Abstract: Cardiologists perform cardiac auscultation to detect
abnormalities in heart sounds. Since accurate auscultation is
a crucial first step in screening patients with heart diseases,
there is a need to develop computer-aided detection/diagnosis
(CAD) systems to assist cardiologists in interpreting heart sounds
and provide second opinions. In this paper different algorithms
are implemented for automated heart sound classification using
unsegmented phonocardiogram (PCG) signals. Support vector
machine (SVM), artificial neural network (ANN) and cartesian
genetic programming evolved artificial neural network (CGPANN)
without the application of any segmentation algorithm has been
explored in this study. The signals are first pre-processed to remove
any unwanted frequencies. Both time and frequency domain features
are then extracted for training the different models. The different
algorithms are tested in multiple scenarios and their strengths and
weaknesses are discussed. Results indicate that SVM outperforms
the rest with an accuracy of 73.64%.
Abstract: Phonocardiography is important in appraisal of
congenital heart disease and pulmonary hypertension as it reflects the
duration of right ventricular systoles. The systolic murmur in patients
with intra-cardiac shunt decreases as pulmonary hypertension
develops and may eventually disappear completely as the pulmonary
pressure reaches systemic level. Phonocardiography and auscultation
are non-invasive, low-cost, and accurate methods to assess heart
disease. In this work an objective signal processing tool to extract
information from phonocardiography signal using Wavelet is
proposed to classify the murmur as normal or abnormal. Since the
feature vector is large, a Binary Particle Swarm Optimization (PSO)
with mutation for feature selection is proposed. The extracted
features improve the classification accuracy and were tested across
various classifiers including Naïve Bayes, kNN, C4.5, and SVM.
Abstract: Various sounds generated in the chest are included in
auscultation sound. Adaptive Noise Canceller (ANC) is one of the
useful techniques for biomedical signal. But the ANC is not suitable
for auscultation sound. Because the ANC needs two input channels as
a primary signal and a reference signals, but a stethoscope can
provide just one input sound. Therefore, in this paper, it was
proposed the Single Input ANC (SIANC) for suppression of breath
sound in a cardiac auscultation sound. For the SIANC, it was
proposed that the reference generation system which included Heart
Sound Detector, Control and Reference Generator. By experiment
and comparison, it was confirmed that the proposed SIANC was
efficient for heart sound enhancement and it was independent of
variations of a heartbeat.
Abstract: It is sometimes difficult to differentiate between
innocent murmurs and pathological murmurs during auscultation. In
these difficult cases, an intelligent stethoscope with decision support
abilities would be of great value. In this study, using a dog model,
phonocardiographic recordings were obtained from 27 boxer dogs
with various degrees of aortic stenosis (AS) severity. As a reference
for severity assessment, continuous wave Doppler was used. The data
were analyzed with recurrence quantification analysis (RQA) with
the aim to find features able to distinguish innocent murmurs from
murmurs caused by AS. Four out of eight investigated RQA features
showed significant differences between innocent murmurs and
pathological murmurs. Using a plain linear discriminant analysis
classifier, the best pair of features (recurrence rate and entropy)
resulted in a sensitivity of 90% and a specificity of 88%. In
conclusion, RQA provide valid features which can be used for
differentiation between innocent murmurs and murmurs caused by
AS.