Real-time counting of wheezing events from lung sounds using deep learning algorithms: Implications for disease prediction and early intervention.

Journal: PloS one
Published Date:

Abstract

This pioneering study aims to revolutionize self-symptom management and telemedicine-based remote monitoring through the development of a real-time wheeze counting algorithm. Leveraging a novel approach that includes the detailed labeling of one breathing cycle into three types: break, normal, and wheeze, this study not only identifies abnormal sounds within each breath but also captures comprehensive data on their location, duration, and relationships within entire respiratory cycles, including atypical patterns. This innovative strategy is based on a combination of a one-dimensional convolutional neural network (1D-CNN) and a long short-term memory (LSTM) network model, enabling real-time analysis of respiratory sounds. Notably, it stands out for its capacity to handle continuous data, distinguishing it from conventional lung sound classification algorithms. The study utilizes a substantial dataset consisting of 535 respiration cycles from diverse sources, including the Child Sim Lung Sound Simulator, the EMTprep Open-Source Database, Clinical Patient Records, and the ICBHI 2017 Challenge Database. Achieving a classification accuracy of 90%, the exceptional result metrics encompass the identification of each breath cycle and simultaneous detection of the abnormal sound, enabling the real-time wheeze counting of all respirations. This innovative wheeze counter holds the promise of revolutionizing research on predicting lung diseases based on long-term breathing patterns and offers applicability in clinical and non-clinical settings for on-the-go detection and remote intervention of exacerbated respiratory symptoms.

Authors

  • Sunghoon Im
    Department of Mechanical Engineering, Ajou University, Multiscale Bio-inspired Technology Lab, Suwon 16499, Republic of Korea.
  • Taewi Kim
    Department of Mechanical Engineering, Ajou University, San 5, Woncheon-dong, Yeongtong-gu, Suwon 443-749, Korea.
  • Choongki Min
    Selvas AI, Seoul, Republic of Korea.
  • Sanghun Kang
    Department of Mechanical Engineering, Ajou University, Suwon-si, Gyeonggi-do, Republic of Korea.
  • Yeonwook Roh
    Department of Mechanical Engineering, Ajou University, Multiscale Bio-inspired Technology Lab, Suwon 16499, Republic of Korea.
  • Changhwan Kim
    Department of Mechanical Engineering , Ajou University , Suwon , Gyeonggi-do 16499 , Republic of Korea.
  • Minho Kim
    School of Advanced Materials Science and Engineering, Sungkyunkwan University, Suwon, 16419, Republic of Korea.
  • Seung Hyun Kim
    Department of Pediatrics, Hanyang University College of Medicine, Seoul, 04763, Republic of Korea.
  • KyungMin Shim
    Industry-University Cooperation Foundation, Seogyeong University, Seoul, Republic of Korea.
  • Je-Sung Koh
    Department of Mechanical Engineering , Ajou University , Suwon , Gyeonggi-do 16499 , Republic of Korea.
  • Seungyong Han
    Department of Mechanical Engineering, Ajou University, San 5, Woncheon-dong, Yeongtong-gu, Suwon 443-749, Korea.
  • JaeWang Lee
    Department of Biomedical Laboratory Science, College of Health Science, Eulji University, Seongnam-si, Gyeonggi-do, Republic of Korea.
  • Dohyeong Kim
    University of Texas at Dallas, Richardson, TX, United States of America.
  • Daeshik Kang
    Department of Mechanical Engineering, Ajou University, San 5, Woncheon-dong, Yeongtong-gu, Suwon 443-749, Korea.
  • Sungchul Seo
    Department of Environmental Health and Safety, EulJi University, Seoul 11759, Republic of Korea.