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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Accurate early detection of Parkinson’s disease from

                                        single photon emission computed tomography
                                        imaging through convolutional neural networks



                                        R. Prashanth*

                                        Independent Researcher, Bengaluru, Karnataka, India



                                        Abstract

                                        Early and accurate detection of Parkinson’s disease (PD) remains a crucial diagnostic
                                        challenge with substantial clinical implications, particularly for ensuring effective
                                        treatment and patient management. For instance, a group of subjects with scans
                                        without evidence of dopaminergic deficit (SWEDD) who are initially diagnosed
                                        as PD but exhibit normal single photon emission computed tomography (SPECT)
                                        scans. Over time, follow-up assessments often lead to a revised diagnosis of
                                        non-PD. In the meantime, these subjects may receive PD-specific medications
                                        that can cause more harm than benefit. In this paper, a case study is presented in
                                        which machine learning models are developed and trained on SPECT images to
                                        distinguish early PD from healthy controls, as well as to differentiate SWEDD cases
            *Corresponding author:      from early PD. The case study utilizes a well-known, publicly available dataset and
            R. Prashanth                explores several machine learning classifiers, including support vector machines,
            (prashanth.r.iitd@gmail.com)
                                        logistic regression, feed forward neural networks, and convolutional neural
            Citation: Prashanth R. Accurate   networks (CNNs). The CNN model gave the best performance in differentiating PD
            early detection of Parkinson’s
            disease from single photon   from healthy subjects. All these models demonstrated strong potential for early
            emission computed tomography   differentiation of SWEDD cases from PD. These results suggest that the proposed
            imaging through convolutional   approach could support clinicians in making more accurate and timely diagnostic
            neural networks. Artif Intell Health.
            2025;2(4):22-32.            decisions.
            doi: 10.36922/AIH025040005
            Received: January 21, 2025  Keywords: Computer-aided diagnosis; Machine learning; Deep learning; Parkinson’s
            1st revised: May 13, 2025   disease; Medical imaging
            2nd revised: May 22, 2025
            Accepted: May 30, 2025
            Published online: June 17, 2025  1. Introduction
            Copyright: © 2025 Author(s).
            This is an Open-Access article   Parkinson’s disease (PD) is a progressive neurodegenerative disorder affecting millions
            distributed under the terms of the   of people worldwide and is characterized by the loss of dopaminergic neurons in the
            Creative Commons Attribution   substantia nigra.  Its prevalence increases with age, impacting approximately 1%
                                                     1,2
            License, permitting distribution,                  3
            and reproduction in any medium,   of individuals over 60 years.  The clinical diagnosis of PD is challenging as there are
            provided the original work is   no definitive diagnostic tests and the diagnosis is based on the presence of cardinal
            properly cited.             symptoms, such as tremor at rest, rigidity, and bradykinesia, along with a subject’s
                                                              1
            Publisher’s Note: AccScience   response to PD medications.  However, these symptoms appear in the later stages of the
            Publishing remains neutral with   disease and by the time the patient manifests these symptoms, the patient might have
            regard to jurisdictional claims in                             4
            published maps and institutional   already crossed the early stage of the disease.  Early detection of PD is important because
                                                                                                             5
            affiliations.               appropriate targeted therapies could be initiated before any major deterioration occur.
            Volume 2 Issue 4 (2025)                         22                          doi: 10.36922/AIH025040005
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