Evidence map›Paper›PMID 40155363›Full record

ArticleClinical and translational allergy2025

Vocal biomarkers correlate with FEV1 variations during methacholine challenge.

Giovanni Paoletti, Giovanni Costanzo, Morena Merigo, Francesca Puggioni, Sebastian Ferri, Maria Rita Messina, Fulvio Cordella, Giuseppe Ranieri, Arianna Arienzo, Victor Savevski and 3 more

Abstract read
In one paragraph

Article in Clinical and translational allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Giovanni PaolettiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID https://orcid.org/0000-0003-3953-9225
Giovanni CostanzoPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Morena MerigoPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Francesca PuggioniPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Sebastian FerriPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Maria Rita MessinaPersonalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Fulvio CordellaVoiceMed s.à.r.l., Strassen, Luxembourg.
Giuseppe RanieriVoiceMed s.à.r.l., Strassen, Luxembourg.
Arianna ArienzoVoiceMed s.à.r.l., Strassen, Luxembourg.
Victor SavevskiArtificial Intelligence Center, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Giorgio Walter CanonicaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Ayana de Brito MartinsVoiceMed s.à.r.l., Strassen, Luxembourg.
Enrico HefflerDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID https://orcid.org/0000-0002-0492-5663

Funding

Voicemed s.à.r.l.
6 · The paper itself

Abstract

backgroundMobile health applications are increasingly valued for their role in asthma management and the opportunity for large dataset collection. Our study aimed to investigate the feasibility of applying signal-processing and machine-learning technologies to detect alterations in the lower airway caliber and develop a machine-learning algorithm to identify changes in vocal biomarkers and detect bronchoconstriction in patients with airway hyperreactivity.

methodsThis is an explorative observational prospective longitudinal study focused on vocal biomarkers and their association with bronchial constriction and respiratory function. Non-smoker adults with clinical suspicion of asthma were consecutively enrolled from May 2023 to September 2023. At each step of a Methacholine Challenge Test (MCT) performed on these patients, the respiratory sounds were recorded via a smartphone through an app specifically developed. Several biomarkers were extracted and their relationship with the change in Forced Expiratory Volume in the first second (FEV1) was measured.

resultsForty-two subjects were enrolled. The highest correlation with FEV1 came from exhalation vocal events. No single feature exhibited robust behavior across different subjects, while each subject showed "personal" highly correlated features. All values were strongly statistically significant irrespectively of the result of MCT.

conclusionThe app's algorithm is sensitive in correlating specific vocal biomarkers to FEV1 variations during MCT. This feature may assist physicians in diagnosing asthma and its exacerbation and in assessing therapy response and adherence. The socio-economic implications might be significant, and the simplicity of use makes it an ideal tool for research.

Indexed as

artificial intelligenceasthmadigital healthmobile health technologyvocal biomarkers

Identifiers

PMID40155363
PMCPMC11952994

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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.