An accurate deep learning model for wheezing in children using real world data

Abstract Auscultation is an important diagnostic method for lung diseases. However, it is a subjective modality and requires a high degree of expertise. To overcome this constraint, artificial intelligence models are being developed. However, these models require performance improvements and do not...

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Main Authors: Beom Joon Kim, Baek Seung Kim, Jeong Hyeon Mun, Changwon Lim, Kyung Hoon Kim
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-25953-1
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author Beom Joon Kim
Baek Seung Kim
Jeong Hyeon Mun
Changwon Lim
Kyung Hoon Kim
author_facet Beom Joon Kim
Baek Seung Kim
Jeong Hyeon Mun
Changwon Lim
Kyung Hoon Kim
author_sort Beom Joon Kim
collection DOAJ
description Abstract Auscultation is an important diagnostic method for lung diseases. However, it is a subjective modality and requires a high degree of expertise. To overcome this constraint, artificial intelligence models are being developed. However, these models require performance improvements and do not reflect the actual clinical situation. We aimed to develop an improved deep-learning model learning to detect wheezing in children, based on data from real clinical practice. In this prospective study, pediatric pulmonologists recorded and verified respiratory sounds in 76 pediatric patients who visited a university hospital in South Korea. In addition, structured data, such as sex, age, and auscultation location, were collected. Using our dataset, we implemented an optimal model by transforming it based on the convolutional neural network model. Finally, we proposed a model using a 34-layer residual network with the convolutional block attention module for audio data and multilayer perceptron layers for tabular data. The proposed model had an accuracy of 91.2%, area under the curve of 89.1%, precision of 94.4%, recall of 81%, and F1-score of 87.2%. The deep-learning model proposed had a high accuracy for detecting wheeze sounds. This high-performance model will be helpful for the accurate diagnosis of respiratory diseases in actual clinical practice.
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spelling doaj.art-cb1b834b38424399bcdf1474246b1ea02023-01-01T12:16:47ZengNature PortfolioScientific Reports2045-23222022-12-011211810.1038/s41598-022-25953-1An accurate deep learning model for wheezing in children using real world dataBeom Joon Kim0Baek Seung Kim1Jeong Hyeon Mun2Changwon Lim3Kyung Hoon Kim4Department of Pediatrics, College of Medicine, The Catholic University of KoreaDepartment of Applied Statistics, Chung-Ang UniversityDepartment of Applied Statistics, Chung-Ang UniversityDepartment of Applied Statistics, Chung-Ang UniversityDepartment of Pediatrics, Seoul National University Bundang HospitalAbstract Auscultation is an important diagnostic method for lung diseases. However, it is a subjective modality and requires a high degree of expertise. To overcome this constraint, artificial intelligence models are being developed. However, these models require performance improvements and do not reflect the actual clinical situation. We aimed to develop an improved deep-learning model learning to detect wheezing in children, based on data from real clinical practice. In this prospective study, pediatric pulmonologists recorded and verified respiratory sounds in 76 pediatric patients who visited a university hospital in South Korea. In addition, structured data, such as sex, age, and auscultation location, were collected. Using our dataset, we implemented an optimal model by transforming it based on the convolutional neural network model. Finally, we proposed a model using a 34-layer residual network with the convolutional block attention module for audio data and multilayer perceptron layers for tabular data. The proposed model had an accuracy of 91.2%, area under the curve of 89.1%, precision of 94.4%, recall of 81%, and F1-score of 87.2%. The deep-learning model proposed had a high accuracy for detecting wheeze sounds. This high-performance model will be helpful for the accurate diagnosis of respiratory diseases in actual clinical practice.https://doi.org/10.1038/s41598-022-25953-1
spellingShingle Beom Joon Kim
Baek Seung Kim
Jeong Hyeon Mun
Changwon Lim
Kyung Hoon Kim
An accurate deep learning model for wheezing in children using real world data
Scientific Reports
title An accurate deep learning model for wheezing in children using real world data
title_full An accurate deep learning model for wheezing in children using real world data
title_fullStr An accurate deep learning model for wheezing in children using real world data
title_full_unstemmed An accurate deep learning model for wheezing in children using real world data
title_short An accurate deep learning model for wheezing in children using real world data
title_sort accurate deep learning model for wheezing in children using real world data
url https://doi.org/10.1038/s41598-022-25953-1
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