Cough sound analysis and objective correlation with spirometry and clinical diagnosis

In India, there are 100 million people who suffer from various respiratory problems; globally it is about 1–1.2 billion. The main problem attributed to the prevalence of respiratory diseases is lack of cost-effective and lab-free methods for early diagnosis. Spirometry is the standard clinical test...

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Main Authors: Gowrisree Rudraraju, ShubhaDeepti Palreddy, Baswaraj Mamidgi, Narayana Rao Sripada, Y. Padma Sai, Naveen Kumar Vodnala, Sai Praveen Haranath
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Informatics in Medicine Unlocked
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352914819304071
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author Gowrisree Rudraraju
ShubhaDeepti Palreddy
Baswaraj Mamidgi
Narayana Rao Sripada
Y. Padma Sai
Naveen Kumar Vodnala
Sai Praveen Haranath
author_facet Gowrisree Rudraraju
ShubhaDeepti Palreddy
Baswaraj Mamidgi
Narayana Rao Sripada
Y. Padma Sai
Naveen Kumar Vodnala
Sai Praveen Haranath
author_sort Gowrisree Rudraraju
collection DOAJ
description In India, there are 100 million people who suffer from various respiratory problems; globally it is about 1–1.2 billion. The main problem attributed to the prevalence of respiratory diseases is lack of cost-effective and lab-free methods for early diagnosis. Spirometry is the standard clinical test procedure for detection of respiratory problems, but it requires repetition, and is also expensive and not available in rural areas.Cough sounds carry vital information about the respiratory system and the pathologies involved. Through this study, we detail how a combination of standard signal processing features and domain-specific features play a key role in distinguishing cough patterns. We could establish a relationship between cough pattern and respiratory conditions including widened airway, narrowed airway, fluid filled air sacs, and stiff lungs. Further, cough sound characteristics are correlated to the airflow parameters of spirometry.Our results show strong correlation of cough sound characteristics with airflow characteristics including FEV1, FVC and their ratios, which are important in identifying the type of lung diseases as either obstructive (obstruction in airway) or restrictive (restricts lung expansion). We have constructed a machine learning model to predict obstructive versus restrictive pattern, and validated it using K-fold cross-validation based on ground truth data. With a pattern prediction accuracy of 91.97%, sensitivity of 87.2%, and specificity of 93.69%, our results are encouraging.
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spelling doaj.art-9ad163d693f847e6b3f3d9976f52507a2022-12-22T00:07:17ZengElsevierInformatics in Medicine Unlocked2352-91482020-01-0119100319Cough sound analysis and objective correlation with spirometry and clinical diagnosisGowrisree Rudraraju0ShubhaDeepti Palreddy1Baswaraj Mamidgi2Narayana Rao Sripada3Y. Padma Sai4Naveen Kumar Vodnala5Sai Praveen Haranath6Salcit Technologies, VJHUB, India; Corresponding author. VNR Vignana Jyothi Institute of Engineering and Technology, Nizampet Road, Pragathi Nagar, India.Salcit Technologies, VJHUB, IndiaSalcit Technologies, VJHUB, IndiaSalcit Technologies, VJHUB, IndiaVNR VJIET, IndiaVNR VJIET, IndiaApollo Hospitals, IndiaIn India, there are 100 million people who suffer from various respiratory problems; globally it is about 1–1.2 billion. The main problem attributed to the prevalence of respiratory diseases is lack of cost-effective and lab-free methods for early diagnosis. Spirometry is the standard clinical test procedure for detection of respiratory problems, but it requires repetition, and is also expensive and not available in rural areas.Cough sounds carry vital information about the respiratory system and the pathologies involved. Through this study, we detail how a combination of standard signal processing features and domain-specific features play a key role in distinguishing cough patterns. We could establish a relationship between cough pattern and respiratory conditions including widened airway, narrowed airway, fluid filled air sacs, and stiff lungs. Further, cough sound characteristics are correlated to the airflow parameters of spirometry.Our results show strong correlation of cough sound characteristics with airflow characteristics including FEV1, FVC and their ratios, which are important in identifying the type of lung diseases as either obstructive (obstruction in airway) or restrictive (restricts lung expansion). We have constructed a machine learning model to predict obstructive versus restrictive pattern, and validated it using K-fold cross-validation based on ground truth data. With a pattern prediction accuracy of 91.97%, sensitivity of 87.2%, and specificity of 93.69%, our results are encouraging.http://www.sciencedirect.com/science/article/pii/S2352914819304071Machine learningRespiratory diseasesCough sound characteristicsAirflow parametersRespiratory conditions
spellingShingle Gowrisree Rudraraju
ShubhaDeepti Palreddy
Baswaraj Mamidgi
Narayana Rao Sripada
Y. Padma Sai
Naveen Kumar Vodnala
Sai Praveen Haranath
Cough sound analysis and objective correlation with spirometry and clinical diagnosis
Informatics in Medicine Unlocked
Machine learning
Respiratory diseases
Cough sound characteristics
Airflow parameters
Respiratory conditions
title Cough sound analysis and objective correlation with spirometry and clinical diagnosis
title_full Cough sound analysis and objective correlation with spirometry and clinical diagnosis
title_fullStr Cough sound analysis and objective correlation with spirometry and clinical diagnosis
title_full_unstemmed Cough sound analysis and objective correlation with spirometry and clinical diagnosis
title_short Cough sound analysis and objective correlation with spirometry and clinical diagnosis
title_sort cough sound analysis and objective correlation with spirometry and clinical diagnosis
topic Machine learning
Respiratory diseases
Cough sound characteristics
Airflow parameters
Respiratory conditions
url http://www.sciencedirect.com/science/article/pii/S2352914819304071
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AT narayanaraosripada coughsoundanalysisandobjectivecorrelationwithspirometryandclinicaldiagnosis
AT ypadmasai coughsoundanalysisandobjectivecorrelationwithspirometryandclinicaldiagnosis
AT naveenkumarvodnala coughsoundanalysisandobjectivecorrelationwithspirometryandclinicaldiagnosis
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