用手机视频和隐私保护AI,精准识别七种步态异常
Classifying Simulated Gait Impairments using Privacy-preserving Explainable Artificial Intelligence and Mobile Phone Videos
- 用手机拍摄前后视角视频,本地化AI分析步态
- 综合视角准确率达86.5%,下肢关键点最影响判断
- 适合临床、康复及远程医疗场景,保护患者隐私
准确诊断步态异常常受限于主观或高成本评估方法,现有方案需昂贵多摄像头设备或依赖临床主观观察。本研究提出基于手机的隐私保护人工智能系统,用于分类步态异常,并构建了包含743段视频的新数据集,涵盖正常步态及六种病理步态(偏瘫、臀中肌无力、疼痛性、屈膝、帕金森型、跳跃式),均由标准手机摄像头在前后视角下录制。系统使用前后联合视角达到86.5%分类准确率,矢状面视角整体优于冠状面,但特定步态如偏瘫例外。特征重要性分析显示,频域特征与熵值对分类至关重要,下肢关键点贡献最大,符合临床认知。结果表明,手机端本地处理可有效识别多种步态模式并保障隐私。基于模拟数据的高准确率提示其可用于快速原型开发,但需进一步在真实患者数据上验证。该工作推动了可及、客观的步态评估工具在临床、社区及远程康复中的应用。
原文摘要 · Abstract (English)
Accurate diagnosis of gait impairments is often hindered by subjective or costly assessment methods, with current solutions requiring either expensive multi-camera equipment or relying on subjective clinical observation. There is a critical need for accessible, objective tools that can aid in gait assessment while preserving patient privacy. In this work, we present a mobile phone-based, privacy-preserving artificial intelligence (AI) system for classifying gait impairments and introduce a novel dataset of 743 videos capturing seven distinct gait patterns. The dataset consists of frontal and sagittal views of trained subjects simulating normal gait and six types of pathological gait (circumduction, Trendelenburg, antalgic, crouch, Parkinsonian, and vaulting), recorded using standard mobile phone cameras. Our system achieved 86.5% accuracy using combined frontal and sagittal views, with sagittal views generally outperforming frontal views except for specific gait patterns like Circumduction. Model feature importance analysis revealed that frequency-domain features and entropy measures were critical for classifcation performance, specifically lower limb keypoints proved most important for classification, aligning with clinical understanding of gait assessment. These findings demonstrate that mobile phone-based systems can effectively classify diverse gait patterns while preserving privacy through on-device processing. The high accuracy achieved using simulated gait data suggests their potential for rapid prototyping of gait analysis systems, though clinical validation with patient data remains necessary. This work represents a significant step toward accessible, objective gait assessment tools for clinical, community, and tele-rehabilitation settings
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