ON THE DESIGN OF A NOVEL PHONOENTEROGRAM SENSING DEVICE USING AI ASSISTED COMPUTER-AIDED AUSCULTATION

S. Damani, D. Damani, Renisha Redij, Arshia K. Sethi, Pratyusha Muddaloor, Anoushka Kapoor, Anjali Rajagopal, K. Gopalakrishnan, X. J. Wang, V. Chedid, Alexander J. Ryu, Christopher A. Aakre, S. P. Arunachalam
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Abstract

Bowel sounds have been previously used to study intestinal motility and overall digestive health in various clinical settings. However, the blurred definition of bowel sounds and their subtypes, limited resources for interpretation, poor sensitivity, and low positive predictive value led to their restricted utility. Recent advances in artificial intelligence and machine learning have steered interest in developing unique tools using the phonoenterogram to analyze diverse bowel sounds. In our study, bowel sounds were recorded from eight healthy volunteers using the Eko Duo stethoscope. A novel deep-learning algorithm was designed to classify the recordings into baseline or prominent bowel sounds. A total of 11,210 data points (5,605 balanced sounds) were used to train and test the model to yield an accuracy of 0.895, a precision of 0.890, and a recall of 0.854 reflecting successful segregation of these sounds into respective groups. More extensive studies enrolling healthy and diseased subjects with a device specifically tailored to record bowel sounds are needed to generalize these results and determine their application in the patient population.
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一种新型人工智能辅助计算机听诊声图传感装置的设计
在不同的临床环境中,肠道声音已经被用来研究肠道运动和整体消化系统健康。然而,肠道声音及其亚型的定义模糊,解释资源有限,灵敏度差,阳性预测值低,导致其实用性受到限制。人工智能和机器学习的最新进展引起了人们对开发独特工具的兴趣,这些工具使用声肠图来分析各种肠道声音。在我们的研究中,使用Eko Duo听诊器记录了8名健康志愿者的肠道声音。设计了一种新的深度学习算法,将录音分为基线或突出的肠道声音。总共使用了11,210个数据点(5605个平衡的声音)来训练和测试模型,得到了0.895的准确度,0.890的精度和0.854的召回率,反映了这些声音成功地分离到各自的组中。需要对健康和患病受试者进行更广泛的研究,使用专门定制的设备记录肠道声音,以推广这些结果并确定其在患者群体中的应用。
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