Essential Tremor Severity Assessment Using Handwriting Analysis and Machine Learning.

backgroundEssential tremor (ET) is among the most common neurological disorders, requiring precise diagnosis and severity assessment for personalized and effective management.

methodsThis study explores an innovative approach to evaluate ET severity using the gold-standard Archimedes spiral test. The family-based dataset covers the entire range of tremor severity, from very mild (level 1) to advanced stages, offering a valuable resource for studying early diagnosis and tracking disease progression. The proposed method introduces a machine learning pipeline that combines Principal Component Analysis (PCA), linear discriminant analysis (LDA), and support vector machines (SVMs) to classify ET severity based on Archimedean spiral radius data.

resultsBy incorporating the Fahn-Tolosa-Marin Tremor Rating Scale (FMT-TRS), the pipeline effectively distinguishes between tremor presence and severity. Its robustness was demonstrated through rigorous cross-validation and tests involving Gaussian noise perturbations.

conclusionsThese results underscore the machine learning-based pipeline's potential as a non-invasive and trustworthy diagnostic tool for clinical use and telemedicine applications. Moreover, the combination of geometric features, FMT-TRS scores, clinically oriented evaluation metrics, and classical statistical and machine learning models offers a robust, interpretable, explainable, and clinically meaningful analytical framework.