Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation

For patients who are often embarrassed and uncomfortable when exposing their breasts and having them touched by physicians of different genders during auscultation, we are developing a robotic system that performs auscultation over clothing. As the technical issue, the sound obtained through the clo...

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Main Authors: Ryosuke Tsumura, Akihiro Umezawa, Yuko Morishima, Hiroyasu Iwata, Kiyoshi Yoshinaka
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/23/4/2260
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author Ryosuke Tsumura
Akihiro Umezawa
Yuko Morishima
Hiroyasu Iwata
Kiyoshi Yoshinaka
author_facet Ryosuke Tsumura
Akihiro Umezawa
Yuko Morishima
Hiroyasu Iwata
Kiyoshi Yoshinaka
author_sort Ryosuke Tsumura
collection DOAJ
description For patients who are often embarrassed and uncomfortable when exposing their breasts and having them touched by physicians of different genders during auscultation, we are developing a robotic system that performs auscultation over clothing. As the technical issue, the sound obtained through the clothing is often attenuated. This study aims to investigate clothing-induced acoustic attenuation and develop a suppression method for it. Because the attenuation is due to the loss of energy as sound propagates through a medium with viscosity, we hypothesized that the attenuation is improved by compressing clothing and shortening the sound propagation distance. Then, the amplitude spectrum of the heart sound was obtained over clothes of different thicknesses and materials in a phantom study and human trial at varying contact forces with a developed passive-actuated end-effector. Our results demonstrate the feasibility of the attenuation suppression method by applying an optimum contact force, which varied according to the clothing condition. In the phantom experiments, the attenuation rate was improved maximumly by 48% when applying the optimal contact force (1 N). In human trials, the attenuation rate was under the acceptable attenuation (40%) when applying the optimal contact force in all combinations in each subject. The proposed method promises the potential of robotic auscultation toward eliminating gender bias.
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spelling doaj.art-9363e8eb5164450aa893a4a41b8f77062023-11-16T23:12:27ZengMDPI AGSensors1424-82202023-02-01234226010.3390/s23042260Suppression of Clothing-Induced Acoustic Attenuation in Robotic AuscultationRyosuke Tsumura0Akihiro Umezawa1Yuko Morishima2Hiroyasu Iwata3Kiyoshi Yoshinaka4Health and Medical Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba 305-8564, JapanDepartment of Creative Science and Engineering, Waseda University, Tokyo 162-0042, JapanFaculty of Medicine, University of Tsukuba, Tsukuba 305-8577, JapanDepartment of Creative Science and Engineering, Waseda University, Tokyo 162-0042, JapanHealth and Medical Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba 305-8564, JapanFor patients who are often embarrassed and uncomfortable when exposing their breasts and having them touched by physicians of different genders during auscultation, we are developing a robotic system that performs auscultation over clothing. As the technical issue, the sound obtained through the clothing is often attenuated. This study aims to investigate clothing-induced acoustic attenuation and develop a suppression method for it. Because the attenuation is due to the loss of energy as sound propagates through a medium with viscosity, we hypothesized that the attenuation is improved by compressing clothing and shortening the sound propagation distance. Then, the amplitude spectrum of the heart sound was obtained over clothes of different thicknesses and materials in a phantom study and human trial at varying contact forces with a developed passive-actuated end-effector. Our results demonstrate the feasibility of the attenuation suppression method by applying an optimum contact force, which varied according to the clothing condition. In the phantom experiments, the attenuation rate was improved maximumly by 48% when applying the optimal contact force (1 N). In human trials, the attenuation rate was under the acceptable attenuation (40%) when applying the optimal contact force in all combinations in each subject. The proposed method promises the potential of robotic auscultation toward eliminating gender bias.https://www.mdpi.com/1424-8220/23/4/2260auscultationacoustic attenuationmedical robotgender bias
spellingShingle Ryosuke Tsumura
Akihiro Umezawa
Yuko Morishima
Hiroyasu Iwata
Kiyoshi Yoshinaka
Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
Sensors
auscultation
acoustic attenuation
medical robot
gender bias
title Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
title_full Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
title_fullStr Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
title_full_unstemmed Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
title_short Suppression of Clothing-Induced Acoustic Attenuation in Robotic Auscultation
title_sort suppression of clothing induced acoustic attenuation in robotic auscultation
topic auscultation
acoustic attenuation
medical robot
gender bias
url https://www.mdpi.com/1424-8220/23/4/2260
work_keys_str_mv AT ryosuketsumura suppressionofclothinginducedacousticattenuationinroboticauscultation
AT akihiroumezawa suppressionofclothinginducedacousticattenuationinroboticauscultation
AT yukomorishima suppressionofclothinginducedacousticattenuationinroboticauscultation
AT hiroyasuiwata suppressionofclothinginducedacousticattenuationinroboticauscultation
AT kiyoshiyoshinaka suppressionofclothinginducedacousticattenuationinroboticauscultation