The Machine Learned Stethoscope Provides Accurate Operator Independent Diagnosis of Chest Disease
| Autor: | Magd A. Kotb, Mohammed A. A. Refaey, Hesham N. Elmahdy, Khaled Waleed Younis Rjoob, Christine William Shaker Basanti, Iman H. Draz, Fatma El Zahraa Mostafa, Hadeel M. Seif El Dein |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Stethoscope Chest disease business.industry Biomedical Engineering Imaging diagnostic Medicine (miscellaneous) 030209 endocrinology & metabolism law.invention Imaging modalities Chest sound 03 medical and health sciences 0302 clinical medicine Bronchial breathing law medicine Mel-frequency cepstrum Radiology Hidden Markov model business 030217 neurology & neurosurgery |
| Zdroj: | Medical Devices: Evidence and Research. 13:13-22 |
| ISSN: | 1179-1470 |
| DOI: | 10.2147/mder.s221029 |
| Popis: | Introduction Contemporary stethoscope has limitations in diagnosis of chest conditions, necessitating further imaging modalities. Methods We created 2 diagnostic computer aided non-invasive machine-learning models to recognize chest sounds. Model A was interpreter independent based on hidden markov model and mel frequency cepstral coefficient (MFCC). Model B was based on MFCC, hidden markov model, and chest sound wave image interpreter dependent analysis (phonopulmonography (PPG)). Results We studied 464 records of actual chest sounds belonging to 116 children diagnosed by clinicians and confirmed by other imaging diagnostic modalities. Model A had 96.7% overall correct classification rate (CCR), 100% sensitivity and 100% specificity in discrimination between normal and abnormal sounds. CCR was 100% for normal vesicular sounds, crepitations 89.1%, wheezes 97.6%, and bronchial breathing 100%. Model B's CCR was 100% for normal vesicular sounds, crepitations 97.3%, wheezes 97.6%, and bronchial breathing 100%. The overall CCR was 98.7%, sensitivity and specificity were 100%. Conclusion Both models demonstrated very high precision in the diagnosis of chest conditions and in differentiating normal from abnormal chest sounds irrespective of operator expertise. Incorporation of computer-aided models in stethoscopes promises prompt, precise, accurate, cost-effective, non-invasive, operator independent, objective diagnosis of chest conditions and reduces number of unnecessary imaging studies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|