Abstract

Rapid assessment of breathing patterns is important for several emergency medical situations. In this research, we developed a non-invasive breathing analysis system that automatically detects different types of breathing patterns of clinical significance. Accelerometer and gyroscopic data were collected from light-weight wireless sensors placed on the chest and abdomen of 100 normal volunteers who simulated various breathing events (central sleep apnea, coughing, obstructive sleep apnea, sighing, and yawning). We then constructed synthetic datasets by injecting annotated examples of the various patterns into segments of normal breathing. A one-dimensional convolutional neural network was implemented to detect the location of each event in each synthetic dataset and to classify it as belonging to one of the above event types. We achieved a mean F1 score of 92% for normal breathing, 87% for central sleep apnea, 72% for coughing, 51% for obstructive sleep apnea, 57% for sighing, and 63% for yawning. These results demonstrate that using deep learning to analyze chest and abdomen movement data from wearable sensors provides an unobtrusive means of monitoring the breathing pattern. This could have application in a number of critical medical situations such as detecting apneas during sleep at home and monitoring breathing events in mechanically ventilated patients in the intensive care unit.

Highlights

  • The cyclic variations in lung volume that take place during breathing comprise a vital sign of fundamental importance to clinical medicine

  • Area that s was the window length because it captured the entirety of each breathing event

  • Determined that s was the optimal window length because it captured the entirety of each breathing under the Receiveroperating operatingcharacteristic characteristic (ROC)

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Summary

Introduction

The cyclic variations in lung volume that take place during breathing comprise a vital sign of fundamental importance to clinical medicine. The patterns that these volume variations present can vary dramatically, from the fairly regular rhythm that characterizes health to a complete absence of breathing indicative of various life-threatening conditions. Abnormalities in the pattern of breathing can be persistent in the case of chronic diseases, but can develop extremely quickly in medical emergencies, so being able to diagnose such patterns quickly and reliably is often critical. Assessing abnormalities in the breathing pattern has been part of basic medical diagnosis for centuries, but has relied on the availability of appropriately trained personnel.

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