Lung sound classification is vital for early diagnosis of respiratory diseases. However, biomedical signals often exhibit inter-patient variability even among patients with the same symptoms, requiring a learning approach that considers individual differences. We propose a Patient-Aware Feature Alignment (PAFA) framework with two novel losses, Patient Cohesion-Separation Loss (PCSL) and Global Patient Alignment Loss (GPAL). PCSL clusters features of the same patient while separating those from other patients to capture patient variability, whereas GPAL draws each patient's centroid toward a global center, preventing feature space fragmentation. Our method achieves outstanding results on the ICBHI dataset with a score of 64.84\% for four-class and 72.08\% for two-class classification. These findings highlight PAFA's ability to capture individualized patterns and demonstrate performance gains in distinct patient clusters, offering broader applications for patient-centered healthcare.
Despite the remarkable advances in deep learning technology, achieving satisfactory performance in lung sound classification remains a challenge due to the scarcity of available data. Moreover, the respiratory sound samples are collected from a variety of electronic stethoscopes, which could potentially introduce biases into the trained models. When a significant distribution shift occurs within the test dataset or in a practical scenario, it can substantially decrease the performance. To tackle this issue, we introduce cross-domain adaptation techniques, which transfer the knowledge from a source domain to a distinct target domain. In particular, by considering different stethoscope types as individual domains, we propose a novel stethoscope-guided supervised contrastive learning approach. This method can mitigate any domain-related disparities and thus enables the model to distinguish respiratory sounds of the recording variation of the stethoscope. The experimental results on the ICBHI dataset demonstrate that the proposed methods are effective in reducing the domain dependency and achieving the ICBHI Score of 61.71%, which is a significant improvement of 2.16% over the baseline.
Listening to lung sounds through auscultation is vital in examining the respiratory system for abnormalities. Automated analysis of lung auscultation sounds can be beneficial to the health systems in low-resource settings where there is a lack of skilled physicians. In this work, we propose a lightweight convolutional neural network (CNN) architecture to classify respiratory diseases using hybrid scalogram-based features of lung sounds. The hybrid scalogram features utilize the empirical mode decomposition (EMD) and continuous wavelet transform (CWT). The proposed scheme's performance is studied using a patient independent train-validation set from the publicly available ICBHI 2017 lung sound dataset. Employing the proposed framework, weighted accuracy scores of 99.20% for ternary chronic classification and 99.05% for six-class pathological classification are achieved, which outperform well-known and much larger VGG16 in terms of accuracy by 0.52% and 1.77% respectively. The proposed CNN model also outperforms other contemporary lightweight models while being computationally comparable.