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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 曾宇鳳 | zh_TW |
| dc.contributor.advisor | Yufeng Jane Tseng | en |
| dc.contributor.author | 許漢強 | zh_TW |
| dc.contributor.author | Dwayne Reinaldy | en |
| dc.date.accessioned | 2026-08-18T17:12:35Z | - |
| dc.date.available | 2026-08-19 | - |
| dc.date.copyright | 2026-08-18 | - |
| dc.date.issued | 2026 | - |
| dc.date.submitted | 2026-07-30 00:00:00 | - |
| dc.identifier.citation | O. Waln and J. Jankovic. An update on tardive dyskinesia: From phenomenology to treatment. Tremor and Other Hyperkinetic Movements, 3, 2013.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/103607 | - |
| dc.description.abstract | 遲發性運動障礙(Tardive Dyskinesia, TD)是一種由藥物引起的運動障礙,估計影響20%至30%接受長期抗精神病藥物治療的患者,但在臨床實踐中仍普遍存在診斷不足的問題。TD患者的言語障礙已被臨床記錄超過三十年,但目前尚無自動化系統用於分析TD患者的言語特徵。本論文提出了一種多模態機器學習框架,透過整合來自簡短、真實場景視訊錄製中的語音和面部分析,實現TD的自動化篩檢。該框架結合了基於解耦機制的音訊模組與3D面部運動學分析模組,並透過跨模態注意力機制將兩者連接,使兩種模態能夠動態互動。我們在包含80名受試者的資料集上評估了該框架,受試者分為三類:TD、帕金森病(Parkinson's Disease)和健康對照組,並採用受試者獨立的交叉驗證方法。該多模態模型在健康對照組與TD的二分類任務中取得了0.93的AUROC值,在三分類任務中取得了0.89的AUROC值,在所有任務中均持續優於僅使用面部或僅使用音訊的基線模型。我們還採用了可解釋人工智慧(Explainable AI, XAI)方法,以提供可解釋的預測結果,將模型的注意力機制與已知TD言語障礙相關的語音片段聯繫起來。總體而言,我們的研究填補了一個持續三十餘年的診斷空白,並朝著在真實臨床環境中實現客觀TD篩檢邁出了重要一步。 | zh_TW |
| dc.description.abstract | Tardive Dyskinesia (TD) is a medication-induced movement disorder affecting an estimated 20-30% of patients on long-term antipsychotic treatment, yet remains widely underdiagnosed in clinical practice. Speech impairment in TD has been clinically documented for over three decades, yet no automated system has been used for analyzing speech in TD. This thesis presents a multimodal machine learning framework for automated TD screening by integrating voice and facial analysis from brief, in-the-wild video recordings. The proposed framework combines a disentanglement mechanism-based audio module with a 3D facial kinematic analysis module connected via cross-modal attention, enabling the two modalities to interact dynamically. We evaluated this framework on a dataset of 80 subjects across three classes: TD, Parkinson's Disease, and healthy controls under subject-independent cross-validation. The multimodal model achieved an AUROC of 0.93 for healthy control versus TD discrimination and 0.89 for the three-class classification task, consistently outperforming the face and audio only baseline across all tasks. We also employed Explainable AI (XAI) to provide interpretable predictions, linking model attention to speech segments consistent with known speech impairments in TD. Overall, our work addresses a diagnostic gap that has persisted for over three decades and represents a step toward objective TD screening in real-world clinical settings. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2026-08-18T17:12:35Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2026-08-18T17:12:35Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | Acknowledgements i
摘要 iii Abstract iv Contents vii List of Figures xi List of Tables xiii Denotation xiv Chapter 1 Introduction 1 Chapter 2 Literature Review 5 2.1 Clinical Assessment of TD 5 2.2 Clinical Background of Speech in Movement Disorders 7 2.2.1 Speech Impairment in TD 7 2.2.2 Speech as a Biomarker in Neurological Conditions 8 2.3 Automated Speech Analysis for Neurological Disorders 9 2.3.1 Handcrafted Acoustic Features 9 2.3.2 CNN-Based Approaches 10 2.3.3 Transformer-Based Approaches 11 2.3.4 Speaker Disentanglement for Pathological Speech Analysis 12 2.4 Automated Facial Movement Analysis 12 2.5 Multimodal Learning 14 2.6 Explainable AI (XAI) 15 2.7 Automated TD Detection 16 2.8 Summary and Research Gap 18 Chapter 3 Materials and Methods 20 3.1 Study Design and Data Sources 20 3.1.1 Overview of Dataset 20 3.1.2 Self-Curated TD Dataset 20 3.1.3 Benchmark Data (PD & HC) 21 3.1.4 Dataset Distribution and Statistics 22 3.1.5 Clinician-Verified TD Subset 22 3.2 Data Preprocessing 23 3.2.1 Audio Preprocessing 24 3.2.1.1 Acoustic Source Separation and Vocal Signal Isolation 24 3.2.1.2 Temporal Windowing and Multi-Resolution Short-Time Fourier Transform 25 3.2.1.3 Perceptual Mel Scaling and Compression 27 3.2.2 Video Preprocessing 29 3.2.2.1 Object Detection and ROI Tracking 30 3.2.2.2 Spatio-Temporal Normalization 31 3.3 Model Architecture 32 3.3.1 Audio Feature Extraction 33 3.3.1.1 Backbone Feature Extraction 33 3.3.1.2 Disentanglement Mechanism 36 3.3.1.3 Integration of the Audio Outputs 40 3.3.2 Visual Feature Extraction 41 3.3.2.1 SMIRK Model for 3D Face Reconstruction 41 3.3.2.2 Anatomical Region Selection and Kinematic Feature Engineering 42 3.3.2.3 Visual Projection Head 45 3.3.3 Cross-Attention Interaction 46 3.3.4 Fusion and Classification 47 Chapter 4 Results 49 4.1 Experimental Setup 49 4.1.1 Training Environment and Framework 49 4.1.2 Subject-Independent Cross Validation 49 4.1.3 Optimization and Hyperparameters 50 4.2 Evaluation Metrics 51 4.3 Results and Discussions 54 4.3.1 Multimodal Performance and Task-Specific Evaluation 54 4.3.2 Comparative Analysis of Unimodal and Multimodal Diagnostic Performance 55 4.3.3 Explainable AI (XAI): Integrated Gradients 61 4.3.4 Supplementary Analysis: Clinician-Verified TD Subset 62 4.3.5 Comparison to Sterns et al. (2025) 66 4.4 Limitations and Future Direction of Our Work 68 4.4.1 Limitations 68 4.4.2 Future Work 69 Chapter 5 Conclusion 71 References 73 Appendices 85 1.1 Self-Curated Dataset Resource Mapping 85 | - |
| dc.language.iso | en | - |
| dc.subject | 遲發性運動障礙 | - |
| dc.subject | 自動化篩查 | - |
| dc.subject | 語音生物標記 | - |
| dc.subject | 多模態機器學習 | - |
| dc.subject | 三維臉部分析 | - |
| dc.subject | 說話者解纏 | - |
| dc.subject | 可解釋人工智慧 | - |
| dc.subject | Tardive Dyskinesia | - |
| dc.subject | Automated Screening | - |
| dc.subject | Speech Biomarker | - |
| dc.subject | Multimodal Machine Learning | - |
| dc.subject | 3D Facial Analysis | - |
| dc.subject | Speaker Disentanglement | - |
| dc.subject | Explainable AI | - |
| dc.title | 遲發性運動障礙辨識之多模態機器學習框架:基於語 音與臉部動作分析 | zh_TW |
| dc.title | A Multimodal Machine Learning Framework for Distinguishing Tardive Dyskinesia via Voice and Facial Movement Analysis | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 郭昇翰;黃名琪;劉智民;施吉昇 | zh_TW |
| dc.contributor.oralexamcommittee | Sheng-Han Kuo;Ming-Chyi Huang;Chih-Min Liu;Chi-Sheng Shih | en |
| dc.subject.keyword | 遲發性運動障礙; 自動化篩查; 語音生物標記; 多模態機器學習; 三維臉部分析; 說話者解纏; 可解釋人工智慧 | zh_TW |
| dc.subject.keyword | Tardive Dyskinesia; Automated Screening; Speech Biomarker; Multimodal Machine Learning; 3D Facial Analysis; Speaker Disentanglement; Explainable AI | en |
| dc.relation.page | 86 | - |
| dc.identifier.doi | 10.6342/NTU202602120 | - |
| dc.rights.note | 同意授權(全球公開) | - |
| dc.date.accepted | 2026-08-03 | - |
| dc.contributor.author-college | 共同教育中心 | - |
| dc.contributor.author-dept | 智慧醫療與健康資訊碩士學位學程 | - |
| dc.date.embargo-lift | 2026-08-19 | - |
| 顯示於系所單位: | 智慧醫療與健康資訊碩士學位學程 | |
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