1 Computer-aid Diagnosis on Major Depressive Disorder Based on EMG from the Splenius Capitis Muscle...

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1 Major Depressive Disorder Based on EMG from the Splenius Capitis Muscle 以以以以以以以以以以以以以以以以以以以以以以 (Part 2) 2010 Annual Symposium on Biomedical Engineering and Technology 以以以 Tsu-Wang Shen1 以以以 Hsin-Fang Li1 以以以 William Shao-Tsu Chen2 1 以以以以以以以以以以 Department of Medical Informatics, Tzu Chi University 2 以以以以以以以以以以以 Department of Psychiatry, Buddhist Tzu- Chi General Hospital Presenter: Tzu-Yu Huang Advisor: Dr. Yen-Ting Chen Date: 12.29.2010

Transcript of 1 Computer-aid Diagnosis on Major Depressive Disorder Based on EMG from the Splenius Capitis Muscle...

  • Computer-aid Diagnosis on Major Depressive Disorder Based onEMG from the Splenius Capitis Muscle(Part 2)2010 Annual Symposium on Biomedical Engineering and TechnologyTsu-Wang Shen1 Hsin-Fang Li1 William Shao-Tsu Chen21 Department of Medical Informatics, Tzu Chi University2 Department of Psychiatry, Buddhist Tzu-Chi General HospitalPresenter: Tzu-Yu HuangAdvisor: Dr. Yen-Ting ChenDate: 12.29.2010

  • Methods and MaterialsAn artificial neural network (ANN)Artificial intelligenceMathematical modelLearning systemComputer-aid diagnosis

    An artificial neural network (ANN):

  • Methods and MaterialsBack propagation neural network (BPNN)Supervised neural networkBack propagation neural network (BPNN):

  • Methods and MaterialsBack propagation neural network (BPNN)Input-to-hiddenWeight

    Activation function : sigmoid

  • Methods and MaterialsBack propagation neural network (BPNN)Hidden-to-outputWeight

    Activation function : pure-linear

  • Methods and MaterialsBack propagation neural network (BPNN)Adjust weightsOutput layer

  • Methods and MaterialsBack propagation neural network (BPNN)Adjust weights

  • Methods and MaterialsSupport vector machine (SVM)ClassificationStatisticsHyperplane

    OSH:Support hyperplane:

  • ResultsT.O.V.AMDD Higher omission ratesHigher mean response times More variabilityEMG featuresMDDLower EA and RMS valuesHigher MF and MPF values

  • ResultsT.O.V.ACompare EMG Comparison by groups during rest *p
  • ResultsT.O.V.ACompare EMG Comparison by group during TOVA*p
  • ResultsAccuracy

  • Conclusion and DiscussionMDD becomes more distinguishable when restingHealth controls have wider range of EA and MFMDD patients have the lower capability on physiological regulationHopefully, the system can be used to detect and to control the MDD disorder in the future.

  • References[1] J.M. Donohue and H.A. Pincus, Reducing the societal burden of depression: a review of economic costs, quality of care and effects of treatment,Pharmacoeconomics 25 (2007) 7.[2] P. Sobocki, B. Jonsson, J. Angst, C. Rehnberg.Cost of depression in Europe. J Ment Health Policy Econ 9 (2006) 87.[3] American Psychiatric Association, Diagnostic and statistical manual of mental disorders (American Psychiatric Association, Washington, DC, 2000).[4] R.C. Kessler, P. Berglund, O. Demler, R. Jin, D.Koretz, K.R. Merikangas, A.J. Rush, E.E. Walters, P.S. Wang; National Comorbidity Survey Replication, The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R), JAMA 289 (2003) 3095-105.[5] G.E. Simon, M. VonKorff, Recognition and management of depression in primary care, Arch Fam Med 4 (1995) 99-105.[6] W. Katon and P. Ciechanowski, Impact of major depression on chronic medical illness. J Psychosom Res 53 (2002) 859-63.[7] E.J. Perez-Stable, J. Miranda, R.F. Munoz, Y.W.Ying, Depression in medical outpatients.Underrecognition and misdiagnosis, Arch Intern Med. 150 (1990) 1083-8.[8] R.M. Carney, B.A. Hong, S. Kulkarni, A. Kapila, A comparison of EMG and SCL in normal and depressed subjects. The Pavlovian journal of biological science, 16:4 (1981) 212-216.[9] A. Erfanian, et al., Evoked EMG in electrically stimulated muscle and mechanisms of fatigue, in Engineering in Medicine and Biology Society (1994) 341 - 342.[10] E. Park and S. G. Meek, Fatigue compensation of the electromyographic signal for prosthetic control and force estimation, Biomedical Engineering, IEEE Transactions on 40 (1993) 1019 -1023.[11] Z. K. Moussavi, et al., The effect of treatment for myofascial trigger points on the EMG fatigue parameters of shoulder muscles, Engineering in Medicine and Biology Society Proceedings of the 19th Annual International Conference of the IEEE 3 (1997) 1082 - 1085.[12] S. Haykin, Neural Networks and Learning Machines (3rd ed.): Prentice Hall (2008).[13] J.F. Greden, N. Genero, H.L. Price, Agitation-increased electromyogram activity in the corrugator muscle region: a possible explanation of the "Omega sign"?, Am J Psychiatry 142 (1985) 348-51.[14] S.H. Woodward, M.J. Friedman, D.L. Bliwise,Sleep and depression in combat-related PTSD inpatients, Biological Psychiatry 39 (1996) 182-92.[15] L. O'Brien-Simpson, P. Di Parsia, J.G. Simmons, and N.B. Allen, Recurrence of major depressive disorder is predicted by inhibited startle magnitude while recovered, Journal of Affective Disorders 112 (2008) 243-9.[16] C. Chang, C. Lin, LIBSVM: a library for support vector machines (2009).

  • Thank You for Your Attention

    Cell body Dendntes ()Synapse ()Axon ()

    Support Vector Machines(SVM)(Classification) Vapnik