상위피인용논문
국가수리과학연구소
Yoonjoo Kim 1,5, YunKyong Hyon 2,5, Sung Soo Jung 1, Sunju Lee 2, GeonYoo 3, Chaeuk Chung 1,4,* & Taeyoung Ha 2,*
1Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon 34134, Republic of Korea.
2Division of Medical Mathematics, National Institute for Mathematical Sciences, Daejeon 34047, Republic of Korea.
3Clinical Research Division, National Institute of Food and Drug Safety Evaluation, Cheongju‑si, Chungcheongbuk‑do, Republic of Korea.
4Infection Control Convergence Research Center, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea.
5These authors contributed equally: Yoonjoo Kim and YunKyong Hyon
*Corresponding authors: correspondence to Chaeuk Chung or Taeyoung Ha
Abstract
Auscultation has been essential part of the physical examination; this is non-invasive, real-time, and very informative. Detection of abnormal respiratory sounds with a stethoscope is important in diagnosing respiratory diseases and providing first aid. However, accurate interpretation of respiratory sounds requires clinician’s considerable expertise, so trainees such as interns and residents sometimes misidentify respiratory sounds. To overcome such limitations, we tried to develop an automated classification of breath sounds. We utilized deep learning convolutional neural network (CNN) to categorize 1918 respiratory sounds (normal, crackles, wheezes, rhonchi) recorded in the clinical setting. We developed the predictive model for respiratory sound classification combining pretrained image feature extractor of series, respiratory sound, and CNN classifier. It detected abnormal sounds with an accuracy of 86.5% and the area under the ROC curve (AUC) of 0.93. It further classified abnormal lung sounds into crackles, wheezes, or rhonchi with an overall accuracy of 85.7% and a mean AUC of 0.92. On the other hand, as a result of respiratory sound classification by different groups showed varying degree in terms of accuracy; the overall accuracies were 60.3% for medical students, 53.4% for interns, 68.8% for residents, and 80.1% for fellows. Our deep learning-based classification would be able to complement the inaccuracies of clinicians' auscultation, and it may aid in the rapid diagnosis and appropriate treatment of respiratory diseases.
논문정보
소속기관 논문보기
관련분야 논문보기