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Brain Parkinson's Personalized Medicine Wearables

Implant + wearable to track neuromodulation effectiveness

Medtronic is linking its implanted devices with Samsung’s phones and tablets to better monitor the effectiveness of neuromodulation technologies.  (Click to view Samsung release.)

Those with implanted neurostimulators, which  send electronic signals to targeted areas of the brain to block symptoms, can have a more active role in the management of their diseases.  Parkinson’s, essential tremor and dystonia patients will hopefully benefit from the initiative.

Data from the devices will be sent to a patient’s mobile devices, including phones, wearables and tablets, in real time.  It can also be sent directly to a doctor to help them better understand patient symptoms and progress, and appropriately adjust therapies.

The two companies announces a similar partnership for the management of diabetes earlier this year.


Wearable Tech + Digital Health San Francisco – April 5, 2016 @ the Mission Bay Conference Center

NeuroTech San Francisco – April 6, 2016 @ the Misson Bay Conference Center

Wearable Tech + Digital Health NYC – June 7, 2016 @ the New York Academy of Sciences

NeuroTech NYC – June 8, 2016 @ the New York Academy of Sciences

 

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Brain Parkinson's Wounds

Wearable + exercise app to improve Parkinson’s symptoms

MIO and Beneufit have partnered to develop wearables to target the symptoms of Parkinson’s disease.

The pdFIT exercise app was developed to improve manual dexterity and fitness levels in Parkinson’s patients.  The wearable continuously monitors progress via sensors on the wrist.

The company claims that its Optimal Heart Rate  technology cancels noise caused by movement, due to an added accelerometer.  This improves the accuracy of the heart rate monitoring algorithm.

WEARABLE TECH + DIGITAL HEALTH SAN FRANCISCO – APRIL 5, 2016 @ THE MISSION BAY CONFERENCE CENTER

NEUROTECH SAN FRANCISCO – APRIL 6, 2016 @ THE MISSION BAY CONFERENCE CENTER

 

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Brain Parkinson's

Study: Cancer drug improves Parkinson’s cognitive, motor functions

A small, early stage trial (with no control group) at Georgetown has  found that a small dose of the leukemia drug nilotinib (brand name “Tasigna” by Novartis) produced “meaningful clinical improvements” in 10 out of 11 patients.

The potential impact is significant, and the researchers believe that expanded studies will validate the  promising results. During the trial, participant dopamine levels increased so much that they were advised to reduce or stop taking other drugs.

The investigators reported that one participant, who was confined to a wheelchair,  was able to walk again, and three participants who could not speak were able to hold conversations.

The study marks the first time a therapy appears to reverse the “cognitive and motor decline in patients with these neuro-degenerative disorders,” according to Professor Fernando Pagan, who led the study with Charbel Moussa.

There has been some success with stimulation treatments for Parkison’s symptoms, and advances in early diagnosis and monitoring, but there is no known cure for this debilitating disease.  (See ApplySci Parkinson’s coverage, 2013-2015.)

Click to view Georgetown University Medical Center video.

WEARBLE TECH + DIGITAL HEALTH SAN FRANCISCO – APRIL 5, 2016 @ THE MISSION BAY CONFERENCE CENTER

NEUROTECH SAN FRANCISCO – APRIL 6, 2016 @ THE MISSION BAY CONFERENCE CENTER

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Brain Parkinson's Ultrasound

Ultrasound targets deep brain region, helps Parkinson’s symptoms

University of Maryland researchers are using MRI-guided focused ultrasound on the globus pallidus to treat Parkinson’s symptoms. The ExAblate Neuro system was developed by Israel’s Insightec.  The treatment is non-invasive, as it does not require a cut, but its ultrasound impacts a deep region of the brain, which is not with out risk.

Currently, drugs and (implanted) deep brain stimulation techniques treat  tremor, rigidity and dyskinesia in Parkinson’s patients.

According to Professor Howard Eisenberg, this  treatment could “help limit the life-altering side effects like dyskinesia to make the disease more manageable and less debilitating.”

During the  2-4 hour outpatient procedure, patients lie in an MRI scanner with a head-immobilizing frame fitted with a transducer helmet. Ultrasonic energy is targeted through the skull to the globus pallidus, and images acquired during the procedure give physicians a real-time map of the area being treated.  Patients are fully awake and able to interact with the treatment team, allowing the physicians to monitor immediate effects and make necessary adjustments.

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Brain Parkinson's

Digital pen/machine learning based neurodegenerative disease diagnosis

MIT researchers have developed a digital assessment tool based on the Anoto Live Pen that they believe will improve the accuracy of Alzheimer’s and Parkinson’s Disease diagnosis.  A paper demonstrates a machine learning based predictive model that might detect neurodegenerative diseases earlier than current methods.

According to lead author William Souillard-Mandar,  the technology “allows us to extract thousands of features from the drawing process that give hints about the subject’s cognitive state, and our algorithms help determine which ones can make the most accurate prediction.”

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Brain mHealth Parkinson's Sensors

Phone based Parkinson’s research

mPower is a mobile Parkinson’s Disease study, powered by HealthKit.  It attempts to understand why people experience different symptoms, and why a person’s symptoms and side effects can vary over time.

The process includes surveys and tasks that activate phone sensors. Progression symptoms, including dexterity, balance and gait, are tracked. The goal is to understand variations, improve the way variations are described, and learn how mobile devices and sensors can help measure the disease and its progression.

This study is sponsored by Sage Bionetworks and the Robert Wood Johnson Foundation, and builds on the work of Max Little.

WEARABLE TECH + DIGITAL HEALTH NYC 2015 – JUNE 30 @ NEW YORK ACADEMY OF SCIENCES.  REGISTER HERE.

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Brain Parkinson's

Study: DBS reshapes neural circuits

UCSF professor Philip Starr published a paper suggesting that Deep Brain Stimulation works by reducing overly synchronized motor cortex activity. He believes that this explains why surgically implanted electrodes improve movement, tremor, and rigidity in Parkinson’s patients.

Little is known about why and how DBS works.   This has held back efforts to improve the therapy. Customizing the stimulation delivered to maximally reduce symptoms is challenging.  A better understanding of the effect of DBS on brain circuits could make it more effective.

ApplySci hopes that this research will also lead to equally effective, non-invasive, future treatments.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences.  Early registration rate available until April 24th.

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Brain Parkinson's

Keystroke patterns to detect early Parkinson’s

Madrid-MIT M+Vision Consortium researchers used keystroke patterns to diagnose motor function impairing conditions, such as Parkinson’s disease.  In a Scientific Reports paper, they described their algorithm’s ability to distinguish keystroke patterns of sleep deprived typers, and rested typers.   A study of 24 Parkinson’s patients suggested that the keystroke algorithm can also distinguish people who have the disease from those who don’t.  A larger study of Parkinson’s patients is now being planned.

Keystroke patterns have been used as a biometric signature for security purposes, but this is the first time that diagnostic information has been extracted from typing. The primary feature analyzed was “key hold time” — how long a key is pressed before being released.

According to study lead Luca Giancardo, people are usually diagnosed five to 10 years after the beginning of the disease, after much damage has been done.   He hopes that this research could  lead to earlier Parkinson’s diagnosis and better treatments.  Giancardo believes that keystroke patterns could also be used to screen for other diseases, such as rheumatoid arthritis.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences.  Register now and save $300.

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Cancer Parkinson's Wearables

Google files patent for cancer targeting wearable

Following its patent application for a pill that “paints” cancer cells for scanner detection, Google has filed a new patent for a wearable to detect and destroy the painted cells.  It describes a Calico developed device that “can automatically modify or destroy one or more targets in the blood that have an adverse health effect”.  These could include proteins, enzymes, cells, hormones, or other molecules that may affect health when present in blood.

The wearable  can modify or destroy the cells by transmitting energy into blood vessels. This could be by radio frequency pulse, time-varying magnetic field, acoustic pulse, or infrared or visible light signal.  The energy provokes a physical or chemical change in the targets to fight illnesses, including cancer.

Google believes that the device could also help Parkinson’s patients, as certain proteins have been noted as a partial cause of the disease. If the wearable could destroy these proteins, disease progression might be slowed.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences.  Early registration rate available until March 27th.

Categories
Asthma Cancer Data Diabetes Heart Parkinson's

ResearchKit can simplify, improve diagnostics

As a company devoted to improving the human condition through health innovation, ApplySci was delighted to hear yesterday’s ResearchKit announcement.  The framework allows people to easily join health studies, and simplifies the process by bringing research to one’s phone.

ResearchKit’s first tests detect Parkinson’s disease, diabetes, cardiovascular disease, asthma, and breast cancer.  Apple worked with 12 institutions to create the app, including some which will participate in ApplySci’s Wearable Tech + Digital Health NYC 2015 conference.

Apple’s (admirable) goal is to more easily recruit research subjects, and improve accuracy by increasing sample size and diversity.  Data is captured and recorded using iPhone sensors.  Examples include:

  • An iPhone’s microphone can detect tiny voice  fluctuations that may indicate Parkinson’s disease.
  • An iPhone’s screen can detect tapping inconsistencies associated with disease.
  • An iPhone accelerometer can compare one’s gait and balance against a healthy person’s speed and posture.

Users control their own data, and decide if, how, and when to share it.   Apple will not have access to it.  The company hopes that external developers will soon dramatically increase the number of tests available.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences .  Early registration rate available until March 27th.

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Brain mHealth Monitoring Parkinson's

Smartphone tests detect Parkinson’s

In a recent study,  MIT Media Lab‘s  Max Little used machine learning tools to indicate early Parkinson’s Disease in a group of smartphone users.  Phones were given to Parkinson’s patients and a healthy control group. The built in accelerometer enabled Little to distinguish between those with and with out the disease with  99% accuracy.  The detection method relied on subtle differences in a patient’s movement, including rigidity and impaired balance.

In another Parkinson’s Voice Initiative study, 50 people were asked to say “ahh” into the phone for a few weeks. The audio recordings allowed Little  to estimate disease progression using the Unified Parkinson’s Disease Rating Scale.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences

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Autism Brain Parkinson's

Video game eye movement to diagnose brain disorders

University of Chicago professor Leslie Osborne believes that the classic Atari game “Pong” is ideal for tracking eye movement, therefore helping  diagnose Parkinson’s, TBI or autism

Osborne’s lab focuses on eye movement behavior, known as smooth pursuit, that allows eyes to track moving targets.  At the recent Brain Research Foundation conference,  her paper showed that “when motion becomes predictable, gaze behavior is no longer captured by the same decision rule.  Researchers hope to apply this information to quantify the interaction between target, gaze, and time.  In a clinical context, researchers hope that it will expand the toolkit for diagnosing brain disorders which affect gaze behavior.”

This is classic video game maker Atari’s second newsworthy development in recent weeks.  In December ApplySci described Atari’s digital health partnership with Walgreen’s.

Wearable Tech + Digital Health NYC 2015 – June 30 @ New York Academy of Sciences