Search results for: murmurs

3 Distinguishing Innocent Murmurs from Murmurs caused by Aortic Stenosis by Recurrence Quantification Analysis

Authors: Christer Ahlstrom, Katja Höglund, Peter Hult, Jens Häggström, Clarence Kvart, Per Ask

Abstract:

It is sometimes difficult to differentiate between innocent murmurs and pathological murmurs during auscultation. In these difficult cases, an intelligent stethoscope with decision support abilities would be of great value. In this study, using a dog model, phonocardiographic recordings were obtained from 27 boxer dogs with various degrees of aortic stenosis (AS) severity. As a reference for severity assessment, continuous wave Doppler was used. The data were analyzed with recurrence quantification analysis (RQA) with the aim to find features able to distinguish innocent murmurs from murmurs caused by AS. Four out of eight investigated RQA features showed significant differences between innocent murmurs and pathological murmurs. Using a plain linear discriminant analysis classifier, the best pair of features (recurrence rate and entropy) resulted in a sensitivity of 90% and a specificity of 88%. In conclusion, RQA provide valid features which can be used for differentiation between innocent murmurs and murmurs caused by AS.

Keywords: Bioacoustics, murmur, phonocardiographic signal, recurrence quantification analysis.

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2 Screening of Congenital Heart Diseases with Fetal Phonocardiography

Authors: F. Kovács, K. Kádár, G. Hosszú, Á. T. Balogh, T. Zsedrovits, N. Kersner, A. Nagy, Gy. Jeney

Abstract:

The paper presents a novel screening method to indicate congenital heart diseases (CHD), which otherwise could remain undetected because of their low level. Therefore, not belonging to the high-risk population, the pregnancies are not subject to the regular fetal monitoring with ultrasound echocardiography. Based on the fact that CHD is a morphological defect of the heart causing turbulent blood flow, the turbulence appears as a murmur, which can be detected by fetal phonocardiography (fPCG). The proposed method applies measurements on the maternal abdomen and from the recorded sound signal a sophisticated processing determines the fetal heart murmur. The paper describes the problems and the additional advantages of the fPCG method including the possibility of measurements at home and its combination with the prescribed regular cardiotocographic (CTG) monitoring. The proposed screening process implemented on a telemedicine system provides an enhanced safety against hidden cardiac diseases.

Keywords: Cardiac murmurs, fetal phonocardiography, screening of CHDs, telemedicine system.

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1 In Search of an SVD and QRcp Based Optimization Technique of ANN for Automatic Classification of Abnormal Heart Sounds

Authors: Samit Ari, Goutam Saha

Abstract:

Artificial Neural Network (ANN) has been extensively used for classification of heart sounds for its discriminative training ability and easy implementation. However, it suffers from overparameterization if the number of nodes is not chosen properly. In such cases, when the dataset has redundancy within it, ANN is trained along with this redundant information that results in poor validation. Also a larger network means more computational expense resulting more hardware and time related cost. Therefore, an optimum design of neural network is needed towards real-time detection of pathological patterns, if any from heart sound signal. The aims of this work are to (i) select a set of input features that are effective for identification of heart sound signals and (ii) make certain optimum selection of nodes in the hidden layer for a more effective ANN structure. Here, we present an optimization technique that involves Singular Value Decomposition (SVD) and QR factorization with column pivoting (QRcp) methodology to optimize empirically chosen over-parameterized ANN structure. Input nodes present in ANN structure is optimized by SVD followed by QRcp while only SVD is required to prune undesirable hidden nodes. The result is presented for classifying 12 common pathological cases and normal heart sound.

Keywords: ANN, Classification of heart diseases, murmurs, optimization, Phonocardiogram, QRcp, SVD.

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