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Udantha R. Abeyratne

Bio: Udantha R. Abeyratne is an academic researcher from University of Queensland. The author has contributed to research in topics: Obstructive sleep apnea & Polysomnography. The author has an hindex of 26, co-authored 156 publications receiving 2139 citations. Previous affiliations of Udantha R. Abeyratne include University of Peradeniya & University of Tokushima.


Papers
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Journal ArticleDOI
TL;DR: A novel feature termed the 'intra-snore-pitch-jump' (ISPJ) to diagnose OSA is proposed, and it is shown that ISPJ delivers OSA detection sensitivities of 86-100% while holding specificity at 50-80%.
Abstract: Obstructive sleep apnea (OSA) is a highly prevalent disease in which upper airways are collapsed during sleep, leading to serious consequences. The gold standard of diagnosis, called polysomnography (PSG), requires a full-night hospital stay connected to over ten channels of measurements requiring physical contact with sensors. PSG is inconvenient, expensive and unsuited for community screening. Snoring is the earliest symptom of OSA, but its potential in clinical diagnosis is not fully recognized yet. Diagnostic systems intent on using snore-related sounds (SRS) face the tough problem of how to define a snore. In this paper, we present a working definition of a snore, and propose algorithms to segment SRS into classes of pure breathing, silence and voiced/unvoiced snores. We propose a novel feature termed the 'intra-snore-pitch-jump' (ISPJ) to diagnose OSA. Working on clinical data, we show that ISPJ delivers OSA detection sensitivities of 86-100% while holding specificity at 50-80%. These numbers indicate that snore sounds and the ISPJ have the potential to be good candidates for a take-home device for OSA screening. Snore sounds have the significant advantage in that they can be conveniently acquired with low-cost non-contact equipment. The segmentation results presented in this paper have been derived using data from eight patients as the training set and another eight patients as the testing set. ISPJ-based OSA detection results have been derived using training data from 16 subjects and testing data from 29 subjects.

140 citations

Journal ArticleDOI
TL;DR: This study yields a sensitivity of 88%, a specificity of 82%, and a threshold value of F1=470Hz that best differentiate apneic snorers from benign snorers (both gender combined), which can be related to the pathology of OSA.

135 citations

Journal ArticleDOI
TL;DR: In this paper, a blind deconvolution method was proposed to identify and remove the convolutional distortion in order to reconstruct the tissue response, thus enhancing the diagnostic quality of the ultrasonic image.
Abstract: We address the problem of improving the spatial resolution of ulrasound images through blind deconvolution. The ultrasound image formation process in the RF domain can be expressed as a spatio-temporal convolution between the tissue response and the ultrasonic system response, plus additive noise. Convolutional components of the dispersive attenuation and aberrations introduced by propagating through the object being imaged are also incorporated in the ultrasonic system response. Our goal is to identify and remove the convolutional distortion in order to reconstruct the tissue response, thus enhancing the diagnostic quality of the ultrasonic image. Under the assumption of an independent, identically distributed, zero-mean, non-Gaussian tissue response, we were able to estimate distortion kernels using bicepstrum operations on RF data. Separate 1D distortion kernels were estimated corresponding to axial and lateral image lines and used in the deconvolution process. The estimated axial kernels showed similarities to the experimentally measured pulse-echo wavelet of the imaging system. Deconvolution results from B-scan images obtained with clinical imaging equipment showed a 2.5-5.2 times gain in lateral resolution, where the definition of the resolution has been based on the width of the autocovariance function of the image. The gain in axial resolution was found to be between 1.5 and 1.9.

135 citations

Journal ArticleDOI
TL;DR: The results show that cough sounds indeed carry critical information on the lower respiratory tract, and can be used to diagnose pneumonia, and the performance of the method is far superior to those of existing WHO clinical algorithms for resource-poor regions.
Abstract: Pneumonia annually kills over 1,800,000 children throughout the world. The vast majority of these deaths occur in resource poor regions such as the sub-Saharan Africa and remote Asia. Prompt diagnosis and proper treatment are essential to prevent these unnecessary deaths. The reliable diagnosis of childhood pneumonia in remote regions is fraught with difficulties arising from the lack of field-deployable imaging and laboratory facilities as well as the scarcity of trained community healthcare workers. In this paper, we present a pioneering class of technology addressing both of these problems. Our approach is centred on the automated analysis of cough and respiratory sounds, collected via microphones that do not require physical contact with subjects. Cough is a cardinal symptom of pneumonia but the current clinical routines used in remote settings do not make use of coughs beyond noting its existence as a screening-in criterion. We hypothesized that cough carries vital information to diagnose pneumonia, and developed mathematical features and a pattern classifier system suited for the task. We collected cough sounds from 91 patients suspected of acute respiratory illness such as pneumonia, bronchiolitis and asthma. Non-contact microphones kept by the patient's bedside were used for data acquisition. We extracted features such as non-Gaussianity and Mel Cepstra from cough sounds and used them to train a Logistic Regression classifier. We used the clinical diagnosis provided by the paediatric respiratory clinician as the gold standard to train and validate our classifier. The methods proposed in this paper could separate pneumonia from other diseases at a sensitivity and specificity of 94 and 75% respectively, based on parameters extracted from cough sounds alone. The inclusion of other simple measurements such as the presence of fever further increased the performance. These results show that cough sounds indeed carry critical information on the lower respiratory tract, and can be used to diagnose pneumonia. The performance of our method is far superior to those of existing WHO clinical algorithms for resource-poor regions. To the best of our knowledge, this is the first attempt in the world to diagnose pneumonia in humans using cough sound analysis. Our method has the potential to revolutionize the management of childhood pneumonia in remote regions of the world.

92 citations

Journal ArticleDOI
TL;DR: The results indicate that this technology has a role as a high-level diagnostic aid in the assessment of common childhood respiratory disorders, including asthma, pneumonia and bronchiolitis.
Abstract: The differential diagnosis of paediatric respiratory conditions is difficult and suboptimal. Existing diagnostic algorithms are associated with significant error rates, resulting in misdiagnoses, inappropriate use of antibiotics and unacceptable morbidity and mortality. Recent advances in acoustic engineering and artificial intelligence have shown promise in the identification of respiratory conditions based on sound analysis, reducing dependence on diagnostic support services and clinical expertise. We present the results of a diagnostic accuracy study for paediatric respiratory disease using an automated cough-sound analyser. We recorded cough sounds in typical clinical environments and the first five coughs were used in analyses. Analyses were performed using cough data and up to five-symptom input derived from patient/parent-reported history. Comparison was made between the automated cough analyser diagnoses and consensus clinical diagnoses reached by a panel of paediatricians after review of hospital charts and all available investigations. A total of 585 subjects aged 29 days to 12 years were included for analysis. The Positive Percent and Negative Percent Agreement values between the automated analyser and the clinical reference were as follows: asthma (97, 91%); pneumonia (87, 85%); lower respiratory tract disease (83, 82%); croup (85, 82%); bronchiolitis (84, 81%). Conclusion: The results indicate that this technology has a role as a high-level diagnostic aid in the assessment of common childhood respiratory disorders. Australian and New Zealand Clinical Trial Registry (retrospective) - ACTRN12618001521213 : 11.09.2018.

91 citations


Cited by
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Journal ArticleDOI
TL;DR: The Monte-Carlo analysis performed, comparing WMN, LORETA, sLorETA and SLF, for different noise levels and different simulated source depths has shown that for single source localization, regularized sLORETA gives the best solution in terms of both localization error and ghost sources.
Abstract: In this primer, we give a review of the inverse problem for EEG source localization. This is intended for the researchers new in the field to get insight in the state-of-the-art techniques used to find approximate solutions of the brain sources giving rise to a scalp potential recording. Furthermore, a review of the performance results of the different techniques is provided to compare these different inverse solutions. The authors also include the results of a Monte-Carlo analysis which they performed to compare four non parametric algorithms and hence contribute to what is presently recorded in the literature. An extensive list of references to the work of other researchers is also provided. This paper starts off with a mathematical description of the inverse problem and proceeds to discuss the two main categories of methods which were developed to solve the EEG inverse problem, mainly the non parametric and parametric methods. The main difference between the two is to whether a fixed number of dipoles is assumed a priori or not. Various techniques falling within these categories are described including minimum norm estimates and their generalizations, LORETA, sLORETA, VARETA, S-MAP, ST-MAP, Backus-Gilbert, LAURA, Shrinking LORETA FOCUSS (SLF), SSLOFO and ALF for non parametric methods and beamforming techniques, BESA, subspace techniques such as MUSIC and methods derived from it, FINES, simulated annealing and computational intelligence algorithms for parametric methods. From a review of the performance of these techniques as documented in the literature, one could conclude that in most cases the LORETA solution gives satisfactory results. In situations involving clusters of dipoles, higher resolution algorithms such as MUSIC or FINES are however preferred. Imposing reliable biophysical and psychological constraints, as done by LAURA has given superior results. The Monte-Carlo analysis performed, comparing WMN, LORETA, sLORETA and SLF, for different noise levels and different simulated source depths has shown that for single source localization, regularized sLORETA gives the best solution in terms of both localization error and ghost sources. Furthermore the computationally intensive solution given by SLF was not found to give any additional benefits under such simulated conditions.

1,013 citations

Journal Article
TL;DR: The updated version of ICSD-2 was characterized by the significant improvements of its logicality and clinical practicability, and was more consistent with the International Classification of Disease.
Abstract: Since the introduction of the first edition of International Classification of Sleep Disorders: Diagnostic and Coding Manual(ICSD-1)in 1990,national and international meetings were held to openly discuss the ongoing developments of sleep disorders and a new International Classification of Sleep Disorders: Diagnostic and Coding Manual(ICSD-2)was published in 2005.Compared with ICSD-1,the classification of ICSD-2 was developed in a manner compatible with new International Classification of Diseases(ICD-9 and ICD-10)and formed a coordinated system of International Classification of Diseases.The updated version was characterized by the significant improvements of its logicality and clinical practicability,and was more consistent with the International Classification of Disease.The contents of ICSD-2 were introduced in this article.

596 citations

Journal ArticleDOI
TL;DR: An extensive literature review on load-frequency control (LFC) problem in power system has been highlighted in this article, where various configuration of power system models and control techniques/strategies that concerns to LFC issues have been addressed in conventional as well as distribution generation-based power systems.
Abstract: In this paper an extensive literature review on load–frequency control (LFC) problem in power system has been highlighted. The various configuration of power system models and control techniques/strategies that concerns to LFC issues have been addressed in conventional as well as distribution generation-based power systems. Further, investigations on LFC challenges incorporating storage devices BESS/SMES, FACTS devices, wind–diesel and PV systems etc have been discussed too.

485 citations

Journal ArticleDOI
29 Sep 2020
TL;DR: An AI speech processing framework that leverages acoustic biomarker feature extractors to pre-screen for COVID-19 from cough recordings, and provide a personalized patient saliency map to longitudinally monitor patients in real-time, non-invasively, and at essentially zero variable cost is developed.
Abstract: Goal: We hypothesized that COVID-19 subjects, especially including asymptomatics, could be accurately discriminated only from a forced-cough cell phone recording using Artificial Intelligence. To train our MIT Open Voice model we built a data collection pipeline of COVID-19 cough recordings through our website (opensigma.mit.edu) between April and May 2020 and created the largest audio COVID-19 cough balanced dataset reported to date with 5,320 subjects. Methods: We developed an AI speech processing framework that leverages acoustic biomarker feature extractors to pre-screen for COVID-19 from cough recordings, and provide a personalized patient saliency map to longitudinally monitor patients in real-time, non-invasively, and at essentially zero variable cost. Cough recordings are transformed with Mel Frequency Cepstral Coefficient and inputted into a Convolutional Neural Network (CNN) based architecture made up of one Poisson biomarker layer and 3 pre-trained ResNet50's in parallel, outputting a binary pre-screening diagnostic. Our CNN-based models have been trained on 4256 subjects and tested on the remaining 1064 subjects of our dataset. Transfer learning was used to learn biomarker features on larger datasets, previously successfully tested in our Lab on Alzheimer's, which significantly improves the COVID-19 discrimination accuracy of our architecture. Results: When validated with subjects diagnosed using an official test, the model achieves COVID-19 sensitivity of 98.5% with a specificity of 94.2% (AUC: 0.97). For asymptomatic subjects it achieves sensitivity of 100% with a specificity of 83.2% . Conclusions: AI techniques can produce a free, non-invasive, real-time, any-time, instantly distributable, large-scale COVID-19 asymptomatic screening tool to augment current approaches in containing the spread of COVID-19. Practical use cases could be for daily screening of students, workers, and public as schools, jobs, and transport reopen, or for pool testing to quickly alert of outbreaks in groups. General speech biomarkers may exist that cover several disease categories, as we demonstrated using the same ones for COVID-19 and Alzheimer's.

403 citations

Journal ArticleDOI
TL;DR: In this paper, an Artificial Intelligence (AI)-powered screening solution for COVID-19 infection that is deployable via a smartphone app is proposed, based on the prior work on cough-based diagnosis of respiratory diseases.

367 citations