Predicting pulmonary function from the analysis of voice: a machine learning approach

Alam, M. Z.; Simonetti, A.; Billantino, R.; Tayler, N.; Grainge, C.; Siribaddana, P.; Nouraei, S. A. R.; Batchelor, J.; Rahman, M. S.; Mancuzo, E. V.; Holloway, J. W.; Holloway, J. A.; Rezwan, F. I.

Providing proper timely treatment of asthma, self-monitoring can play a vital role in disease control. Existing methods (such as peak flow meter, smart spirometer) requires special equipment and are not always used by the patient. Using voice recording as surrogate measures of lung function can be used to assess asthma, which has good potential to self-monitor asthma and could be integrated into telehealth platforms. This study aims to apply machine learning approach to predict lung functions from recorded voice for asthma patients. A threshold-based mechanism was designed to separate speech and breathing from recordings (323 recordings from 26 participants) and features extracted from these were combined with biological attributes and lung function (percentage predicted forced expiratory volume in 1 second, FEV1%). Three predictive models were developed: (a) regression models to predict lung function, (b) multi-class classification models to predict the severity, and (c) binary classification models to predict abnormality. Random Forest (RF), Support Vector Machine (SVM), and Linear Regression (LR) algorithms were implemented to develop these predictive models. Training and test samples were separated (70%:30% using balanced portioning). Features were normalised and 10-fold cross-validation used to measure the model's training performances on the training samples. Models were then run on the test samples to measure the final performances. The RF based regression model performed better with lowest root mean square error = 10.86, and mean absolute score = 11.47, as compared to other models. In predicting the severity of lung function, the SVM based model performed better with 73.20% accuracy. The RF based model performed better in binary classification models for predicting abnormality of lung function (accuracy = 0.85, F1-score = 0.84, and area under the receiver operating characteristic curve = 0.88). The proposed machine learning approach can predict lung function (in terms of FEV1%), from the recorded voice files, better than other published approaches. These models can be extended to predict both the severity and abnormality of lung function with reasonable accuracies. This technique could be used to develop future telehealth solutions including smartphone-based applications which have potential to aid decision making and self-monitoring in asthma.