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一种基于光谱分析的新型胃肠活动分级系统。

A novel spectral analysis-based grading system for gastrointestinal activity.

作者信息

Cengizler Çağlar

机构信息

Biomedical Device Technology Program, Vocational School of Health Services, Izmir Democracy University, Izmir, Turkey.

出版信息

PLoS One. 2025 Jun 2;20(6):e0323440. doi: 10.1371/journal.pone.0323440. eCollection 2025.

Abstract

Intestinal sounds, primarily generated by the movement of digested gas and liquids during peristalsis, are acoustic signals that provide valuable insights into intestinal functioning. Traditionally, doctors have relied on stethoscopes to assess the degree of gastrointestinal activity. Recent advancements in computer-aided technologies and electronic stethoscopes have enhanced the understanding and analysis of these sounds. Studies utilizing advanced techniques like deep learning and convolutional neural networks have shown promise in analyzing bowel sounds. Nevertheless, the reliance on personal judgment and the need for large labeled datasets limit the broader applicability of these methods. This study introduces an innovative, unsupervised grading system to objectively evaluate gastrointestinal motility by analyzing bowel sounds through spectral feature analysis. This system offers a practical alternative to traditional listening techniques or complex models. It computes an activity score for digital audio using a cost-effective numerical grading method to assist doctors in quantifying gastrointestinal motility. The method's reliability, validated by Spearman's rank correlation, confirms its accuracy in assessing activity levels and highlights its potential as a reliable and practical tool for supporting objective medical assessments of bowel activity.

摘要

肠鸣音主要由蠕动过程中消化气体和液体的移动产生,是一种能为肠道功能提供有价值见解的声学信号。传统上,医生依靠听诊器来评估胃肠活动程度。计算机辅助技术和电子听诊器的最新进展增强了对这些声音的理解和分析。利用深度学习和卷积神经网络等先进技术的研究在分析肠鸣音方面显示出前景。然而,对个人判断的依赖以及对大量标注数据集的需求限制了这些方法的更广泛应用。本研究引入了一种创新的无监督分级系统,通过频谱特征分析肠鸣音来客观评估胃肠动力。该系统为传统听诊技术或复杂模型提供了一种实用的替代方法。它使用一种经济高效的数值分级方法为数字音频计算活动分数,以协助医生量化胃肠动力。经斯皮尔曼等级相关性验证,该方法的可靠性证实了其在评估活动水平方面的准确性,并突出了其作为支持对肠道活动进行客观医学评估的可靠实用工具的潜力。

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