Comparison of lung sound transducers using a bioacoustic transducer testing system.

Sensors used for lung sound research are generally designed by the investigators or adapted from devices used in related fields. Their relative characteristics have never been defined. We employed an artificial chest wall with a viscoelastic surface and a white noise signal generator as a stable source of sound to compare the frequency response and pulse waveform reproduction of a selection of devices used for lung sound research. We used spectral estimation techniques to determine frequency response and cross-correlation of pulses to determine pulse shape fidelity. The sensors evaluated were the Siemens EMT 25 C accelerometer (Siemens); PPG 201 accelerometer (PPG); Sony ECM-T150 electret condenser microphone with air coupler (air coupler; with cylindrical air chambers of 5-, 10-, and 15-mm diameter and conical air chamber of 10-mm diameter); Littman classic stethoscope head (Littman) connected to an electret condenser microphone; and the Andries Tek (Andries) electronic stethoscope. We found that the size and shape of the air coupler chamber to have no important effect on the detected sound. The Siemens, air coupler, and Littman performed similarly with relatively flat frequency responses from 200 to 1,200 Hz. The PPG had the broadest frequency response, with useful sensitivity extending to 4,000 Hz. The Andries' frequency response was the poorest above 1,000 Hz. Accuracy in reproducing pulses roughly corresponded with the high-frequency sensitivity of the sensors. We conclude that there are important differences among commonly used lung sound sensors that have to be defined to allow the comparison of data from different laboratories.

[1]  George R. Wodicka,et al.  Design, construction, and evaluation of a bioacoustic transducer testing (BATT) system for respiratory sounds , 2006, IEEE Transactions on Biomedical Engineering.

[2]  I. Sánchez,et al.  Tracheal and lung sounds repeatability in normal adults. , 2003, Respiratory medicine.

[3]  Zhongwei Jiang,et al.  Crackle analysis for chest auscultation and comparison with high-resolution CT findings. , 2003, Radiation medicine.

[4]  George R. Wodicka,et al.  Modeling and measurement of flow effects on tracheal sounds , 2003, IEEE Transactions on Biomedical Engineering.

[5]  H. Pasterkamp,et al.  'Slide whistle' breath sounds: acoustical correlates of variable tracheal obstruction. , 2002, Physiological measurement.

[6]  H. Nakano,et al.  [Changes in tracheal and lung sounds before and after resection of adenoid cystic carcinoma of the trachea]. , 1999, Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society.

[7]  P Piirilä,et al.  A new versatile PC-based lung sound analyzer with automatic crackle analysis (HeLSA); repeatability of spectral parameters and sound amplitude in healthy subjects. , 1998, Technology and health care : official journal of the European Society for Engineering and Medicine.

[8]  M Kompis,et al.  Effects of breathing pathways on tracheal sound spectral features. , 1998, Respiration physiology.

[9]  A. Bohadana,et al.  Lung auscultation in airway challenge testing. , 1997, Respiratory medicine.

[10]  H. Pasterkamp,et al.  Chest surface mapping of lung sounds during methacholine challenge , 1997, Pediatric pulmonology.

[11]  J Schäfer,et al.  Posture-dependent change of tracheal sounds at standardized flows in patients with obstructive sleep apnea. , 1996, Chest.

[12]  P Piirilä,et al.  Separation of pulmonary disorders with two-dimensional discriminant analysis of crackles. , 1996, Clinical physiology.

[13]  G R Wodicka,et al.  Measurement of respiratory acoustic signals. Effect of microphone air cavity width, shape, and venting. , 1995, Chest.

[14]  R Peslin,et al.  Potential for lung sound monitoring during bronchial provocation testing. , 1995, Thorax.

[15]  Noam Gavriely,et al.  Breath Sounds Methodology , 1995 .

[16]  G R Wodicka,et al.  Measurement of respiratory acoustic signals. Effect of microphone air cavity depth. , 1994, Chest.

[17]  G. R. Wodicka,et al.  Bilateral asymmetry of respiratory acoustic transmission , 1994, Medical and Biological Engineering and Computing.

[18]  R Peslin,et al.  Tracheal wheezes during methacholine airway challenge (MAC) in workers exposed to occupational hazards. , 1994, Respiratory medicine.

[19]  H. Pasterkamp,et al.  Measurement of respiratory acoustical signals. Comparison of sensors. , 1993, Chest.

[20]  H. Pasterkamp,et al.  Tracheal sound spectra depend on body height. , 1993, The American review of respiratory disease.

[21]  M. Yonemaru,et al.  Detection of tracheal stenosis by frequency analysis of tracheal sounds. , 1993, Journal of applied physiology.

[22]  R M Rudd,et al.  Diagnosis of asbestosis by a time expanded wave form analysis, auscultation and high resolution computed tomography: a comparative study. , 1993, Thorax.

[23]  S. Kudoh [Wave form of intrabronchial spark sound on the chest wall and sound transmission in the lung-thoracic system]. , 1992, Nihon Ika Daigaku zasshi.

[24]  Y Homma,et al.  Spectral and waveform characteristics of fine and coarse crackles. , 1991, Thorax.

[25]  G R Wodicka,et al.  Transfer function of sound transmission in subglottal human respiratory system at low frequencies. , 1990, Journal of applied physiology.

[26]  K. Stevens,et al.  Spectral characteristics of sound transmission in the human respiratory system , 1990, IEEE Transactions on Biomedical Engineering.

[27]  P. Escourrou,et al.  Intraction between tracheal sound and flow rate: a comparison of some different flow evaluations from lung sounds , 1990, IEEE Transactions on Biomedical Engineering.

[28]  C. Rossel,et al.  Investigations on resonant tunneling in III‐V heterostructures , 1989 .

[29]  Y Kikuchi,et al.  Home sleep monitor for detecting apnea episodes by nasal flow and tracheal sound recordings. , 1988, The Tohoku journal of experimental medicine.

[30]  S. Kudoh,et al.  [Acoustic transmission of the respiratory system using orally introduced sinusoidal sound waves]. , 1984, Nihon Kyobu Shikkan Gakkai zasshi.

[31]  S. Kraman,et al.  Lung sound intensity variability in normal men. A contour phonopneumographic study. , 1983, Chest.

[32]  S. Kraman,et al.  Vesicular lung sound amplitude mapping by automated flow-gated phonopneumography. , 1982, Journal of applied physiology: respiratory, environmental and exercise physiology.

[33]  S. Kudoh,et al.  Crackles in asbestos workers: auscultation and lung sound analysis. , 1981, British journal of diseases of the chest.

[34]  S Murao,et al.  Waveform and spectral analysis of crackles. , 1980, Thorax.

[35]  Weiss Eb,et al.  Recording of breath sounds. , 1972 .

[36]  Rozenblat Vv,et al.  Objective study of respiratory sounds using frequency analysis , 1969 .

[37]  Zubarev Vv,et al.  Effect of certain hemodynamic factors on the rate of the pulse wave , 1969 .

[38]  Rozenblat Vv,et al.  The frequency spectrum of respiratory sounds in normal subjects and in pneumoconiosis , 1968 .

[39]  A. Jalil,et al.  Recording and analysis of breath sounds in patients of chest diseases. II. , 1966, The Indian journal of chest diseases.

[40]  A Jalil,et al.  Recording and analysis of breath sounds in normal individuals. , 1966, The Indian journal of chest diseases.

[41]  G. N. Webb,et al.  SPECTRAL PHONOCARDIOGRAPHIC STUDIES IN CONGENITAL HEART DISEASE , 1956, British heart journal.

[42]  S. A. Talbot,et al.  Spectral phonocardiography: clinical studies. , 1954, Bulletin of the Johns Hopkins Hospital.

[43]  R M Rudd,et al.  Lung crackle characteristics in patients with asbestosis, asbestos-related pleural disease and left ventricular failure using a time-expanded waveform analysis--a comparative study. , 1994, Respiratory medicine.

[44]  A. Bohadana,et al.  Breath sound intensity in patients with airway provocation challenge test positive by spirometry but negative for wheezing: a preliminary report. , 1994, Respiration; international review of thoracic diseases.

[45]  A. Bohadana,et al.  Transmission to the chest of sound introduced at the mouth. , 1989, Journal of applied physiology.

[46]  R. Murphy,et al.  Crackles in the early detection of asbestosis. , 1984, The American review of respiratory disease.

[47]  D A Rice,et al.  Sound transfer function of the congested canine lung. , 1980, British journal of diseases of the chest.

[48]  E. Weiss,et al.  Recording of breath sounds. , 1972, The American review of respiratory disease.

[49]  M Turner-Warwick,et al.  Breath sounds in emphysema. , 1969, British journal of diseases of the chest.

[50]  V. Rozenblat,et al.  [Objective study of respiratory sounds using frequency analysis]. , 1969, Terapevticheskii arkhiv.

[51]  P. Forgacs Lung sounds. , 1969, British journal of diseases of the chest.

[52]  B. M. Stolbun,et al.  [The frequency spectrum of respiratory sounds in normal subjects and in pneumoconiosis]. , 1968, Klinicheskaia meditsina.

[53]  G. N. Webb,et al.  The acoustic basis of the chest examination; studies by means of sound spectrography. , 1955, American review of tuberculosis.