Classification of pulmonary sounds through deep learning for the diagnosis of interstitial lung diseases secondary to connective tissue diseases.

Journal: Computers in biology and medicine
Published Date:

Abstract

Early diagnosis of interstitial lung diseases secondary to connective tissue diseases is critical for the treatment and survival of patients. The symptoms, like dry cough and dyspnea, appear late in the clinical history and are not specific, moreover, the current approach to confirm the diagnosis of interstitial lung disease is based on high resolution computer tomography. However, computer tomography involves x-ray exposure for patients and high costs for the Health System, therefore preventing its use for a massive screening campaign in elder people. In this work we investigate the use of deep learning techniques for the classification of pulmonary sounds acquired from patients affected by connective tissue diseases. The novelty of the work consists of a suitably developed pre-processing pipeline for de-noising and data augmentation. The proposed approach is combined with a clinical study where the ground truth is represented by high resolution computer tomography. Various convolutional neural networks have provided an overall accuracy as high as 91% in the classification of lung sounds and have led to an overwhelming diagnostic accuracy in the range 91%-93%. Modern high performance hardware for edge computing can easily support our algorithms. This solution paves the way for a vast screening campaign of interstitial lung diseases in elder people on the basis of a non-invasive and cheap thoracic auscultation.

Authors

  • Behnood Dianat
    University of Modena and Reggio Emilia, Department of Sciences and Methods for Engineering, Via G. Amendola 2, 42122 Reggio Emilia, Italy; University of Modena and Reggio Emilia, Artificial Intelligence Research and Innovation Center (AIRI), Via Pietro Vivarelli 10, 41125 Modena, Italy.
  • Paolo La Torraca
    University of Modena and Reggio Emilia, Department of Sciences and Methods for Engineering, Via G. Amendola 2, 42122 Reggio Emilia, Italy.
  • Andreina Manfredi
    University of Modena and Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, via del Pozzo 71, 41124, Modena, Italy; Azienda Policlinico di Modena, Rheumatology Unit, via del Pozzo 71, 41124, Modena, Italy.
  • Giulia Cassone
    University of Modena and Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, via del Pozzo 71, 41124, Modena, Italy; Azienda Policlinico di Modena, Rheumatology Unit, via del Pozzo 71, 41124, Modena, Italy.
  • Caterina Vacchi
    University of Modena and Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, via del Pozzo 71, 41124, Modena, Italy; Azienda Policlinico di Modena, Rheumatology Unit, via del Pozzo 71, 41124, Modena, Italy.
  • Marco Sebastiani
    University of Modena and Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, via del Pozzo 71, 41124, Modena, Italy; Azienda Policlinico di Modena, Rheumatology Unit, via del Pozzo 71, 41124, Modena, Italy.
  • Fabrizio Pancaldi
    University of Modena and Reggio Emilia, Department of Sciences and Methods for Engineering, Via G. Amendola 2, 42122 Reggio Emilia, Italy; University of Modena and Reggio Emilia, Artificial Intelligence Research and Innovation Center (AIRI), Via Pietro Vivarelli 10, 41125 Modena, Italy. Electronic address: fabrizio.pancaldi@unimore.it.