Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation

Swallowing problems (dysphagia) is associated with significant morbidity and mortality therefore diagnosis and treatment of dysphagia is important. Diagnostic tests include screening procedures, clinical swallowing examinations, and instrumental examination procedures. A non-invasive diagnostic opti...

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Main Authors: Salloum Hazem, Graf Simone, Schilling Berit, Richter Lena, Jeleff-Wölfler Olivia, Feussner Hubertus, Ostler Daniel, Wilhelm Dirk, Fuchtmann Jonas
Format: Article
Language:English
Published: De Gruyter 2024-09-01
Series:Current Directions in Biomedical Engineering
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Online Access:https://doi.org/10.1515/cdbme-2024-1055
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author Salloum Hazem
Graf Simone
Schilling Berit
Richter Lena
Jeleff-Wölfler Olivia
Feussner Hubertus
Ostler Daniel
Wilhelm Dirk
Fuchtmann Jonas
author_facet Salloum Hazem
Graf Simone
Schilling Berit
Richter Lena
Jeleff-Wölfler Olivia
Feussner Hubertus
Ostler Daniel
Wilhelm Dirk
Fuchtmann Jonas
author_sort Salloum Hazem
collection DOAJ
description Swallowing problems (dysphagia) is associated with significant morbidity and mortality therefore diagnosis and treatment of dysphagia is important. Diagnostic tests include screening procedures, clinical swallowing examinations, and instrumental examination procedures. A non-invasive diagnostic option is auscultation of the swallowing act. However, there are different statements about the reliability and validity of the manual execution of this test. We developed a mobile hardware system to record cervical sounds using two microphones on the neck to acquire audio a data set. To generate ground truth data, fiberendoscopic swallow examinations were performed simultaneously to identify dysphagia. In order to diagnostically assess the swallowing sounds a spectrogram based classification pipeline was developed. In a first step this enabled us to identify different swallowing patterns in healthy individuals. With an accuracy of ~95%, we were able to reliably detect swallows within audio recordings, while the classification of types of swallow (dry, water, solid food) indicate the need for further improvements within the project ahead. In the future, we anticipate AI based analysis of auscultated swallowing sounds to detect swallowing disorders and aspirations.
format Article
id doaj-art-c5bb03648ffd474183083c9247576c42
institution Kabale University
issn 2364-5504
language English
publishDate 2024-09-01
publisher De Gruyter
record_format Article
series Current Directions in Biomedical Engineering
spelling doaj-art-c5bb03648ffd474183083c9247576c422025-02-02T15:45:00ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042024-09-01102161910.1515/cdbme-2024-1055Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical AuscultationSalloum Hazem0Graf Simone1Schilling Berit2Richter Lena3Jeleff-Wölfler Olivia4Feussner Hubertus5Ostler Daniel6Wilhelm Dirk7Fuchtmann Jonas8Hazem Salloum: Department of Otorhinolaryngology, University of Regensburg,Regensburg, GermanyDepartment of Hearing, Speech and Voice Disorders, Medical University of Innsbruck,Innsbruck, AustriaTechnical University of Munich, School of Medicine, Munich, University Hospital rechts der Isar, Department of Otorhinolaryngology,, Munich, GermanyTechnical University of Munich, School of Medicine, Munich, University Hospital rechts der Isar, Department of Otorhinolaryngology,, Munich, GermanyTechnical University of Munich, School of Medicine, Munich, University Hospital rechts der Isar, Department of Otorhinolaryngology,, Munich, GermanyTechnical University of Munich, School of Medicine, Munich, University, Hospital rechts der Isar, Department of Surgery,Munich, GermanyTechnical University of Munich, School of Medicine, Chair of Research Group Minimally invasive interdisciplinary Therapeutical Interventions (MITI),Munich, GermanyTechnical University of Munich, School of Medicine, Chair of Research Group Minimally invasive interdisciplinary Therapeutical Interventions (MITI),Munich, GermanyTechnical University of Munich, School of Medicine, Chair of Research Group Minimally invasive interdisciplinary Therapeutical Interventions (MITI),Munich, GermanySwallowing problems (dysphagia) is associated with significant morbidity and mortality therefore diagnosis and treatment of dysphagia is important. Diagnostic tests include screening procedures, clinical swallowing examinations, and instrumental examination procedures. A non-invasive diagnostic option is auscultation of the swallowing act. However, there are different statements about the reliability and validity of the manual execution of this test. We developed a mobile hardware system to record cervical sounds using two microphones on the neck to acquire audio a data set. To generate ground truth data, fiberendoscopic swallow examinations were performed simultaneously to identify dysphagia. In order to diagnostically assess the swallowing sounds a spectrogram based classification pipeline was developed. In a first step this enabled us to identify different swallowing patterns in healthy individuals. With an accuracy of ~95%, we were able to reliably detect swallows within audio recordings, while the classification of types of swallow (dry, water, solid food) indicate the need for further improvements within the project ahead. In the future, we anticipate AI based analysis of auscultated swallowing sounds to detect swallowing disorders and aspirations.https://doi.org/10.1515/cdbme-2024-1055dysphagiacervical auscultationdeep learningbased artificial intelligencefiberendoscopic evaluation of swallowingfees
spellingShingle Salloum Hazem
Graf Simone
Schilling Berit
Richter Lena
Jeleff-Wölfler Olivia
Feussner Hubertus
Ostler Daniel
Wilhelm Dirk
Fuchtmann Jonas
Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
Current Directions in Biomedical Engineering
dysphagia
cervical auscultation
deep learningbased artificial intelligence
fiberendoscopic evaluation of swallowing
fees
title Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
title_full Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
title_fullStr Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
title_full_unstemmed Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
title_short Deep Learning-based Artificial Intelligence in Audio based Analysis of Swallowing using Cervical Auscultation
title_sort deep learning based artificial intelligence in audio based analysis of swallowing using cervical auscultation
topic dysphagia
cervical auscultation
deep learningbased artificial intelligence
fiberendoscopic evaluation of swallowing
fees
url https://doi.org/10.1515/cdbme-2024-1055
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