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用于湿咳/干咳声音分类的自动化算法。

Automated algorithm for Wet/Dry cough sounds classification.

作者信息

Swarnkar V, Abeyratne U R, Amrulloh Yusuf A, Chang Anne

机构信息

School of ITEE, The University of Queensland, 4072, Australia.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2012;2012:3147-50. doi: 10.1109/EMBC.2012.6346632.

Abstract

Cough is the most common symptom of several respiratory diseases. It is a defense mechanism of the body to clear the respiratory tract from foreign materials inhaled accidentally or produced internally by infections. The identification of wet and dry cough is an important clinical finding, aiding in the differential diagnosis. Wet coughs are more likely to be associated with bacterial infections. At present, the wet/dry decision is based on the subjective judgment of a physician, during a typical consultation session. It is not available for long term monitoring or in the assessment of treatment efficacy. In this paper we address these issues and develop fully automated technology to classify cough into 'Wet' and 'Dry' categories. We propose novel features and a Logistic regression-based model for the classification of coughs into wet/dry classes. The performance of the method was evaluated on a clinical database of pediatric and adult coughs recorded using a bed-side non-contact microphone. The sensitivity and specificity of the classification were obtained as 79±9% and 72.7±8.7% respectively. These indicate the potential of the method as a useful clinical tool for cough monitoring, especially at home settings.

摘要

咳嗽是多种呼吸道疾病最常见的症状。它是人体的一种防御机制,用于清除呼吸道中意外吸入的异物或由感染在体内产生的物质。区分湿性咳嗽和干性咳嗽是一项重要的临床发现,有助于鉴别诊断。湿性咳嗽更可能与细菌感染有关。目前,湿性/干性的判断是基于医生在典型会诊期间的主观判断。它不适用于长期监测或治疗效果评估。在本文中,我们解决了这些问题,并开发了将咳嗽完全自动分类为“湿性”和“干性”类别的技术。我们提出了用于将咳嗽分类为湿性/干性类别的新颖特征和基于逻辑回归的模型。该方法的性能在使用床边非接触式麦克风记录的儿科和成人咳嗽临床数据库上进行了评估。分类的敏感性和特异性分别为79±9%和72.7±8.7%。这些表明该方法作为咳嗽监测的有用临床工具的潜力,特别是在家庭环境中。

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