A New Multi-Feature Classification Scheme for Normal and Abnormal Respiratory Sounds Discrimination

M. Antonakakis, K. Politof, Georgios A. Klados, Glykeria Sdoukopoulou, S. Schiza, M. Papadogiorgaki, C. Farmaki, M. Pediaditis, M. Zervakis, V. Sakkalis
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Abstract

During sleep., breathing-related sleep disorders (BSD) are very probable to cause distortions on human health and even be life-threatening. Among the different types of BSD., apnea accounts for one of the most common. Many detection algorithms have been proposed for spotting and classifying apneas, using one feature or being designed for binary classification. Also, many proposed clinical setups for respiratory data acquisition are invasive, making the application to patients a non-trial task. In this study, we aim to propose an easy-to-apply and patient-friendly clinical setup with a BSD detection that utilizes a multi-feature classification scheme for binary (apnea, healthy), as well as multiple classes (healthy, central, mixed, and obstructive apneas and hypopneas). Our clinical setup includes a high-resolution microphone attached to the bed at a very close distance to the patient. Our multi-feature approach contains spectral, statistical, and symbolic-based characteristics of respiratory signals of five patients admitted for a first BSD diagnosis and assesses the performance of different classification algorithms iteratively. The results show a high classification performance ($>$ 98% for binary and $>$ 84% for multi-class classification) for either classification scheme. A robust classification scheme is thus proposed, utilizing the entire content of the recorded respiratory signal. Such a classification scheme leads to a promising result towards the design of portable devices with multi-features for real-time detection of BSD.
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一种新的多特征呼吸音判别方法
在睡眠中。与呼吸有关的睡眠障碍(BSD)很可能对人体健康造成扭曲,甚至危及生命。在不同类型的BSD中。在美国,呼吸暂停是最常见的疾病之一。许多检测算法已经被提出用于发现和分类呼吸暂停,使用一个特征或被设计为二元分类。此外,许多拟议的呼吸数据采集的临床设置是侵入性的,这使得对患者的应用成为非试验任务。在这项研究中,我们的目标是提出一种易于应用且患者友好的临床设置,该设置使用多特征分类方案进行二元(呼吸暂停,健康)以及多类别(健康,中心,混合型和阻塞性呼吸暂停和低呼吸)。我们的临床设备包括一个高分辨率的麦克风,安装在离病人很近的床上。我们的多特征方法包含5例首次诊断为BSD的患者的呼吸信号的光谱、统计和基于符号的特征,并迭代评估不同分类算法的性能。结果表明,两种分类方案都具有较高的分类性能(二元分类> 98%,多类分类> 84%)。因此,提出了一种鲁棒分类方案,利用记录的呼吸信号的全部内容。这种分类方案为设计具有多种功能的便携式BSD实时检测设备提供了良好的结果。
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