Leakage-Resistant Evaluation of Gait Mat and Multisensor Biomechanical Features for Knee Osteoarthritis Screening: A...

Selecting a sensing architecture for knee osteoarthritis (OA) screening requires balancing biomechanical information, system complexity, and reproducibility. We audited a public Korean multimodal gait dataset and performed a leakage-resistant internal evaluation. The release contained 180 participants (90 normal, 90 knee OA) measured using a smart insole, instrumented gait mat, and inertial measurement units (IMUs); all 1080 JavaScript Object Notation (JSON) files were checked for structural, value, provenance, and duplication errors. The primary benchmark was a fixed class-balanced L2 logistic regression model using nine gait mat variables, evaluated with subject-level repeated stratified five-fold cross-validation and 10,000 outcome-stratified bootstrap resamples. The audit identified 14 source-path metadata errors and one opposing-label duplicate smart insole payload, but no parsing, schema, range, or cross-partition subject errors. The gait mat model achieved an area under the receiver operating characteristic curve (AUROC) of 0.924 (95% confidence interval [CI], 0.879-0.962), balanced accuracy 0.883 (0.833-0.928), sensitivity 0.856, specificity 0.911, and Brier score 0.102. Adding smart insole and/or IMU features did not improve AUROC. Provider-model reproduction was descriptive because the public Validation partition informed model selection. In this release, the compact gait mat feature set provided the most favorable observed balance of discrimination, interpretability, and sensing complexity; external prospective evaluation is required before clinical use.