Multimodal assessment of Parkinson's disease using electrophysiology and automated motor scoring
Sanders, Teresa H.
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A suite of signal processing algorithms designed for extracting information from brain electrophysiology and movement signals, along with new insights gained by applying these tools to understanding parkinsonism, were presented in this dissertation. The approach taken does not assume any particular stimulus, underlying activity, or synchronizing event, nor does it assume any particular encoding scheme. Instead, novel signal processing applications of complex continuous wavelet transforms, cross-frequency-coupling, feature selection, and canonical correlation were developed to discover the most significant electrophysiologic changes in the basal ganglia and cortex of parkinsonian rhesus monkeys and how these changes are related to the motor signs of parkinsonism. The resulting algorithms effectively characterize the severity of parkinsonism and, when combined with motor signal decoding algorithms, allow technology-assisted multi-modal grading of the primary pathological signs. Based on these results, parallel data collection algorithms were implemented in real-time embedded software and off-the-shelf hardware to develop a new system to facilitate monitoring of the severity of Parkinson's disease signs and symptoms in human patients. Off -line analysis of data collected with the system was subsequently shown to allow discrimination between normal and simulated parkinsonian conditions. The main contributions of the work were in three areas: 1) Evidence of the importance of optimally selecting multiple, non-redundant features for understanding neural information, 2) Discovery of signi ficant correlations between certain pathological motor signs and brain electrophysiology in different brain regions, and 3) Implementation and human subject testing of multi-modal monitoring technology.