A fast and non‐invasive artificial intelligence olfactory‐like system that aids diagnosis of Parkinson's disease

Author:

Cao Yina1ORCID,Jiang Lina2ORCID,Zhang Jingxin1ORCID,Fu Yanlu1,Li Qiwei1,Fu Wei3ORCID,Zhu Junjiang4ORCID,Xiang Xiaohui1ORCID,Zhao Guohua1,Kong Dongdong5ORCID,Chen Xing3ORCID,Fang Jiajia1ORCID

Affiliation:

1. Department of Neurology The Fourth Affiliated Hospital of Zhejiang University Medical College Zhejiang China

2. Department of Radiology Fourth Affiliated Hospital of Zhejiang University Medical College Zhejiang China

3. Department of Biomedical Engineering, Key Laboratory of Biomedical Engineering of Ministry of Education of China Zhejiang University Zhejiang China

4. College of Mechanical and Electrical Engineering China Jiliang University Zhejiang China

5. School of Mechatronic Engineering and Automation Shanghai University Shanghai China

Abstract

AbstractBackground and purposeSeveral previous studies have shown that skin sebum analysis can be used to diagnose Parkinson's disease (PD). The aim of this study was to develop a portable artificial intelligence olfactory‐like (AIO) system based on gas chromatographic analysis of the volatile organic compounds (VOCs) in patient sebum and explore its application value in the diagnosis of PD.MethodsThe skin VOCs from 121 PD patients and 129 healthy controls were analyzed using the AIO system and three classic machine learning models were established, including the gradient boosting decision tree (GBDT), random forest and extreme gradient boosting, to assist the diagnosis of PD and predict its severity.ResultsA 20‐s time series of AIO system data were collected from each participant. The VOC peaks at a large number of time points roughly concentrated around 5–12 s were significantly higher in PD subjects. The gradient boosting decision tree model showed the best ability to differentiate PD from healthy controls, yielding a sensitivity of 83.33% and a specificity of 84.00%. However, the system failed to predict PD progression scored by Hoehn−Yahr stage.ConclusionsThis study provides a fast, low‐cost and non‐invasive method to distinguish PD patients from healthy controls. Furthermore, our study also indicates abnormal sebaceous gland secretion in PD patients, providing new evidence for exploring the pathogenesis of PD.

Funder

Medical Science and Technology Project of Zhejiang Province

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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