimulus-percept problem for olfaction, we organized the crowd-sourced DREAM Olfaction Prediction Challenge. Working from a large olfactory psychophysical dataset, teams developed machine learning algorithms to predict sensory attributes of molecules based on their chemoinformatic features. The resulting models predicted odor intensity and pleasantness with high accuracy, and also successfully predicted eight semantic descriptors (\"garlic\", \"fish\", \"sweet\", \"fruit\", \"burnt\", \"spices\", \"flower\", \"sour\"). Regularized linear models performed nearly as well as random-forest-based approaches, with a predictive accuracy that closely approaches a key theoretical limit. The models presented here make it possible to predict the perceptual qualities of virtually any molecule with an impressive degree of accuracy to reverse-engineer the smell of a molecule.\n\nOne Sentence SummaryResults of a crowdsourcing competition show that it is possible to accurately predict and reverse-engineer the smell of a molecule.

neuroscience