Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21287, USA.
Department of Electrical and Computer Engineering, Cornell University, Ithaca, NY 14853, USA.
Sensors (Basel). 2024 Oct 15;24(20):6646. doi: 10.3390/s24206646.
Cardiovascular diseases (CVDs) are among the primary causes of mortality globally, highlighting the critical need for early detection to mitigate their impact. Phonocardiograms (PCGs), which record heart sounds, are essential for the non-invasive assessment of cardiac function, enabling the early identification of abnormalities such as murmurs. Particularly in underprivileged regions with high birth rates, the absence of early diagnosis poses a significant public health challenge. In pediatric populations, the analysis of PCG signals is invaluable for detecting abnormal sound waves indicative of congenital and acquired heart diseases, such as septal defects and defective cardiac valves. In the PhysioNet 2022 challenge, the murmur score is a weighted accuracy metric that reflects detection accuracy based on clinical significance. In our research, we proposed a mean teacher method tailored for murmur detection, making full use of the Phyionet2022 and Phyionet2016 PCG datasets, achieving the SOTA (State of Art) performance with a murmur score of 0.82 and an AUC score of 0.90, providing an accessible and high accuracy non-invasive early stage CVD assessment tool, especially for low and middle-income countries (LMICs).
心血管疾病(CVDs)是全球主要的死亡原因之一,这凸显了早期检测以减轻其影响的迫切需求。心音图(PCG)记录心脏声音,对于心脏功能的非侵入性评估至关重要,能够早期识别杂音等异常。特别是在出生率高的贫困地区,缺乏早期诊断带来了重大的公共卫生挑战。在儿科人群中,分析 PCG 信号对于检测表明先天性和获得性心脏病的异常声波非常有价值,例如室间隔缺损和心脏瓣膜缺陷。在 PhysioNet 2022 挑战赛中,杂音评分是一种加权准确性指标,根据临床意义反映检测准确性。在我们的研究中,我们提出了一种专门用于杂音检测的均值教师方法,充分利用了 Phyionet2022 和 Phyionet2016 PCG 数据集,实现了最先进的性能,杂音评分为 0.82,AUC 评分为 0.90,提供了一种易于使用且具有高精度的非侵入性早期 CVD 评估工具,特别是对于中低收入国家(LMICs)。