Abstract

Asthma is a symptom of tracheal obstruction caused by bronchospasm, and it is among the most prevalent chronic obstructive pulmonary diseases. Auscultation is the most commonly used approach for the clinical diagnosis of asthma. However, recognizing wheezes through auscultation requires experienced physicians, and this approach is not sufficiently objective. Therefore, developing a method for recognizing wheezes objectively is crucial. Most studies have used the spectral features of lung sounds to detect wheezes; however, they have not achieved sufficiently high performance owing to the poor discrimination of spectral features. Several studies have attempted to extract wheezing features from lung sound spectrograms; however, their approaches were easily affected by variations in the wheezing frequency and background noise. The present study proposes a novel automatic wheeze detection algorithm for extracting lung sound features in the time–frequency domain and automatically detecting wheezes. The proposed algorithm applies canonical correlation analysis to successfully detect wheezing features in a lung sound spectrogram. Moreover, a neural network technique is used to effectively classify healthy and wheezing sounds. The experimental results indicated that the proposed algorithm showed excellent performance in detecting wheezing.

Highlights

  • Asthma frequently presents as airflow obstruction, shortness of breath, and intermittent wheezing during infancy or childhood [1]

  • The present study proposes a novel automatic wheeze detection algorithm

  • The respiratory rates and sound indices for the asthma groups were significantly higher than those for the healthy group, and the value of the sound index increased with the wheezing grade

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Summary

Introduction

Asthma frequently presents as airflow obstruction, shortness of breath, and intermittent wheezing during infancy or childhood [1]. It is a highly prevalent chronic obstructive lung disease and associated with a heavy burden of healthcare costs, and it is among the top 20 chronic conditions globally for disability-adjusted life years in children [2]. Investigating methods for evaluating the asthma state is crucial. The diagnosis of the asthma state is generally based on the auscultation method that depends on the expertise of the physicians [7], and an objective judgment to evaluate the asthma state remains lacking [8]

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