Research Article

New Perspectives for Computer-Aided Discrimination of Parkinson’s Disease and Essential Tremor

Table 2

Most discriminative tremor metrics, extracted from inertial recordings of ET and PD patients. The best cut-off value was selected as closest to upper left corner in the ROC curve. Normalization of values in postural condition to the ones in rest condition increased discriminative power of metrics.

SymbolMetricTaskHandCut-offSensitivity (%)Specificity (%)AUC (95% CI)PPV (%)NPV (%) value value

M1Mean Log power of all harmonics, modified from Muthuraman et al. [18] AOND−7.57988.959.30.74 (0.60, 0.88)68.684.2190.00.003
WED−5.51774.170.40.74 (0.60, 0.88)71.473.1189.00.002
AOND0.98377.885.20.82 (0.71, 0.94)84.079.3128.0<0.001
WED1.41677.874.10.82 (0.71, 0.93)75.076.9129.0<0.001

M2Average of mean Log power of all the harmonics, modified from Muthuraman et al. [18] AO, PO, WE, RED−6.77074.151.90.60 (0.44, 0.76)60.666.7292.00.210
ND−7.24681.555.60.68 (0.54, 0.83)64.775.0231.00.021
AO, PO, WE, RED0.87274.174.10.76 (0.62, 0.90)74.174.1175.00.001
N0.65985.270.40.83 (0.71, 0.95)74.282.6126.0<0.001
AO, PO, WED−6.25177.863.00.72 (0.58, 0.86)67.773.9205.00.006
ND−6.66977.866.70.75 (0.61, 0.88)70.075.0185.00.002
AO, PO, WED1.49466.781.50.82 (0.71, 0.93)78.371.0133.0<0.001
ND0.85688.970.40.83 (0.71, 0.95)75.086.4123.0<0.001

M3Basic tremor frequency power, [18]AO, PO, WE, RED0.01966.759.30.64 (0.49, 0.79)62.164.0264.00.082
AO, PO, WE, RED12.77066.792.60.82 (0.71, 0.93)90.073.5131.0<0.001
AO, PO, WEND0.01174.166.70.74 (0.60, 0.87)69.072.0192.00.003
AO, PO, WEND12.82074.181.50.78 (0.66, 0.92)80.075.9155.0<0.001

M4Mean power of the tremor harmonics, [18]AO, PO, WE, RED0.00577.855.60.65 (0.49, 0.80)63.671.4258.00.065
ND0.00377.863.00.71 (0.57, 0.85)67.873.9212.00.008
AO, PO, WE, RED7.90166.785.20.82 (0.71, 0.93)81.871.9133.0<0.001
ND7.56766.781.50.79 (0.66, 0.92)78.371.0154.0<0.001
AO, PO, WED0.01366.785.20.74 (0.60, 0.88)81.871.9188.00.002
AO, PO, WED10.20166.785.20.82 (0.71, 0.93)81.871.9131.0<0.001

ET patients: positive cases; PD patients: negative cases; normalized to RE task; averaged through all tasks (not normalized to RE task); averaged through all the tasks and normalized to RE task; averaged on postural tasks (not normalized to RE task); averaged on postural tasks and normalized to RE task; D: dominant tremor hand; ND: nondominant tremor hand.