Multimedia Respiratory Database (RespiratoryDatabase@TR): Auscultation Sounds and Chest X-rays

Gökhan Altan,Adnan Özhan Pekmezci̇,Yusuf Garbi̇,Serkan Nural,Yakup Kutlu

doi:10.28978/nesciences.349282

Abstract

Auscultation is a method for diagnosis of especially internal medicine diseases such as cardiac, pulmonary and cardio-pulmonary by listening the internal sounds from the body parts. It is the simplest and the most common physical examination in the assessment processes of the clinical skills. In this study, the lung and heart sounds are recorded synchronously from left and right sides of posterior and anterior chest wall and back using two digital stethoscopes in Antakya State Hospital. The chest X-rays and the pulmonary function test variables and spirometric curves, the St. George respiratory questionnaire (SGRQ-C) are collected as multimedia and clinical functional analysis variables of the patients. The 4 channels of heart sounds are focused on aortic, pulmonary, tricuspid and mitral areas. The 12 channels of lung sounds are focused on upper lung, middle lung, lower lung and costophrenic angle areas of posterior and anterior sides of the chest. The recordings are validated and labelled by two pulmonologists evaluating the collected chest x-ray, PFT and auscultation sounds of the subjects. The database consists of 30 healthy subjects and 45 subjects with pulmonary diseases such as asthma, chronic obstructive pulmonary disease, bronchitis. The novelties of the database are the combination ability between auscultation sound results, chest X-ray and PFT; synchronously assessment capability of the lungs sounds; image processing based computerized analysis of the respiratory using chest X-ray and providing opportunity for improving analysis of both lung sounds and heart sounds on pulmonary and cardiac diseases.

Highlights

A computer-assisted medical interface (CMI) is frequently used method in today's technology for performing clinical procedures, applying various clinical tests to patient, interpreting and analysing the clinical tests, and transferring detailed and characteristic information in line with clinicians’ expertise
The CMI has great precautions in terms of the patient's ability to access clinical history, used drugs, X-rays, Electrocardiography (ECG) and the auscultation sounds such as lung and heart sounds to direct physicians to control different diseases simultaneously
Point-based control, synchronization of two parallel auscultations and visualization of the lung and heart sounds which are recorded from the subjects can be performed using the designed CMI

Summary

Introduction

A computer-assisted medical interface (CMI) is frequently used method in today's technology for performing clinical procedures, applying various clinical tests to patient, interpreting and analysing the clinical tests, and transferring detailed and characteristic information in line with clinicians’ expertise. The lung auscultation sounds, abnormalities wheezing and crackles during respiratory attacks, clinical variability, PFT variability, chest Xrays, and assessments of questionnaires will provide an advantage for clinicians and pulmonologists in the monitoring, early managing and regimen processes of the patient specific treatment.

Results

Conclusion