Resting Tremor Detection in Parkinson's Disease with Machine Learning and Kalman Filtering

© 2018 IEEE. Adaptive deep brain stimulation (aDBS) is an emerging method to alleviate the side effects and improve the efficacy of conventional open-loop stimulation for movement disorders. However, current adaptive DBS techniques are primarily based on single-feature thresholding, precluding an optimized delivery of stimulation for precise control of motor symptoms. Here, we propose to use a machine learning approach for resting-state tremor detection from local field potentials (LFPs) recorded from subthalamic nucleus (STN) in 12 Parkinson's patients. We compare the performance of state-of-the-art classifiers and LFP-based biomarkers for tremor detection, showing that the high-frequency oscillations and Hjorth parameters achieve a high discriminative performance. In addition, using Kalman filtering in the feature space, we show that the tremor detection performance significantly improves (F(1,15)=32.16, p<0.0001). The proposed method holds great promise for efficient on-demand delivery of stimulation in Parkinson's disease.