TABLE 3.
Clinical anchor |
Clinical benchmark |
Keystroke dynamics | ||||||
---|---|---|---|---|---|---|---|---|
Measure | AUC (95% CI) | Feature a | AUC (95% CI) | MCID | SRCind | SRCgroup | n b | |
Disease activity | ||||||||
Radiological and/or clinical | EDSS | 0.52 (0.34–0.70) | PPLlast maximum | 0.76 (0.60–0.91) | 0.16 | 0.22 | 0.02 | 2 |
APPfirst maximum | 0.75 (0.58–0.92) | 0.24 | 0.26 | 0.03 | 2 | |||
RRLlast maximum | 0.71 (0.53–0.89) | 0.16 | 0.21 | 0.02 | 2 | |||
ES‐neutrality c | 0.71 (0.53–0.89) | 0.01 | 0.29 | 0.04 | 841 | |||
Session durationabsolute energy | 0.71 (0.53–0.89) | 0.70 | 0.86 | 0.09 | 2 | |||
Radiological | EDSS | 0.54 (0.35–0.72) | PPLlast maximum | 0.78 (0.62–0.95) | 0.20 | 0.23 | 0.02 | 2 |
RRLlast maximum | 0.74 (0.56–0.92) | 0.18 | 0.22 | 0.02 | 2 | |||
Session durationabsolute energy | 0.74 (0.55–0.92) | 0.70 | 0.87 | 0.10 | 2 | |||
APPfirst maximum | 0.73 (0.52–0.93) | 0.28 | 0.26 | 0.03 | 1 | |||
ES‐polarityfirst maximum | 0.72 (0.54–0.91) | 0.22 | 0.25 | 0.03 | 2 | |||
Fatigue | ||||||||
CIS‐F | FSS | 0.54 (0.40–0.68) | ES‐negativityfirst maximum | 0.70 (0.56–0.84) | 0.19 | 0.28 | 0.03 | 3 |
MFIS | 0.45 (0.31–0.58) | Session duration d | 0.70 (0.56–0.84) | 0.01 | 0.09 | 0.01 | 81 | |
ES‐negativitylast maximum | 0.69 (0.54–0.83) | 0.25 | 0.43 | 0.05 | 3 | |||
ES‐negativityapproximate entropy | 0.69 (0.51–0.86) | 0.09 | 0.14 | 0.02 | 3 | |||
ES‐positivitystrike below mean | 0.67 (0.52–0.83) | 1.00 | 1.68 | 0.20 | 3 | |||
Clinical disability | ||||||||
EDSS | TWT | 0.50 (0.34–0.66) | ES‐neutralityapproximate entropy | 0.79 (0.63–0.96) | 0.11 | 0.14 | 0.02 | 2 |
NHPT‐D | 0.56 (0.42–0.71) | Word lengthfirst maximum | 0.72 (0.60–0.83) | 0.11 | 0.19 | 0.02 | 3 | |
ES‐positivityapproximate entropy | 0.70 (0.52–0.88) | 0.11 | 0.16 | 0.02 | 3 | |||
FTapproximate entropy | 0.68 (0.56–0.80) | 0.04 | 0.08 | 0.01 | 4 | |||
ES‐neutralitymean absolute change | 0.66 (0.52–0.80) | 0.16 | 0.54 | 0.06 | 12 | |||
Ambulation FS | TWT | 0.80 (0.70–0.90) | RRLabsolute energy | 0.73 (0.62–0.84) | 3.44 | 6.86 | 0.73 | 4 |
Pre‐CSabsolute sum of changes | 0.70 (0.58–0.81) | 2.70 | 5.77 | 0.62 | 5 | |||
FTstrike above mean | 0.69 (0.58–0.80) | 1.50 | 1.23 | 0.13 | 1 | |||
FTabsolute energy | 0.69 (0.57–0.80) | 2.72 | 7.30 | 0.78 | 8 | |||
ES‐polaritystrike above mean | 0.69 (0.55–0.83) | 1.00 | 1.34 | 0.16 | 2 | |||
AMSQ | NHPT | 0.58 (0.36–0.80) | Pre‐CSmedian | 0.75 (0.59–0.92) | 113.10 | 259.54 | 27.67 | 6 |
Pre‐CSmean | 0.74 (0.54–0.95) | 186.42 | 281.46 | 30.00 | 3 | |||
ES‐negativitymean | 0.74 (0.62–0.86) | 0.03 | 0.05 | 0.01 | 3 | |||
Post‐CSmedian | 0.73 (0.53–0.93) | 135.75 | 126.24 | 13.46 | 1 | |||
ES‐neutralitystrike above mean | 0.72 (0.54–0.90) | 1.00 | 1.50 | 0.18 | 3 | |||
SDMT | EDSS | 0.51 (0.39–0.63) | ES‐positivityfirst maximum | 0.68 (0.56–0.81) | 0.09 | 0.28 | 0.03 | 10 |
ES‐polarityfirst maximum | 0.66 (0.53–0.79) | 0.14 | 0.26 | 0.03 | 4 | |||
PPLstrike below mean | 0.66 (0.54–0.78) | 3.00 | 5.67 | 0.60 | 4 | |||
CDstrike above mean | 0.63 (0.51–0.75) | 1.50 | 12.90 | 1.37 | 74 | |||
Keystroke count | 0.63 (0.51–0.75) | 3.50 | 13.29 | 1.42 | 15 |
Abbreviations: AMSQ, Arm function in MS Questionnaire; APP, After Punctuation Pause; AUC, area under the curve; CD, Correction Duration; CI, confidence interval; CIS‐F, Checklist Individual Strength Fatigue subscale; EDSS, Expanded Disability Status Scale; ES, Emoji Sentiment; FSS, Fatigue Severity Scale; FT, Flight Time; MCID, minimal clinically important difference; MFIS, Modified Fatigue Impact Scale; NHPT‐D, Nine‐Hole Peg Test dominant hand; Post‐CS, Post‐Correction Slowing; PPL, Press‐Press Latency; Pre‐CS, Pre‐Correction Slowing; RRL, Release‐Release Latency; SDMT, Symbol Digit Modalities Test; SRCgroup, smallest real change group; SRCind, smallest real change individual; TNR, true negative rate; TPR, true positive rate; TWT, Timed 25‐foot Walk Test.
Five keystroke features with the highest AUC‐values.
Number of patients or repeated measures needed to detect clinical relevant change beyond measurement error on the individual level (i.e., MCID = SRC).
Time reversal asymmetry statistic.
Mean value of a central approximation of the second derivative.