Clinical characterization and interpretation of respiratory sound symptoms have remained a challenge due to the similarities in the audio properties that manifest during auscultation in medical diagnosis. The misinterpretation and conflation of these sounds coupled with the comorbidity cases of the associated ailments particularly, exercised-induced respiratory conditions; result in the under-diagnosis and under-treatment of the conditions. Though several studies have proposed computerized systems for objective classification and evaluation of these sounds, most of the algorithms run on desktop and backend systems. In this study, we leverage the improved computational and storage capabilities of modern smartphones to distinguish the respiratory sound symptoms using machine learning algorithms namely: Random Forest (RF), Support Vector Machine (SVM), and k-Nearest Neighbour (k-NN). The appreciable performance of these classifiers on a mobile phone shows smartphone as an alternate tool for recognition and discrimination of respiratory symptoms in real-time scenarios. Further, the objective clinical data provided by the machine learning process could aid physicians in the screening and treatment of a patient during ambulatory care where specialized medical devices may not be readily available.
翻译:由于在医学诊断过程中的听力特性与医学诊断过程中出现的声学特性相似,对呼吸道症状的临床定性和解释仍然是一项挑战。这些声音的曲解和混杂,加上相关疾病、特别是受控制呼吸道疾病发病的发病情况,导致诊断不足和对状况的处理不足。虽然若干研究提出了客观分类和评估这些声音的计算机化系统,大多数算法是在桌面和后端系统中运行的。在本研究中,我们利用现代智能手机改进的计算和储存能力,利用机器学习算法,即随机森林(Random Forest)、支持矢量机(SVM)和k-NNN)来区分呼吸道声音症状。这些分类人员在移动电话上的明显表现显示智能手机是实时确认和歧视呼吸道症状的替代工具。此外,机器学习过程提供的客观临床数据可以帮助医生在特别医疗装置可能不便可用的流动护理期间对病人进行检查和治疗。