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: The paper presents a novel screening method to
indicate congenital heart diseases (CHD), which otherwise could
remain undetected because of their low level. Therefore, not
belonging to the high-risk population, the pregnancies are not subject
to the regular fetal monitoring with ultrasound echocardiography.
Based on the fact that CHD is a morphological defect of the heart
causing turbulent blood flow, the turbulence appears as a murmur,
which can be detected by fetal phonocardiography (fPCG). The
proposed method applies measurements on the maternal abdomen
and from the recorded sound signal a sophisticated processing
determines the fetal heart murmur. The paper describes the problems
and the additional advantages of the fPCG method including the
possibility of measurements at home and its combination with the
prescribed regular cardiotocographic (CTG) monitoring. The
proposed screening process implemented on a telemedicine system
provides an enhanced safety against hidden cardiac diseases.
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.
Abstract: In this study, the use of silicon NAM (Non-Audible
Murmur) microphone in automatic speech recognition is presented.
NAM microphones are special acoustic sensors, which are attached
behind the talker-s ear and can capture not only normal (audible)
speech, but also very quietly uttered speech (non-audible murmur).
As a result, NAM microphones can be applied in automatic speech
recognition systems when privacy is desired in human-machine communication.
Moreover, NAM microphones show robustness against
noise and they might be used in special systems (speech recognition,
speech conversion etc.) for sound-impaired people. Using a small
amount of training data and adaptation approaches, 93.9% word
accuracy was achieved for a 20k Japanese vocabulary dictation
task. Non-audible murmur recognition in noisy environments is also
investigated. In this study, further analysis of the NAM speech has
been made using distance measures between hidden Markov model
(HMM) pairs. It has been shown the reduced spectral space of NAM
speech using a metric distance, however the location of the different
phonemes of NAM are similar to the location of the phonemes
of normal speech, and the NAM sounds are well discriminated.
Promising results in using nonlinear features are also introduced,
especially under noisy conditions.
Abstract: Artificial Neural Network (ANN) has been
extensively used for classification of heart sounds for its
discriminative training ability and easy implementation. However, it
suffers from overparameterization if the number of nodes is not
chosen properly. In such cases, when the dataset has redundancy
within it, ANN is trained along with this redundant information that
results in poor validation. Also a larger network means more
computational expense resulting more hardware and time related
cost. Therefore, an optimum design of neural network is needed
towards real-time detection of pathological patterns, if any from heart
sound signal. The aims of this work are to (i) select a set of input
features that are effective for identification of heart sound signals and
(ii) make certain optimum selection of nodes in the hidden layer for a
more effective ANN structure. Here, we present an optimization
technique that involves Singular Value Decomposition (SVD) and
QR factorization with column pivoting (QRcp) methodology to
optimize empirically chosen over-parameterized ANN structure.
Input nodes present in ANN structure is optimized by SVD followed
by QRcp while only SVD is required to prune undesirable hidden
nodes. The result is presented for classifying 12 common
pathological cases and normal heart sound.