Accessible, At-Home Detection of Parkinson's Disease via Multi-task Video Analysis

Limited access to neurological care leads to missed diagnoses of Parkinson's disease (PD), leaving many individuals unidentified and untreated. We trained a novel neural network-based fusion architecture to detect Parkinson's disease (PD) by analyzing features extracted from webcam recordings of three tasks: finger tapping, facial expression (smiling), and speech (uttering a sentence containing all letters of the alphabet). Additionally, the model incorporated Monte Carlo Dropout to improve prediction accuracy by considering uncertainties. The study participants (n = 845, 272 with PD) were randomly split into three sets: 60% for training, 20% for model selection (hyper-parameter tuning), and 20% for final performance evaluation. The dataset consists of 1102 sessions, each session containing videos of all three tasks. Our proposed model achieved significantly better accuracy, area under the ROC curve (AUROC), and sensitivity at non-inferior specificity compared to any single-task model. Withholding uncertain predictions further boosted the performance, achieving 88.0% (95% CI: 87.7% - 88.4%) accuracy, 93.0% (92.8% - 93.2%) AUROC, 79.3% (78.4% - 80.2%) sensitivity, and 92.6% (92.3% - 92.8%) specificity, at the expense of not being able to predict for 2.3% (2.0% - 2.6%) data. Further analysis suggests that the trained model does not exhibit any detectable bias across sex and ethnic subgroups and is most effective for individuals aged between 50 and 80. This accessible, low-cost approach requiring only an internet-enabled device with a webcam and microphone paves the way for convenient PD screening at home, particularly in regions with limited access to clinical specialists.

Hi5: 2D Hand Pose Estimation with Zero Human Annotation

We propose a new large synthetic hand pose estimation dataset, Hi5, and a novel inexpensive method for collecting high-quality synthetic data that requires no human annotation or validation. Leveraging recent advancements in computer graphics, high-fidelity 3D hand models with diverse genders and skin colors, and dynamic environments and camera movements, our data synthesis pipeline allows precise control over data diversity and representation, ensuring robust and fair model training. We generate a dataset with 583,000 images with accurate pose annotation using a single consumer PC that closely represents real-world variability. Pose estimation models trained with Hi5 perform competitively on real-hand benchmarks while surpassing models trained with real data when tested on occlusions and perturbations. Our experiments show promising results for synthetic data as a viable solution for data representation problems in real datasets. Overall, this paper provides a promising new approach to synthetic data creation and annotation that can reduce costs and increase the diversity and quality of data for hand pose estimation.

Unmasking Parkinson's Disease with Smile: An AI-enabled Screening Framework

Parkinson's disease (PD) diagnosis remains challenging due to lacking a reliable biomarker and limited access to clinical care. In this study, we present an analysis of the largest video dataset containing micro-expressions to screen for PD. We collected 3,871 videos from 1,059 unique participants, including 256 self-reported PD patients. The recordings are from diverse sources encompassing participants' homes across multiple countries, a clinic, and a PD care facility in the US. Leveraging facial landmarks and action units, we extracted features relevant to Hypomimia, a prominent symptom of PD characterized by reduced facial expressions. An ensemble of AI models trained on these features achieved an accuracy of 89.7% and an Area Under the Receiver Operating Characteristic (AUROC) of 89.3% while being free from detectable bias across population subgroups based on sex and ethnicity on held-out data. Further analysis reveals that features from the smiling videos alone lead to comparable performance, even on two external test sets the model has never seen during training, suggesting the potential for PD risk assessment from smiling selfie videos.