机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, People's Republic of China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Obstructive Sleep Apnea-Hypopnea Syndrome Clinical Diagnosis and Therapy and Research Centre, Capital Medical University, Beijing 100730, People's Republic of China[3]Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, People's Republic of China首都医科大学附属同仁医院[4]Department of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, People's Republic of China深圳市康宁医院深圳医学信息中心
Objectives: Snoring is a common symptom of obstructive sleep apnea (OSA) which is considered to be potential predictors of the obstruction site. Successful treatment of OSA depend on the determination the types of obstruction site. This study aimed to develop a machine learning-based model to detect obstruction site using snoring sound.Methods: Patients with OSA underwent drug-induced sleep endoscopy (DISE) and the snoring sounds were recorded simultaneously. We extracted acoustic features based on Mel-frequency cepstral coefficients (MFCC). A k-nearest neighbors (KNN) was used for snore classification.Results: Total 42 patients with OSA were enrolled. The accuracy of model was 85.55 %, F1 score was 85.04. With combined age, gender and Body Mass Index (BMI), the accuracy of model was 87.98 %, and F1 score was 87.96. The model exhibited accuracies of 83 %, 93 % and 92 %; an AUC of 85.88, 89.22 and 88.17 in detecting ret-ropalatal, retrolingual and multilevel obstructions.Conclusion: Our results suggest that combing snoring sound with age, gender and BMI, the machine learning based model can help automatically assess obstruction site. The model may have potential utility as a clinical tool to help for clinical decision-making.
基金:
National Key Research and Development Program of China [2018YFC0116800]; Natural Science Foundation of China [81970866]; Shenzhen Science and Technology Innovation Commission: Key Projects of Stable Funding for Universities [WDZC 20200818121348001]; Shenzhen Science and Technology Innovation Commission: Sustainable Development Project [KCXFZ202002011010487]
第一作者机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, People's Republic of China[2]Obstructive Sleep Apnea-Hypopnea Syndrome Clinical Diagnosis and Therapy and Research Centre, Capital Medical University, Beijing 100730, People's Republic of China[3]Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, People's Republic of China
通讯作者:
通讯机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, People's Republic of China[2]Obstructive Sleep Apnea-Hypopnea Syndrome Clinical Diagnosis and Therapy and Research Centre, Capital Medical University, Beijing 100730, People's Republic of China[3]Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, People's Republic of China[4]Department of Electronic Engineering, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen, People's Republic of China[*1]Tsinghua Shenzhen International Graduate School, Tsinghua University, 2279 Lishui Road, Nanshan District, Shenzhen, People's Republic of China.[*2]Beijing Tongren Hospital, Capital Medical University, 1 Dongjiaominxiang, Dongcheng District, Beijing, People's Republic of China.
推荐引用方式(GB/T 7714):
Liu Yitao,Feng Yang,Li Yanru,et al.Automatic classification of the obstruction site in obstructive sleep apnea based on snoring sounds[J].AMERICAN JOURNAL OF OTOLARYNGOLOGY.2022,43(6):doi:10.1016/j.amjoto.2022.103584.
APA:
Liu, Yitao,Feng, Yang,Li, Yanru,Xu, Wen,Wang, Xingjun&Han, Demin.(2022).Automatic classification of the obstruction site in obstructive sleep apnea based on snoring sounds.AMERICAN JOURNAL OF OTOLARYNGOLOGY,43,(6)
MLA:
Liu, Yitao,et al."Automatic classification of the obstruction site in obstructive sleep apnea based on snoring sounds".AMERICAN JOURNAL OF OTOLARYNGOLOGY 43..6(2022)