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Monitoring the propagation of lung sounds using electronic stethoscope arrays

机译:使用电子听诊器阵列监控肺音的传播

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摘要

This thesis presents the design and prototype testing of a novel medical instrument designed to measure changes in to acoustic transmission properties of lung tissue. Since tissue acoustic transmission is largely determined by the distribution of lung fluid and lung tissue density, this instrument has potential applications for monitoring and diagnosis of patients with such obstructive lung diseases which are associated with accumulation of lung fluid and collapse of lung tissue. The apparatus consists of an array of 4 electronic stethoscopes linked together via a fully adjustable harness. A White Gaussian Noise (WGN) input sound is injected into the mouth via a modified speaker and measured on the surface of the chest using the array of stethoscopes. Data were analysed using the Normalized Least Mean Squares (NLMS) adaptive filtering algorithm to develop a transfer function based on the propagation characteristics of the injected signal. This transfer function is then analysed to determine the frequency response and the propagation delay at each stethoscope. The system was calibrated to account for delays in the signal acquisition equipment and verified using a chest phantom model. System non-linearites were analysed and determined to be sufficiently small to justify the linear model. Phantom test results show that as the volume of fluid in the lungs increases, the sound propagation delay decreases. In-vivo results were measured on healthy volunteers and show comparable results to the lung phantom with no volume of water injected and that the instrument can detect sound propagation delay variations with changes in posture. Based on these results, this instrument is able to measure parameters of the lungs including propagation delay and frequency/impulse responses, which show useful correspondence to known physiological changes.
机译:本文介绍了一种新型医疗仪器的设计和原型测试,该仪器旨在测量肺组织的声传输特性的变化。由于组织的声传递很大程度上取决于肺液的分布和肺组织的密度,因此该仪器在监测和诊断患有与肺液积聚和肺组织塌陷有关的阻塞性肺疾病的患者中具有潜在的应用前景。该设备由4个电子听诊器组成,这些电子听诊器通过完全可调的线束连接在一起。通过修改后的扬声器将高斯白噪声(WGN)输入声音注入嘴中,并使用听诊器阵列在胸部表面进行测量。使用归一化最小均方(NLMS)自适应滤波算法对数据进行分析,以基于注入信号的传播特性来开发传递函数。然后分析该传递函数,以确定每个听诊器的频率响应和传播延迟。该系统经过校准以解决信号采集设备中的延迟,并使用胸部模型进行验证。分析系统非线性项,并将其确定为足够小以证明线性模型合理。幻影测试结果表明,随着肺中液体体积的增加,声音传播延迟会减小。在健康志愿者身上测量了体内结果,显示出与没有注入水量的肺部幻影相当的结果,并且该仪器可以检测到声音传播延迟随姿势变化而变化的情况。基于这些结果,该仪器能够测量包括传播延迟和频率/脉冲响应在内的肺部参数,这些参数显示出与已知生理变化的有用对应关系。

著录项

  • 作者

    Mulligan, Kyle R.;

  • 作者单位

    Carleton University (Canada).;

  • 授予单位 Carleton University (Canada).;
  • 学科 Biomedical engineering.;Electrical engineering.
  • 学位 M.A.Sc.
  • 年度 2009
  • 页码 111 p.
  • 总页数 111
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-17 11:38:04

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