Institute for Biomedical Engineering, ETH Zurich, Gloriastr. 35, 8092 Zurich, Switzerland.
Physiol Meas. 2017 Oct 31;38(11):1919-1938. doi: 10.1088/1361-6579/aa8a39.
Acoustic analyses of snoring sounds have been used to objectively assess snoring and applied in various clinical problems for adult patients. Such studies require highly automatized tools to analyze the sound recordings of the whole night's sleep, in order to extract clinically relevant snore- related statistics. The existing techniques and software used for adults are not efficiently applicable to snoring sounds in children, basically because of different acoustic signal properties. In this paper, we present a broad range of acoustic characteristics of snoring sounds in children (N = 38) in comparison to adult (N = 30) patients.
Acoustic characteristics of the signals were calculated, including frequency domain representations, spectrogram-based characteristics, spectral envelope analysis, formant structures and loudness of the snoring sounds.
We observed significant differences in spectral features, formant structures and loudness of the snoring signals of children compared to adults that may arise from the diversity of the upper airway anatomy as the principal determinant of the snore sound generation mechanism. Furthermore, based on the specific audio features of snoring children, we proposed a novel algorithm for the automatic detection of snoring sounds from ambient acoustic data specifically in a pediatric population. The respiratory sounds were recorded using a pair of microphones and a multi-channel data acquisition system simultaneously with full-night polysomnography during sleep. Brief sound chunks of 0.5 s were classified as either belonging to a snoring event or not with a multi-layer perceptron, which was trained in a supervised fashion using stochastic gradient descent on a large hand-labeled dataset using frequency domain features.
The method proposed here has been used to extract snore-related statistics that can be calculated from the detected snore episodes for the whole night's sleep, including number of snore episodes (total snoring time), ratio of snore to whole sleep time, variation of snoring rate, regularity of snoring episodes in time and amplitude and snore loudness. These statistics will ultimately serve as a clinical tool providing information for the objective evaluation of snoring for several clinical applications.
对打鼾声音进行声学分析已被用于客观评估打鼾,并应用于成人患者的各种临床问题。此类研究需要高度自动化的工具来分析整个夜间睡眠的声音记录,以便提取临床相关的与打鼾相关的统计信息。现有的用于成人的技术和软件基本不能有效地应用于儿童的打鼾声音,主要是因为声学信号特性不同。本文介绍了一系列儿童(N=38)与成人(N=30)患者打鼾声音的广泛声学特征。
计算了信号的声学特征,包括频域表示、基于声谱图的特征、频谱包络分析、共振峰结构和打鼾声音的响度。
与成人相比,我们观察到儿童打鼾信号的光谱特征、共振峰结构和响度存在显著差异,这可能是由于上呼吸道解剖结构的多样性是产生打鼾声音机制的主要决定因素所致。此外,基于儿童打鼾的特定音频特征,我们提出了一种新的算法,用于自动检测小儿人群环境声数据中的打鼾声音。呼吸声使用一对麦克风和多通道数据采集系统同时在睡眠期间进行整夜多导睡眠图记录。将 0.5 秒的简短声音片段分类为属于打鼾事件或不属于打鼾事件,使用多层感知器进行分类,该感知器使用随机梯度下降在使用频域特征的大型手动标记数据集上进行有监督训练。
本文提出的方法已用于提取可以从整个夜间睡眠中检测到的打鼾事件中计算的与打鼾相关的统计信息,包括打鼾事件数(总打鼾时间)、打鼾与整个睡眠时间的比率、打鼾率的变化、时间和幅度上的打鼾事件的规律性以及打鼾响度。这些统计信息最终将作为一种临床工具,为客观评估打鼾提供信息,适用于多种临床应用。