Data Mining in Clinical Practice for the Quantification of Motor Impairment in Parkinson's Disease

Advances in biomedical signal acquisition systems for motion analysis have led to lowcost and ubiquitous wearable sensors which can be used to record movement data in different settings. This implies the potential availability of large amounts of quantitative data. It is then crucial to identify and to extract the information of clinical relevance from the large amount of available data. This quantitative and objective information can be an important aid for clinical decision making. Data mining is the process of discovering such information in databases through data processing, selection of informative data, and identification of relevant patterns. The databases considered in this thesis store motion data from wearable sensors (specifically accelerometers) and clinical information (clinical data, scores, tests). The main goal of this thesis is to develop data mining tools which can provide quantitative information to the clinician in the field of movement disorders. This thesis will focus on motor impairment in Parkinson's disease (PD). Different databases related to Parkinson subjects in different stages of the disease were considered for this thesis. Each database is characterized by the data recorded during a specific motor task performed by different groups of subjects. The data mining techniques that were used in this thesis are feature selection (a technique which was used to find relevant information and to discard useless or redundant data), classification, clustering, and regression. The aims were to identify high risk subjects for PD, characterize the differences between early PD subjects and healthy ones, characterize PD subtypes and automatically assess the severity of symptoms in the home setting.

How to explain: from theory to practice

Today we live in an age where the internet and artificial intelligence allow us to search for information through impressive amounts of data, opening up revolutionary new ways to make sense of reality and understand our world. However, it is still an area of improvement to exploit the full potential of large amounts of explainable information by distilling it automatically in an intuitive and user-centred explanation. For instance, different people (or artificial agents) may search for and request different types of information in a different order, so it is unlikely that a short explanation can suffice for all needs in the most generic case. Moreover, dumping a large portion of explainable information in a one-size-fits-all representation may also be sub-optimal, as the needed information may be scarce and dispersed across hundreds of pages. The aim of this work is to investigate how to automatically generate (user-centred) explanations from heterogeneous and large collections of data, with a focus on the concept of explanation in a broad sense, as a critical artefact for intelligence, regardless of whether it is human or robotic. Our approach builds on and extends Achinstein’s philosophical theory of explanations, where explaining is an illocutionary (i.e., broad but relevant) act of usefully answering questions. Specifically, we provide the theoretical foundations of Explanatory Artificial Intelligence (YAI), formally defining a user-centred explanatory tool and the space of all possible explanations, or explanatory space, generated by it. We present empirical results in support of our theory, showcasing the implementation of YAI tools and strategies for assessing explainability. To justify and evaluate the proposed theories and models, we considered case studies at the intersection of artificial intelligence and law, particularly European legislation. Our tools helped produce better explanations of software documentation and legal texts for humans and complex regulations for reinforcement learning agents.