High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing
Millions of people across the globe suffer from swallowing difficulties, known as dysphagia, which can lead to malnutrition, pneumonia, and even death. Swallowing cervical auscultation, which has been suggested as a noninvasive screening method for dysphagia, has not been associated yet with any phy...
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| Format: | Article |
| Language: | English |
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IEEE
2019-01-01
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| Series: | IEEE Journal of Translational Engineering in Health and Medicine |
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| Online Access: | https://ieeexplore.ieee.org/document/8586951/ |
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| author | Cedrine Rebrion Zhenwei Zhang Yassin Khalifa Mona Ramadan Atsuko Kurosu James L. Coyle Subashan Perera Ervin Sejdic |
| author_facet | Cedrine Rebrion Zhenwei Zhang Yassin Khalifa Mona Ramadan Atsuko Kurosu James L. Coyle Subashan Perera Ervin Sejdic |
| author_sort | Cedrine Rebrion |
| collection | DOAJ |
| description | Millions of people across the globe suffer from swallowing difficulties, known as dysphagia, which can lead to malnutrition, pneumonia, and even death. Swallowing cervical auscultation, which has been suggested as a noninvasive screening method for dysphagia, has not been associated yet with any physical events. In this paper, we have compared the hyoid bone displacement extracted from the videofluoroscopy images of 31 swallows to the signal features extracted from the cervical auscultation recordings captured with a tri-axial accelerometer and a microphone. First, the vertical displacement of the anterior part of the hyoid bone is related to the entropy rate of the superior–inferior swallowing vibrations and to the kurtosis of the swallowing sounds. Second, the vertical displacement of the posterior part of the hyoid bone is related to the bandwidth of the medial–lateral swallowing vibrations. Third, the horizontal displacements of the posterior and anterior parts of the hyoid bone are related to the spectral centroid of the superior–inferior swallowing vibrations and to the peak frequency of the medial–lateral swallowing vibrations, respectively. At last, the airway protection scores and the command characteristics were associated with the vertical and horizontal displacements, respectively, of the posterior part of the hyoid bone. Additional associations between the patients’ characteristics and auscultations’ signals were also observed. The hyoid bone maximal displacement is a cause of swallowing vibrations and sounds. High-resolution cervical auscultation may offer a noninvasive alternative for dysphagia screening and additional diagnostic information. |
| first_indexed | 2024-12-19T13:50:44Z |
| format | Article |
| id | doaj.art-c3f7c43d419b4b71a22c0692133c21b6 |
| institution | Directory Open Access Journal |
| issn | 2168-2372 |
| language | English |
| last_indexed | 2024-12-19T13:50:44Z |
| publishDate | 2019-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Journal of Translational Engineering in Health and Medicine |
| spelling | doaj.art-c3f7c43d419b4b71a22c0692133c21b62022-12-21T20:18:45ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722019-01-0171910.1109/JTEHM.2018.28814688586951High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During SwallowingCedrine Rebrion0Zhenwei Zhang1https://orcid.org/0000-0001-7215-0858Yassin Khalifa2https://orcid.org/0000-0001-8017-5959Mona Ramadan3https://orcid.org/0000-0002-1999-0142Atsuko Kurosu4James L. Coyle5https://orcid.org/0000-0002-5627-5623Subashan Perera6Ervin Sejdic7https://orcid.org/0000-0003-4987-8298Department of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USADepartment of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USADepartment of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USADepartment of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USADepartment of the Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USADepartment of the Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USADepartment of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA, USADepartment of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USAMillions of people across the globe suffer from swallowing difficulties, known as dysphagia, which can lead to malnutrition, pneumonia, and even death. Swallowing cervical auscultation, which has been suggested as a noninvasive screening method for dysphagia, has not been associated yet with any physical events. In this paper, we have compared the hyoid bone displacement extracted from the videofluoroscopy images of 31 swallows to the signal features extracted from the cervical auscultation recordings captured with a tri-axial accelerometer and a microphone. First, the vertical displacement of the anterior part of the hyoid bone is related to the entropy rate of the superior–inferior swallowing vibrations and to the kurtosis of the swallowing sounds. Second, the vertical displacement of the posterior part of the hyoid bone is related to the bandwidth of the medial–lateral swallowing vibrations. Third, the horizontal displacements of the posterior and anterior parts of the hyoid bone are related to the spectral centroid of the superior–inferior swallowing vibrations and to the peak frequency of the medial–lateral swallowing vibrations, respectively. At last, the airway protection scores and the command characteristics were associated with the vertical and horizontal displacements, respectively, of the posterior part of the hyoid bone. Additional associations between the patients’ characteristics and auscultations’ signals were also observed. The hyoid bone maximal displacement is a cause of swallowing vibrations and sounds. High-resolution cervical auscultation may offer a noninvasive alternative for dysphagia screening and additional diagnostic information.https://ieeexplore.ieee.org/document/8586951/Cervical auscultationdysphagiahyoid displacementsignal processingswallowing |
| spellingShingle | Cedrine Rebrion Zhenwei Zhang Yassin Khalifa Mona Ramadan Atsuko Kurosu James L. Coyle Subashan Perera Ervin Sejdic High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing IEEE Journal of Translational Engineering in Health and Medicine Cervical auscultation dysphagia hyoid displacement signal processing swallowing |
| title | High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing |
| title_full | High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing |
| title_fullStr | High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing |
| title_full_unstemmed | High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing |
| title_short | High-Resolution Cervical Auscultation Signal Features Reflect Vertical and Horizontal Displacements of the Hyoid Bone During Swallowing |
| title_sort | high resolution cervical auscultation signal features reflect vertical and horizontal displacements of the hyoid bone during swallowing |
| topic | Cervical auscultation dysphagia hyoid displacement signal processing swallowing |
| url | https://ieeexplore.ieee.org/document/8586951/ |
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