Evidence map›Paper›PMID 34433880›Full record

ArticleScientific reports2021

Respiratory sound classification for crackles, wheezes, and rhonchi in the clinical field using deep learning.

Yoonjoo Kim, YunKyong Hyon, Sung Soo Jung, Sunju Lee, Geon Yoo, Chaeuk Chung, Taeyoung Ha

2 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05731180 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Efficacy of Medical Students to Correctly Recognise Pathological From Non-pathological Lung Sounds Over a Period of Time

TypeinterventionalSponsorLithuanian University of Health SciencesRan2023 to 2023Enrolled140ConditionsLung SoundArmsIdentify pathological and not pathological lung sounds
NCT05731193 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of White Noise on the Ability of Second-year and Third-year Medical Students to Recognise Correctly Adventitious Lung Sound

TypeinterventionalSponsorLithuanian University of Health SciencesRan2023 to 2023Enrolled52ConditionsLung SoundArmsExposed group (EXP) - 35 students. EXP group will learn pathological and nonpathological sounds for 3 days.
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Yoonjoo Kim *Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, 34134, Republic of Korea.
YunKyong Hyon *Division of Medical Mathematics, National Institute for Mathematical Sciences, Daejeon, 34047, Republic of Korea.
Sung Soo JungDivision of Pulmonology and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, 34134, Republic of Korea.
Sunju LeeDivision of Medical Mathematics, National Institute for Mathematical Sciences, Daejeon, 34047, Republic of Korea.
Geon YooClinical Research Division, National Institute of Food and Drug Safety Evaluation, Cheongju-si, Chungcheongbuk-do, Republic of Korea.
Chaeuk ChungDivision of Pulmonology and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, 34134, Republic of Korea. universe7903@gmail.com.
Taeyoung HaDivision of Medical Mathematics, National Institute for Mathematical Sciences, Daejeon, 34047, Republic of Korea. tha@nims.re.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Auscultation has been essential part of the physical examination; this is non-invasive, real-time, and very informative. Detection of abnormal respiratory sounds with a stethoscope is important in diagnosing respiratory diseases and providing first aid. However, accurate interpretation of respiratory sounds requires clinician's considerable expertise, so trainees such as interns and residents sometimes misidentify respiratory sounds. To overcome such limitations, we tried to develop an automated classification of breath sounds. We utilized deep learning convolutional neural network (CNN) to categorize 1918 respiratory sounds (normal, crackles, wheezes, rhonchi) recorded in the clinical setting. We developed the predictive model for respiratory sound classification combining pretrained image feature extractor of series, respiratory sound, and CNN classifier. It detected abnormal sounds with an accuracy of 86.5% and the area under the ROC curve (AUC) of 0.93. It further classified abnormal lung sounds into crackles, wheezes, or rhonchi with an overall accuracy of 85.7% and a mean AUC of 0.92. On the other hand, as a result of respiratory sound classification by different groups showed varying degree in terms of accuracy; the overall accuracies were 60.3% for medical students, 53.4% for interns, 68.8% for residents, and 80.1% for fellows. Our deep learning-based classification would be able to complement the inaccuracies of clinicians' auscultation, and it may aid in the rapid diagnosis and appropriate treatment of respiratory diseases.

Indexed as

Deep LearningAgedAuscultationFemaleHumansMaleMiddle AgedPulmonary MedicineRespiratory SoundsRespiratory Tract DiseasesSensitivity and Specificity

Identifiers

PMID34433880
PMCPMC8387488

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Registered trials

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.