用AI分析儿童呼吸声,91%准确率早期筛查哮喘
Pediatric Asthma Detection with Googles HeAR Model: An AI-Driven Respiratory Sound Classifier
- 用谷歌健康声学模型提取呼吸音特征向量
- 在2秒音频片段上实现超91%分类准确率
- 适合资源匮乏地区做无创哮喘初筛
儿童哮喘的早期发现对预防长期呼吸道并发症和减少急诊干预至关重要。本文提出一种基于人工智能的诊断流程,利用谷歌健康声学表示(HeAR)模型从儿科呼吸音中识别哮喘早期征兆。研究采用SPRSound数据集——首个公开可获取的0至18岁儿童呼吸音标注数据集,从中提取2秒音频片段,标签包括哮鸣、爆裂音、啰音、喘鸣或正常。每段音频通过预训练于3亿条健康相关音频(含1亿条咳嗽声)的HeAR模型,转换为512维嵌入向量。随后使用SVM、随机森林和MLP等分类器在此嵌入空间进行训练,以区分哮喘相关与正常声音。系统整体准确率超过91%,对阳性病例的精确率与召回率表现优异。此外,通过主成分分析可视化嵌入,结合波形回放分析误判案例,并提供ROC曲线与混淆矩阵分析。结果表明,仅需短时、低资源的儿童呼吸录音,借助基础音频模型即可实现快速、非侵入式哮喘筛查,尤其适用于远程或医疗资源匮乏地区。
原文摘要 · Abstract (English)
Early detection of asthma in children is crucial to prevent long-term respiratory complications and reduce emergency interventions. This work presents an AI-powered diagnostic pipeline that leverages Googles Health Acoustic Representations (HeAR) model to detect early signs of asthma from pediatric respiratory sounds. The SPRSound dataset, the first open-access collection of annotated respiratory sounds in children aged 1 month to 18 years, is used to extract 2-second audio segments labeled as wheeze, crackle, rhonchi, stridor, or normal. Each segment is embedded into a 512-dimensional representation using HeAR, a foundation model pretrained on 300 million health-related audio clips, including 100 million cough sounds. Multiple classifiers, including SVM, Random Forest, and MLP, are trained on these embeddings to distinguish between asthma-indicative and normal sounds. The system achieves over 91\% accuracy, with strong performance on precision-recall metrics for positive cases. In addition to classification, learned embeddings are visualized using PCA, misclassifications are analyzed through waveform playback, and ROC and confusion matrix insights are provided. This method demonstrates that short, low-resource pediatric recordings, when powered by foundation audio models, can enable fast, noninvasive asthma screening. The approach is especially promising for digital diagnostics in remote or underserved healthcare settings.
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