Abstract
Multiple lung obstructive and restrictive lung diseases are considered to experiment a new methodology based on Passive Time Delay Technique (PTDT). Lung sounds were recorded using a multichannel stethoscope on 32 healthy subjects, 20 COPD patients and 20 patients with different lung disorders. The sensors were distributed on the posterior and anterior chest wall. During recordings, all participants were breathing at matching airflow rates. Calculated time delay (TD) was identified for inspiration phase and an average TD value was provided after three repetitive measurements for each inspiration phase. TD computed in COPD patients: 440 ± 87 % (P < 0.05) was remarkably greater than time delay computed with normal subjects: 160 ± 10 % (P < 0.05) it was also greater than TD recorded with different other lung disorders patients. Results were presented as mean ± SD, standard deviation of time delay in ms. Significant P values (P < 0.05) were indicated using Wilcoxon test. Preliminary results are very encouraging to develop this technique and enhance lung diseases monitoring.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Meirav, Y., Ruben, L., Shaul, L., Yael, G.: Effect of airflow rate on vibration response imaging in normal lungs. Open Respir. Med. J. 3, 116–122 (2009)
Kraman, S.: The relationship between airflow and lung sound amplitude in normal subjects. Chest 86(2), 225–229 (1984)
Wodicka, G., Aguirre, A., Defrain, P., Shannon, D.: Phase delay of pulmonary acoustic transmission from trachea to chest wall. IEEE Trans. Biomed. Eng. 39, 1053–1059 (1992)
Dellinger, R., Parrillo, J., Kushnir, A., Rossi, M., Kushnir, I.: Dynamic visualization of lung sounds with a vibration response device: a case series. Respiration 7, 60–72 (2008)
Mor, R., Kushnir, I., Meyer, J., Ekstein, J., Ben-Dov, I.: Breath sound distribution images of patients with pneumonia and pleural effusion. Respir. Care 52, 1753–1760 (2007)
Murphy, R.: In defense of the stethoscope. Respir. Care 53, 355–369 (2008)
Barnes, P., Chowdhury, B., Kharitonov, S.A., Magnussen, H., Page, C.P., Postma, D., Saetta, M.: Pulmonary biomarkers in chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 6–14 (2006)
Hurst, J.R., Donaldson, G.C., Perera, W.R., Wilkinson, T.M.A., Bilello, J.A., Hagan, G.W., Vessey, R.S., Wedzicha, J.A.: use of plasma biomarkers at exacerbation of chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 174, 867–874 (2006)
Kotyza, J., Havel, D., Vrzalová, J., Kulda, V., Pesek, M.: Diagnostic and prognostic significance of inflammatory markers in lung cancer-associated pleural effusions. Int. J. Bio. Markers 25, 12–20 (2010)
Schneider, J.: Tumour markers in detection of lung cancer. Adv. Clin. Chem. 42, 1–41 (2006)
Koulouris, N.G., Hardavella, G.: Physiological techniques for detecting expiratory flow limitation during tidal breathing. Eur. Respir. J. 8, 306–313 (1995)
DuBois, A.B., Botelho, S.Y., Bedell, G.N., Marshall, R., Comroe Jr., J.H.: A rapid plethysmographic method for measuring thoracic gas volume: a comparison with a nitrogen washout method for measuring functional residual capacity in normal subjects. J Clin Invest. 35, 322–326 (1956)
Comroe, J., Botelho, S., DuBois, A.: Design of a body plethysmograph for studying cardiopulmonary physiology. J. Appl. Physiol. 14, 439–444 (1959)
Stubbing, D.G., Pengelly, L.D., Morse, J.L.C., Milic-Emili, J.: Pulmonary mechanics during exercise in subjects with chronic airflow obstruction. J. Appl. Physiol. 49, 511–515 (1980)
Wanger, J., Clausen, J.L., Coates, A., Pedersen, O.F.: Standardisation of the measurement of lung function testing. Eur. Respir. J. 26, 511–522 (2005)
Sud, A., Gupta, D., Wanchu, A., Jindal, S.K., Bambery, P.: Static lung compliance as an index of early pulmonary disease in systemic sclerosis. Clin. Rheumatol. 20(3), 177–180 (2001)
Davidson, A.C.: The pulmonary physician in critical care • 11: critical care management of respiratory failure resulting from COPD. Thorax 57, 1079–1084 (2002)
Papadakos, P.J., Lachmann, B.: Clinical Applications and Pathophysiology, 688 p. (2008)
Goldman, M.D., Smith, H.J., Ulmer, W.T.: Whole body plethismography. Eur. Respir. Mon. 31, 15–43 (2005)
Koulouris, N.G., Valta, P., Lavoie, A., Corbeil, C., Chassé, M., Braidy, J., Milic-Emili, J.: A simple method to detect expiratory flow limitation during spontaneous breathing. Eur. Respir. J. 8(2), 306–313 (1995)
Choi, W.-H., Kwon, S.U.: The pulmonary embolism severity index in predicting the prognosis of patients with pulmonary embolism. Arch. Intern. Med. 170(15), 1383–1389 (2010)
Hyges, D.T.D., Empey, D.W.: Flow volume curves. In: Lung Functions for the Clinicians, pp. 82–83. Academic Press, London (1981)
Clinical Application Series, Arora V.K., Raghus, S.: Flow volume curves: clinical significance. Lung India 14(4), 169–171 (1996)
Venetz, C., Jiménez, D., Méan, M., Aujesky, D.: A comparison of the original and simplified pulmonary embolism severity index. Schattauer 423–428 (2011)
Lankeit, M., Konstantinides, S.: Is it time for home treatment of pulmonary embolism. Eur. Respir. J. 40, 742–749 (2012)
Lichtenstein, D., Goldstein, I., Mourgeon, E., Cluzel, P., Grenier, P., Rouby, J.-J.: Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Open Electr. Electron. Eng. J. 4, 16–20 (2010)
Marani, R., Perri, A.G.: An electronic medical device for preventing and improving the assisted ventilation of intensive care unit patients. Respir. Med. 105(9), 1396–1403 (2011)
Gurung, A., Scrafford, C.G., Tielsch, J.M., Levine, O.S., Checkley, W.: Computerized lung sound analysis as diagnostic aid for the detection of abnormal lung sounds: a systematic review and meta-analysis, 105(9), 1396–1403 (2011)
Murphy, R.: Development of acoustic instruments for diagnosis and management of medical conditions. In: Computerized Multichannel Lung Sound Analysis, Respiratory Sound Analysis IEEE Engineering in Medicine and Biology Magazine, January/February 2007
Reiser, S.J.: The medical influence of the stethoscope. Sci. Amer. 240(2), 148–150, 153–156 (1979)
Wang, L.Y., Wang, H., Zheng, H., Yin, G.: Multi-sensor lung sound extraction via time-shared channel identification and adaptive noise cancellation. In: 43rd IEEE Conference on Decision and Control, Atlantis, Paradise Island, Bahamas, 14–17 December 2004
Jones, A., Jones, D., Kwong, K., Siu, S.C.: Acoustic performance of three stethoscope chest pieces. In: Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 20, no 6, p 3219–3222 (1998)
Maarsingha, E.J.W., van Eykernb, L.A., Sprikkelmana, A.B., van Aalderena, W.M.C.: Histamine induced airway response in pre-school children assessed by a non-invasive EMG technique. Respir. Med. 98, 363–372 (2004)
Vyshedskiy, A., Murphy, R.: Pendelluft in chronic obstructive lung disease measured with lung sounds. Pulm. Med. 2012, 1–6 (2012)
Cardoso, J.F.: Multidimensional independent component analysis. In: Proceedings of the IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP 1998), Seattle, USA (1998)
Hyvarien, A., Oja, E.: A fast fixed point algorithm for independent component analysis. Neural Comput. 9, 1483–1492 (1997)
Alouani, A., ElKeelany, O., Abdallah, M.: Stand-alone portable digital body sound data acquisition device. IJES 4(3-4), 292–297 (2010)
Alouani, A.: A low-cost stand-alone multichannel data acquisition, monitoring, and archival system with on-chip signal preprocessing. IEEE Trans. Instrum. Measur. 60(8), 2813–2827 (2011)
Ayari, F., Ksouri, M., Alouani, A.: Lung sound extraction from mixed lung and heart sounds with FASTICA algorithm. In: Proceeding of the 16th IEEE Electrotechnical Conference (MELECON 2012), Hammamet, Tunisia, pp. 339–342 (2012)
Ayari, F., Ksouri, M., Alouani, A.: Computer based analysis for heart and lung signals separation. In: Proceeding of the IEEE International Conference on Computer Medical Applications, (ICCMA 2013) Sousse, Tunisia, pp. 1–6 (2013)
Knapp, C., Carter, G.: The generalized correlation method for estimation of time delay. IEEE Trans. Acoust, Speech, Signal Process. 24, 320–327 (1976)
Chen, J., Benesty, J., Huang, Y.: Robust time delay estimation exploiting redundancy among multiple microphones. IEEE Trans. Speech Audio Process. 11, 549–557 (2011)
Kevin, W., Wilson, T.: Learning a precedence effect-like weighting function for the generalized cross-correlation framework. IEEE Trans Audio Speech Lang. Proc. 41, 2156–2164 (2006)
Hyde, D., Nuttall, A.: Linear pre-filtering to enhance correlator performance. Naval Underwater Systems Center, CT, Technical Memo, New London Laboratory, New London (1969)
Georgiou, P., Kyriakakis, C., Tsakalides, P.: Robust time delay estimation for sound source localization in noisy environments. In: Proceedings of WASPAA, pp. 1–15 (1973)
Li, D., Levinson, S.: Adaptive sound source localization by two microphones. In: Proceedings of International Conference on Robotics and Automation, Washington DC (2002)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this paper
Cite this paper
Ayari, F., Alouani, A., Ksouri, M. (2016). A Passive Acoustic Technique to Enhance Lung Diseases Diagnostic. In: Obaidat, M., Lorenz, P. (eds) E-Business and Telecommunications. ICETE 2015. Communications in Computer and Information Science, vol 585. Springer, Cham. https://doi.org/10.1007/978-3-319-30222-5_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-30222-5_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-30221-8
Online ISBN: 978-3-319-30222-5
eBook Packages: Computer ScienceComputer Science (R0)