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Gender Differences in Parkinson’s Disease Detection

Examining how gender impacts machine learning tools for Parkinson's disease diagnosis.

― 5 min read


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As technology advances, Machine Learning tools are increasingly used to help detect Parkinson's Disease (PD) through a method called resting-state electroencephalography (rs-EEG). These tools can help doctors make decisions about diagnosis and treatment. However, it is important to ensure that these tools work fairly for everyone, regardless of gender. This article discusses how gender differences can impact the Accuracy of PD Detection using machine learning and EEG data.

What is Parkinson’s Disease?

Parkinson’s disease is a progressive brain disorder that affects movement. People with PD often experience tremors, stiffness, and difficulties with balance and coordination. Unfortunately, there is no definitive test for diagnosing PD early on. Researchers have been looking into using EEG as a non-invasive and more cost-effective way to assist in the diagnosis.

EEG measures electrical activity in the brain. Changes in this activity can indicate the presence or progression of PD. However, studies show that PD can manifest differently in men and women. Research indicates that men are more likely to develop PD, while women may experience faster progression and higher mortality rates. This difference emphasizes the need for tools that accurately detect PD in both genders.

Why Gender Matters in PD Detection

In the field of machine learning, algorithms are often trained on datasets to classify or predict conditions like PD. However, if the dataset isn't balanced with respect to gender, this can lead to biases. If a model is primarily trained on data from one gender, it may not perform as well for the other gender. For instance, if a machine learning model has mostly male data, it might not be as effective for female patients.

This concern has led to calls for fairness in developing these detection tools. Ensuring that algorithms work well for both genders can help avoid health disparities. For example, if a model is less accurate for women, it could delay an accurate diagnosis or appropriate treatment.

The Study: Analyzing EEG and Gender Differences

The research examined how well a previously developed machine learning model detected PD in different gender groups. Using EEG data from multiple centers, the study aimed to identify any differences in detection abilities between men and women. The model was tested on data from both genders to evaluate its fairness.

The study included EEG recordings from 169 individuals, consisting of 84 with PD and 85 without the disease. This data was gathered from various research centers across different countries, including Colombia, Finland, and the USA. By using a diverse dataset, the researchers aimed to create a more comprehensive analysis.

Methodology: Gathering and Analyzing Data

The researchers first collected EEG data under specific conditions. Some subjects had their eyes closed, while others had them open. They ensured that all patients with PD were matched by age, gender, education level, and cognitive performance.

After acquiring the EEG data, the researchers applied several processing steps to prepare it for analysis. These included removing any noisy data and segmenting the signals into smaller parts. Features were extracted based on power spectral density, which refers to how power is distributed across different frequency bands in the EEG signals.

To analyze how well the model performed, the data was divided into training and testing groups. The model's effectiveness was checked by looking at factors like accuracy and recall for both male and female subjects.

Findings: Gender Differences in Detection Ability

The results revealed a significant difference in PD detection accuracy between genders. The model achieved 80.5% accuracy for males while only reaching 63.7% accuracy for females. This discrepancy highlights a potential bias in the algorithm that could affect female patients' diagnoses.

Further investigation showed that certain EEG channels and frequency bands were more active in males, which may explain the differences in detection rates. The researchers noted that the model exhibited higher activity in specific channels for males compared to females, suggesting that the features contributing to PD detection might vary by gender.

Implications of the Study

The findings of this research have important implications for the future of PD diagnosis. By demonstrating that gender can significantly affect the performance of machine learning models, there is a need for better-designed algorithms that account for these differences. Fairness in medical technology is critical, as it ensures that everyone receives accurate diagnoses and appropriate treatments.

Challenges and Limitations

While the study provided valuable insights, it also faced challenges. For example, the research relied on retrospective data, which may not capture all aspects of the population. Additionally, the sample sizes for each gender were relatively small, which could limit the overall conclusions.

Moreover, there may be other factors influencing the differences in detection ability that were not fully explored in this study. For instance, the effect of age, education, and other health conditions may also play a role in how well the model performs across different populations.

Conclusions and Future Directions

The assessment of gender fairness in machine learning models for Parkinson’s disease detection is crucial. As technology continues to evolve, researchers must strive to create more equitable tools that work well for all individuals, regardless of gender.

Future studies could focus on larger, more diverse populations to better understand the underlying reasons for the performance disparities. Additionally, researchers could explore ways to improve the model's accuracy for all groups by incorporating gender-specific data during training.

In conclusion, ensuring fairness in the detection of Parkinson’s disease through machine learning and EEG is an important step toward improving healthcare for everyone. By recognizing and addressing gender differences, we can work towards a more equitable healthcare system that offers accurate diagnoses and effective treatments for all individuals.

Original Source

Title: Assessing gender fairness in EEG-based machine learning detection of Parkinson's disease: A multi-center study

Abstract: As the number of automatic tools based on machine learning (ML) and resting-state electroencephalography (rs-EEG) for Parkinson's disease (PD) detection keeps growing, the assessment of possible exacerbation of health disparities by means of fairness and bias analysis becomes more relevant. Protected attributes, such as gender, play an important role in PD diagnosis development. However, analysis of sub-group populations stemming from different genders is seldom taken into consideration in ML models' development or the performance assessment for PD detection. In this work, we perform a systematic analysis of the detection ability for gender sub-groups in a multi-center setting of a previously developed ML algorithm based on power spectral density (PSD) features of rs-EEG. We find significant differences in the PD detection ability for males and females at testing time (80.5% vs. 63.7% accuracy) and significantly higher activity for a set of parietal and frontal EEG channels and frequency sub-bands for PD and non-PD males that might explain the differences in the PD detection ability for the gender sub-groups.

Authors: Anna Kurbatskaya, Alberto Jaramillo-Jimenez, John Fredy Ochoa-Gomez, Kolbjørn Brønnick, Alvaro Fernandez-Quilez

Last Update: 2023-03-11 00:00:00

Language: English

Source URL: https://arxiv.org/abs/2303.06376

Source PDF: https://arxiv.org/pdf/2303.06376

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to arxiv for use of its open access interoperability.

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