arXiv:2604.24767cs.LGcs.CV2026-04被引 4

用听诊信号自动识别儿童先天性心脏病,准确率达92%。

Automated detection of pediatric congenital heart disease from phonocardiograms using deep and handcrafted feature fusion

  • 融合深度学习与手工特征,提升听诊信号诊断能力
  • 在751名患儿数据上实现92%准确率和96%的AUROC
  • 适合资源匮乏地区作为低成本筛查工具

先天性心脏病(CHD)是全球最常见的出生缺陷,影响约1%的活产婴儿。超声心动图虽为金标准,但成本高且在低资源地区难以获取,且受限于专业医生数量,诊断常因医生间及个体间差异而延迟。为此,本文提出一种基于数字听诊器的新型可及诊断方法,利用深度特征融合技术,结合深度学习与手工提取特征,实现对儿童CHD的自动化早期检测。研究使用来自孟加拉国751名儿科受试者(年龄1个月至16岁)的听诊信号,涵盖二尖瓣(MV)、主动脉瓣(AV)、肺动脉瓣(PV)和三尖瓣(TV)四个听诊位置,数据由心脏病专家根据确诊结果标注为CHD或非CHD。模型在患者级划分(70%训练、20%验证、10%测试)下达到92%准确率、91%敏感性、91%特异性,AUROC达96%,F1分数为92%。该方法有望作为低成本、实时远程筛查工具,应用于资源匮乏地区。

原文摘要 · Abstract (English)

Congenital heart disease (CHD) is the most common type of birth defect, impacting about 1% of live births worldwide. Echocardiography, the gold-standard diagnostic method, is costly and inaccessible in low-resource settings. Diagnosis is delayed due to limited skilled experts, whose ability to interpret pathological patterns varies significantly, causing inter- and intra-clinician variability. Therefore, we present a new method for a more accessible diagnostic modality, the digital stethoscope, to detect CHDs. Our method is based on deep feature fusion, integrating deep and handcrafted features for the automated early detection of CHDs. For this work, Phonocardiography (PCG) recordings were obtained from 751 pediatric subjects (Age:1 month- 16 years) in Bangladesh, ranging from infants to adults at four auscultation locations: mitral valve (MV), aortic valve (AV), pulmonary valve (PV), and tricuspid valve (TV). These recordings were labeled based on confirmed diagnoses by cardiologists as either cases of CHD or non-CHD. The results demonstrated that our proposed model achieved an accuracy of 92%, a sensitivity of 91%, and a specificity of 91%, based on a patient-wise split of 70% training, 20% validation, and 10% testing. Furthermore, the Area Under the Receiver Operating Characteristic curve (AUROC) of 96%, and an F1-score of 92%. This model promises efficient real-time remote detection of CHDs as a cost-effective screening tool for low-resource settings.

听诊分析心脏病深度学习医疗筛查

Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。