Smart Phone based Snoring Sound analysis to Identify Upper Airway Obstructions.

Abstract

Obstructive sleep apnea (OSA) is characterized by upper airway obstructions known as apnea/hypopnea events. Narrowing of the upper airway during or near the vicinity of apnea/hypopnea causes the spectrum of the snores to shift to higher frequencies. Using an instrumentation quality wideband (WB) microphone (4Hz-100kHz), we previously demonstrated that potentially diagnostically useful frequency shifts could be detected even in regions beyond the human hearing range. WB-microphone based systems are expensive and not available for home use or population screening application. In this paper we explore the feasibility of using smart phones to analyze snoring sounds in the 20Hz-22kHz band to identify events of upper airway obstructions. Modern smart phones have internal microphones with bandwidths up to 22kHz, above the nominal human hearing range, and provide a good platform for sound acquisition and processing. For the work of this paper we used a Samsung Galaxy S3 phone and recorded overnight respiratory sound data from 8 patients undergoing routine Polysomnography (PSG) study in a hospital. Our target was to develop models to classify each standard 30 second epoch of data as non-apnea or apnea. Using 700 epochs we developed logistic regression models with the input as snoring sound features and the outputs as the diagnostic classification of each event (apnea/non-apnea). Models developed within a 20Hz-15kHz band had accuracies of 89-93%, sensitivities 70-78% and kappa index ranging 0.75-0.83 on validation data set. When the same models were developed on the 20Hz-22kHz frequency band the improved performance shows accuracies 94- 97%, sensitivities 93-100%, and kappa ranging 0.86-0.91. The study shows that smart phones based high frequency band (15-22kHz) of snoring sounds carry information about the upper airway obstructions. Our non-contact, smart phone based snoring sound technology has potential to identify upper airway obstructions.