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Dysphagia Screening: Contributions of Cervical Auscultation Signals and Modern Signal-Processing Techniques

机译:吞咽困难筛查:宫颈听诊信号的贡献和现代信号处理技术

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摘要

Cervical auscultation is the recording of sounds and vibrations caused by the human body from the throat during swallowing. While traditionally done by a trained clinician with a stethoscope, much work has been put towards developing more sensitive and clinically useful methods to characterize the data obtained with this technique. The eventual goal of the field is to improve the effectiveness of screening algorithms designed to predict the risk that swallowing disorders pose to individual patients’ health and safety. This paper provides an overview of these signal processing techniques and summarizes recent advances made with digital transducers in hopes of organizing the highly varied research on cervical auscultation. It investigates where on the body these transducers are placed in order to record a signal as well as the collection of analog and digital filtering techniques used to further improve the signal quality. It also presents the wide array of methods and features used to characterize these signals, ranging from simply counting the number of swallows that occur over a period of time to calculating various descriptive features in the time, frequency, and phase space domains. Finally, this paper presents the algorithms that have been used to classify this data into‘normal’ and ‘abnormal’ categories. Both linearas well as non-linear techniques are presented in this regard.
机译:颈听诊是吞咽过程中由喉咙引起的人体声音和振动的记录。传统上,由受过训练的临床医生用听诊器完成手术,但为开发更加灵敏和临床上有用的方法来表征使用此技术获得的数据的特性,已经进行了许多工作。该领域的最终目标是提高筛选算法的效率,该算法旨在预测吞咽障碍对个别患者的健康和安全构成的风险。本文概述了这些信号处理技术,并总结了数字换能器的最新进展,希望能够组织有关宫颈听诊的各种研究。它研究了这些换能器在人体上的放置位置,以便记录信号,以及用于进一步改善信号质量的模拟和数字滤波技术的收集。它还介绍了用于表征这些信号的多种方法和功能,从简单地计算一段时间内发生的吞咽数量到计算时域,频域和相空间域中的各种描述性特征,不一而足。最后,本文介绍了用于将这些数据分类为“正常”和“异常”类别。既线性在这方面提出了非线性技术。

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