Scientists from Ben-Gurion University, Israel, have developed a method for computer-aided diagnostics of bronchial asthma based on machine learning. The model is trained using the audio file data, including respiratory sound records from healthy and asthmatic patients.

The AI-based method developed for bronchial asthma diagnostics predicts with a high accuracy rate: “sensitivity of 89.3%, specificity of 86%, the accuracy of about 88% and Youden’s index of 0.753.”

Figure Description: Respiratory sound energy: black squares – for healthy volunteers; red circles – for asthmatic patients in exacerbation stage; green triangles – for asthmatic patients in remission stage. The vertical axis indicates the sound energy determined using the method proposed in [5]. On the horizontal axis a number of the subject is indicated; the numbering of volunteers and patients in both stages is independent. As an example, the results for 20 subjects in each group are presented.
Image Source: https://www.medrxiv.org/content/medrxiv/early/2021/11/21/2021.11.18.21266503/F1.large.jpg

The researchers employed machine learning approaches to create a computer-aided method for diagnosing bronchial asthma. The process is based on comparing patients with bronchial asthma and healthy volunteers’ respiratory sounds. The model is built using over 1000 respiratory sound recordings from patients and healthy individuals.

The diagnosis of bronchial asthma is based on a thorough dynamic examination of the patient, including determining the lung’s functioning status, etc. In some cases, determining the functional state of the lungs is complex (such as preschool children do not cooperate reasonably during the examination). The results of a physical investigation by auscultation of the lungs by a doctor are mainly subjective. Sometimes, a doctor’s timely auscultation of the lungs is delayed, as seen during the COVID-19 pandemic.

One of the most important aspects of asthma therapy is early diagnosis and timely treatment. The use of computer-assisted analysis of respiratory sounds to diagnose pulmonary disorders, such as bronchial asthma in children might become a new screening approach. 

Computer-assisted approaches for detecting lung disorders are objective and allow for the analysis of changes in respiratory sounds that the human ear cannot detect. The appearance of extra pathological noises is generated by changes in the features of the airways caused by various illnesses, and their analysis is employed in the development of computer-aided methods for the diagnosis of pulmonary disorders.

The wide use of modern electronic health devices (mobile, digital watches, etc.), communication technologies, and software make it possible to design new computer-aided diagnostics based on respiratory sound recordings analysis of the patient.

The machine learning-based approach can be utilized as an extra quick way for diagnosing bronchial asthma and serves as a foundation for developing methods for real-time computer-aided monitoring of the patient’s condition and treatment efficacy. The approach can also be applied to diagnose and monitor the health of children under the age of five. In addition, it can even be used for physical examination and spirometry of patients where it is difficult to perform, to diagnose patients in distant locations, and to promptly diagnose patients outside of the hospital and in telemedicine.

Story Source: Gelman, A., Sokolovsky, V., Furman, E. G., Kalinina, N., & Furman, G. (2021). Artificial intelligence in the respiratory sounds analysis and computer diagnostics of bronchial asthma. medRxiv.

DOI: https://doi.org/10.1101/2021.11.18.21266503

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Dr. Tamanna Anwar is a Scientist and Co-founder of the Centre of Bioinformatics Research and Technology (CBIRT). She is a passionate bioinformatics scientist and a visionary entrepreneur. Dr. Tamanna has worked as a Young Scientist at Jawaharlal Nehru University, New Delhi. She has also worked as a Postdoctoral Fellow at the University of Saskatchewan, Canada. She has several scientific research publications in high-impact research journals. Her latest endeavor is the development of a platform that acts as a one-stop solution for all bioinformatics related information as well as developing a bioinformatics news portal to report cutting-edge bioinformatics breakthroughs.

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