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Fidgety Philip and the Suggested Clinical Immobilization Test: Annotation data for developing a machine learning
Melvin Chan1, Emmanuel K Tse1, Seraph Bao1
1H-Behaviours Research Lab, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Insights
Researchers developed a pictogram-guided phenotyping language (PG-PL) to objectively describe restless behaviors in children. This method aids in developing machine learning for automated movement detection in ADHD diagnosis.
Area of Science:
- Neuroscience
- Psychiatry
- Computer Science
Background:
- The Fidgety Philip cartoon illustrates hyperactive behaviors associated with ADHD diagnosis.
- Existing diagnostic methods have gaps when compared to modern computational approaches.
- Objective quantification of hypermotor-restlessness (H-behaviors) during sitting is challenging.
Purpose of the Study:
- To develop a neutral, pictogram-guided phenotyping language (PG-PL) for describing body-segment movements during sitting.
- To establish a reliable method for manual annotation of human movement patterns.
- To create a foundation for a machine learning algorithm for automated movement detection.
Main Methods:
- Seven research assistants annotated Fidgety Philip cartoons and snapshots using freehand and PG-PL methods.
- Inter-observer agreement was assessed to ensure reliability of the PG-PL.
- PG-PL annotations of video clips were used to develop a machine learning algorithm for automated movement detection.
Main Results:
- The pictogram-guided phenotyping language (PG-PL) demonstrated value for manual annotation of human movement patterns.
- Satisfactory inter-observer agreements were achieved, validating the PG-PL's consistency.
- A machine learning algorithm for automated movement detection was successfully developed using PG-PL annotations.
Conclusions:
- The PG-PL provides a standardized, objective method for describing restless movements.
- This approach bridges the gap between clinical observation and computational analysis in ADHD research.
- The developed methodology and algorithm can be further refined for differentiating movement patterns.
Abstract:
The cartoon Fidgety Philip, the banner of Western-ADHD diagnosis, depicts a 'restless' child exhibiting hyperactive-behaviors with hyper-arousability and/or hypermotor-restlessness (H-behaviors) during sitting. To overcome the gaps between differential diagnostic considerations and modern computing methodologies, we have developed a non-interpretative, neutral pictogram-guided phenotyping language (PG-PL) for describing body-segment movements during sitting (Journal of Psychiatric Research). To develop the PG-PL, seven research assistants annotated three original Fidgety Philip cartoons. Their annotations were analyzed with descriptive statistics. To review the PG-PL's performance, the same seven research assistants annotated 12 snapshots with free hand annotations, followed by using the PG-PL, each time in randomized sequence and on two separate occasions. After achieving satisfactory inter-observer agreements, the PG-PL annotation software was used for reviewing videos where the same seven research assistants annotated 12 one-minute long video clips. The video clip annotations were finally used to develop a machine learning algorithm for automated movement detection (Journal of Psychiatric Research). These data together demonstrate the value of the PG-PL for manually annotating human movement patterns. Researchers are able to reuse the data and the first version of the machine learning algorithm to further develop and refine the algorithm for differentiating movement patterns.
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