Addenbrooke’s Cognitive Examination and Individual Domain Cut-Off Scores for Discriminating between Different Cognitive Subtypes of Parkinson’s Disease

Objective. The main aim of this study was to verify the sensitivity and specificity of Addenbrooke’s Cognitive Examination-Revised (ACE-R) in discriminating between Parkinson’s disease (PD) with normal cognition (PD-NC) and PD with mild cognitive impairment (PD-MCI) and between PD-MCI and PD with dementia (PD-D). We also evaluated how ACE-R correlates with neuropsychological cognitive tests in PD. Methods. We examined three age-matched groups of PD patients diagnosed according to the Movement Disorder Society Task Force criteria: PD-NC, PD-MCI, and PD-D. ROC analysis was used to establish specific cut-off scores of ACE-R and its domains. Correlation analyses were performed between ACE-R and its subtests with relevant neuropsychological tests. Results. Statistically significant differences between groups were demonstrated in global ACE-R scores and subscores, except in the language domain. ACE-R cut-off score of 88.5 points discriminated best between PD-MCI and PD-NC (sensitivity 0.68, specificity 0.91); ACE-R of 82.5 points distinguished best between PD-MCI and PD-D (sensitivity 0.70, specificity 0.73). The verbal fluency domain of ACE-R demonstrated the best discrimination between PD-NC and PD-MCI (cut-off score 11.5; sensitivity 0.70, specificity 0.73) while the orientation/attention subscore was best between PD-MCI and PD-D (cut-off score 15.5; sensitivity 0.90, specificity 0.97). ACE-R scores except for ACE-R language correlated with specific cognitive tests of interest

Independent Origin of Sex Chromosomes in Two Species of the Genus Silene

Here we introduce a new model species, Silene colpophylla, that could facilitate research of sex chromosome evolution and sex-determining systems. This species is related to the well-established dioecious plant model Silene latifolia. Our results show that S. colpophylla is, similarly to S. latifolia, a male heterogametic species, but its sex chromosomes have evolved from a different pair of autosomes than in S. latifolia. The results of our phylogenetic study and mapping of homologs of S. latifolia X-linked genes indicate that the sex determination system in S. colpophylla evolved independently from that in S. latifolia. We assert that this model species pair will make it possible to study two independent patterns of sex chromosome evolution in related species

Robust and Complex Approach of Pathological Speech Signal Analysis

This article presents a~study of the approaches in the state-of-the-art in the field of pathological speech signal analysis with a~special focus on parametrization techniques. It provides a~description of 92 speech features where some of them are already widely used in this field of science and some of them have not been tried yet (they come from different areas of speech signal processing like speech recognition or coding). As an original contribution, this work introduces 36 completely new pathological voice measures based on modulation spectra, inferior colliculus coefficients, bicepstrum, sample and approximate entropy and empirical mode decomposition. The significance of these features was tested on 3 (English, Spanish and Czech) pathological voice databases with respect to classification accuracy, sensitivity and specificity. To our best knowledge the introduced approach based on complex feature extraction and robust testing outperformed all works that have been published already in this field. The results (accuracy, sensitivity and specificity equal to $100.0\pm0.0\,\%$) are discussable in the case of Massachusetts Eye and Ear Infirmary (MEEI) database because of its limitation related to a~length of sustained vowels, however in the case of Pr{\'i}ncipe de Asturias (PdA) Hospital in Alcal{\'a} de Henares of Madrid database we made improvements in classification accuracy ($82.1\pm3.3\,\%$) and specificity ($83.8\pm5.1\,\%$) when considering a~single-classifier approach. Hopefully, large improvements may be achieved in the case of Czech Parkinsonian Speech Database (PARCZ), which are discussed in this work as well. All the features introduced in this work were identified by Mann-Whitney~U test as significant (p < 0.05) when processing at least one of the mentioned databases. The largest discriminative power from these proposed features has a~cepstral peak prominence extracted from the first intrinsic mode function ($p = 6.9443\cdot10^{-32}$) which means, that among all newly designed features those that quantify especially hoarseness or breathiness are good candidates for pathological speech identification. The article also mentions some ideas for the future work in the field of pathological speech signal analysis that can be valuable especially under the clinical point of view

Assessing Progress of Parkinson's Disease Using Acoustic Analysis of Phonation

This paper deals with a~complex acoustic analysis of phonation in patients with Parkinson's disease (PD) with a~special focus on estimation of disease progress that is described by 7 different clinical scales (e.\,g. Unified Parkinson's disease rating scale or Beck depression inventory). The analysis is based on parametrization of 5 Czech vowels pronounced by 84 PD patients. Using classification and regression trees we estimated all clinical scores with maximal error lower or equal to 13\,\%. Best estimation was observed in the case of Mini-mental state examination (MAE = 0.77, estimation error 5.50\,\%). Finally, we proposed a~binary classification based on random forests that is able to identify Parkinson's disease with sensitivity SEN = 92.86\,\% (SPE = 85.71\,\%). The parametrization process was based on extraction of 107 speech features quantifying different clinical signs of hypokinetic dysarthria present in PD

Changes in phonation and their relations with Progress of Parkinson's disease

Hypokinetic dysarthria, which is associated with Parkinson’s disease (PD), affects several speech dimensions, including phonation. Although the scientific community has dealt with a quantitative analysis of phonation in PD patients, a complex research revealing probable relations between phonatory features and progress of PD is missing. Therefore, the aim of this study is to explore these relations and model them mathematically to be able to estimate progress of PD during a two-year follow-up. We enrolled 51 PD patients who were assessed by three commonly used clinical scales. In addition, we quantified eight possible phonatory disorders in five vowels. To identify the relationship between baseline phonatory features and changes in clinical scores, we performed a partial correlation analysis. Finally, we trained XGBoost models to predict the changes in clinical scores during a two-year follow-up. For two years, the patients’ voices became more aperiodic with increased microperturbations of frequency and amplitude. Next, the XGBoost models were able to predict changes in clinical scores with an error in range 11–26%. Although we identified some significant correlations between changes in phonatory features and clinical scores, they are less interpretable. This study suggests that it is possible to predict the progress of PD based on the acoustic analysis of phonation. Moreover, it recommends utilizing the sustained vowel /i/ instead of /a/