Evidence map›Paper›PMID 33162758›Full record

ArticleMedical devices (Auckland, N.Z.)2020

Auscultation System for Acquisition of Vascular Sounds - Towards Sound-Based Monitoring of the Carotid Artery.

Thomas Sühn, Moritz Spiller, Rutuja Salvi, Stefan Hellwig, Axel Boese, Alfredo Illanes, Michael Friebe

Open access · goldAbstract read
In one paragraph

Article in Medical devices (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thomas SühnINKA - Innovation Laboratory for Image Guided Therapy, Medizinische Fakultät, Otto-Von-Guericke-Universität, Magdeburg, Sachsen-Anhalt, Germany.ORCID 0000-0001-5132-2884
Moritz SpillerINKA - Innovation Laboratory for Image Guided Therapy, Medizinische Fakultät, Otto-Von-Guericke-Universität, Magdeburg, Sachsen-Anhalt, Germany.ORCID 0000-0002-5470-4850
Rutuja SalviIDTM GmbH, Castrop-Rauxel, Nordrhein-Westfalen, Germany.ORCID 0000-0002-6827-7765
Stefan HellwigIDTM GmbH, Castrop-Rauxel, Nordrhein-Westfalen, Germany.
Axel BoeseINKA - Innovation Laboratory for Image Guided Therapy, Medizinische Fakultät, Otto-Von-Guericke-Universität, Magdeburg, Sachsen-Anhalt, Germany.ORCID 0000-0002-5874-7145
Alfredo IllanesINKA - Innovation Laboratory for Image Guided Therapy, Medizinische Fakultät, Otto-Von-Guericke-Universität, Magdeburg, Sachsen-Anhalt, Germany.ORCID 0000-0002-0118-0483
Michael FriebeINKA - Innovation Laboratory for Image Guided Therapy, Medizinische Fakultät, Otto-Von-Guericke-Universität, Magdeburg, Sachsen-Anhalt, Germany.ORCID 0000-0002-8624-0800
Otto-von-Guericke-Universität Magdeburg · DERütgers (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtherosclerotic diseases of the carotid are a primary cause of cerebrovascular events such as stroke. For the diagnosis and monitoring angiography, ultrasound- or magnetic resonance-based imaging is used which requires costly hardware. In contrast, the auscultation of carotid sounds and screening for bruits - audible patterns related to turbulent blood flow - is a simple examination with comparably little technical demands. It can indicate atherosclerotic diseases and justify further diagnostics but is currently subjective and examiner dependent.

methodsWe propose an easy-to-use computer-assisted auscultation system for a stable and reproducible acquisition of vascular sounds of the carotid. A dedicated skin-transducer-interface was incorporated into a handheld device. The interface comprises two bell-shaped structures, one with additional acoustic membrane, to ensure defined skin contact and a stable propagation path of the sound. The device is connected wirelessly to a desktop application allowing real-time visualization, assessment of signal quality and input of supplementary information along with storage of recordings in a database. An experimental study with 5 healthy subjects was conducted to evaluate usability and stability of the device. Five recordings per carotid served as data basis for a wavelet-based analysis of the stability of spectral characteristics of the recordings.

resultsThe energy distribution of the wavelet-based stationary spectra proved stable for measurements of a particular carotid with the majority of the energy located between 3 and 40 Hz. Different spectral properties of the carotids of one individual indicate the presence of sound characteristics linked to the particular vessel. User-dependent parameters such as variations of the applied contact pressure appeared to have minor influence on the general stability.

conclusionThe system provides a platform for reproducible carotid auscultation and the creation of a database of pathological vascular sounds, which is a prerequisite to investigate sound-based vascular monitoring.

Indexed as

bruitcomputer-assisted auscultationheart soundlong-term monitoringscreeningstenosisvascular disease

Identifiers

PMID33162758
PMCPMC7642592
OpenAlexW3097133748

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.