In Parkinson's disease, motor fluctuations (worsening of tremor, bradykinesia, freezing of gait, postural instability) affect up to 70% of patients within 9 years of l-dopa therapy. Nevertheless, the assessment of motor fluctuations is difficult in a medical office, and is commonly based on poorly reliable self-reports. Hence, the use of wearable sensors is desirable. In this preliminary trial, we have investigated bradykinesia and freezing of gait-FOG-symptoms by means of inertial measurement units. To this purpose, we have employed a single smartphone on the patient's waist for FOG experiment (38 patients), and on patient thigh for LA (93 subjects). Given the sound performance achieved in this trial (AUC = 0.97 for FOG and AUC = 0.92 for LA), motor fluctuations may be estimated in domestic environments. To this end, we plan to perform measures and data processing on SensorTile, a tiny IoT module including several sensors, a microcontroller, a BlueTooth low-energy interface and microSD card, implementing an electronic diary of motor fluctuations, posture and dyskinesia during activity of daily living.

In this paper we investigated the use of smartphone sensors and Artificial Intelligence techniques for the automatic quantification of the MDS-UPDRS-Part III Leg Agility (LA) task, representative of lower limb bradykinesia. Methods: We collected inertial data from 93 PD subjects. Four expert neurologists provided clinical evaluations. We employed a novel Artificial Neural Network approach in order to get a continuous output, going beyond the MDS-UPDRS score discretization. Results: We found a Pearson correlation of 0.92 between algorithm output and average clinical score, compared to an inter-rater agreement index of 0.88. Furthermore, the classification error was less than 0.5 scale point in about 80% cases. Conclusions: We proposed an objective and reliable tool for the automatic quantification of the MDS-UPDRS Leg Agility task. In perspective, this tool is part of a larger monitoring program to be carried out during activities of daily living, and managed by the patients themselves.

In this paper we explore detection and tracking of astral microtubules, a sub-population of microtubules which only exists during and immediately before mitosis and aids in the spindle orientation by connecting it to the cell cortex. Its analysis can be useful to determine the presence of certain diseases, such as brain pathologies and cancer. The proposed algorithm focuses on overcoming the problems regarding fluorescence microscopy images and microtubule behaviour by using various image processing techniques and is then compared with three existing algorithms, tested on consistent sets of images.

In this paper we explore detection and tracking of astral microtubules, a sub-population of microtubules which only exists during and immediately before mitosis and aids in the spindle orientation by connecting it to the cell cortex. Its analysis can be useful to determine the presence of certain diseases, such as brain pathologies and cancer. The proposed algorithm focuses on overcoming the problems regarding fluorescence microscopy images and microtubule behaviour by using various image processing techniques and is then compared with three existing algorithms, tested on consistent sets of images.

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