A novel way to manage and control chronic respiratory diseases

N. Delmonico, V. Fauveau
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Abstract

An estimated 450 million people worldwide suffer from chronic respiratory diseases such as asthma or chronic obstructive pulmonary disease (COPD). The clinical standard of care in the diagnosis and treatment of respiratory disorders is stethoscope-based lung auscultation. Clinical signs are an integral part of the diagnosis and management of these diseases. Such use of a stethoscope, however, is limited by the episodic nature of data acquisition, as well as by the limits of human subjectivity in the recognition of symptoms. Some indications of a respiratory complication may include shortness of breath, coughing, wheezing, and labored breathing. Unfortunately, there is currently no way to objectively monitor these signs. At Strados Labs we have developed the world’s first AI-powered acoustic bio-sensor designed to bring wireless, hands-free, respiratory monitoring to clinical teams over the entire episode of care. This non-invasive clinical-grade medical device also uses proprietary machine learning algorithms to identify key changes in pulmonary sounds and breathing patterns, and to notify care teams about the respiratory health status of patients. In this way, we seek to improve care triage, reduce length of hospital stay, and avoid costly pulmonary complications. The non-invasive device captures lung sounds and chest wall motion from which it extracts key features in the time and frequency domains to identify vital respiratory symptoms. Proprietary machine learning techniques, derived from state-of-the-art speech recognition algorithms, then use the characterized data to train models that automatically label areas of interest. This process creates a closed loop system that allows the Strados device to operate autonomously and ultimately improve the management and control of chronic respiratory diseases.
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一种管理和控制慢性呼吸道疾病的新方法
据估计,全世界有4.5亿人患有哮喘或慢性阻塞性肺病等慢性呼吸道疾病。在诊断和治疗呼吸系统疾病的临床护理标准是基于听诊器的肺听诊。临床症状是诊断和管理这些疾病的一个组成部分。然而,听诊器的这种使用受到数据采集的偶然性以及人在识别症状时主观性的限制。呼吸系统并发症的一些症状包括呼吸短促、咳嗽、喘息和呼吸困难。不幸的是,目前还没有办法客观地监测这些迹象。在Strados实验室,我们开发了世界上第一个人工智能声学生物传感器,旨在为临床团队在整个护理过程中提供无线、免提、呼吸监测。这种非侵入性临床级医疗设备还使用专有的机器学习算法来识别肺部声音和呼吸模式的关键变化,并通知护理团队患者的呼吸健康状况。通过这种方式,我们寻求改善护理分类,减少住院时间,并避免昂贵的肺部并发症。这种非侵入性设备捕捉肺部声音和胸壁运动,从中提取时域和频域的关键特征,以识别重要的呼吸系统症状。专有的机器学习技术源自最先进的语音识别算法,然后使用特征数据来训练自动标记感兴趣区域的模型。这个过程创造了一个闭环系统,允许Strados设备自主运行,并最终改善慢性呼吸系统疾病的管理和控制。
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