Path Signature Representation of Patient-Clinician Interactions as a Predictor for Neuropsychological Tests Outcomes in Children: A Proof of Concept

This research report presents a proof-of-concept study on the application of machine learning techniques to video and speech data collected during diagnostic cognitive assessments of children with a neurodevelopmental disorder. The study utilised a dataset of 39 video recordings, capturing extensive sessions where clinicians administered, among other things, four cognitive assessment tests. From the first 40 minutes of each clinical session, covering the administration of the Wechsler Intelligence Scale for Children (WISC-V), we extracted head positions and speech turns of both clinician and child. Despite the limited sample size and heterogeneous recording styles, the analysis successfully extracted path signatures as features from the recorded data, focusing on patient-clinician interactions. Importantly, these features quantify the interpersonal dynamics of the assessment process (dialogue and movement patterns). Results suggest that these features exhibit promising potential for predicting all cognitive tests scores of the entire session length and for prototyping a predictive model as a clinical decision support tool. Overall, this proof of concept demonstrates the feasibility of leveraging machine learning techniques for clinical video and speech data analysis in order to potentially enhance the efficiency of cognitive assessments for neurodevelopmental disorders in children.

Utilising Bayesian Networks to combine multimodal data and expert opinion for the robust prediction of depression and its symptoms

Predicting the presence of major depressive disorder (MDD) using behavioural and cognitive signals is a highly non-trivial task. The heterogeneous clinical profile of MDD means that any given speech, facial expression and/or observed cognitive pattern may be associated with a unique combination of depressive symptoms. Conventional discriminative machine learning models potentially lack the complexity to robustly model this heterogeneity. Bayesian networks, however, may instead be well-suited to such a scenario. These networks are probabilistic graphical models that efficiently describe the joint probability distribution over a set of random variables by explicitly capturing their conditional dependencies. This framework provides further advantages over standard discriminative modelling by offering the possibility to incorporate expert opinion in the graphical structure of the models, generating explainable model predictions, informing about the uncertainty of predictions, and naturally handling missing data. In this study, we apply a Bayesian framework to capture the relationships between depression, depression symptoms, and features derived from speech, facial expression and cognitive game data collected at thymia.