ABSTRACT
A novel intelligent diagnostic system is proposed to diagnose heart sounds (HSs). The innovations of this system are primarily reflected in the automatic segmentation and extraction of the first complex sound [Formula: see text] and second complex sound [Formula: see text]; the automatic extraction of the secondary envelope-based diagnostic features [Formula: see text], [Formula: see text], and [Formula: see text] from [Formula: see text] and [Formula: see text]; and the adjustable classifier models that correspond to the confidence bounds of the Chi-square ([Formula: see text]) distribution and are adjusted by the given confidence levels (denoted as [Formula: see text]). The three stages of the proposed system are summarized as follows. In stage 1, the short time modified Hilbert transform (STMHT)-based curve is used to segment and extract [Formula: see text] and [Formula: see text]. In stage 2, the envelopes [Formula: see text] and [Formula: see text] for periods [Formula: see text] and [Formula: see text] are obtained via a novel method, and the frequency features are automatically extracted from [Formula: see text] and [Formula: see text] by setting different threshold value ([Formula: see text]) lines. Finally, the first three principal components determined based on principal component analysis (PCA) are used as the diagnostic features. In stage 3, a Gaussian mixture model (GMM)-based component objective function [Formula: see text] is generated. Then, the [Formula: see text] distribution for component k is determined by calculating the Mahalanobis distance from [Formula: see text] to the class mean [Formula: see text] for component k, and the confidence region of component k is determined by adjusting the optimal confidence level [Formula: see text] and used as the criterion to diagnose HSs. The performance evaluation was validated by sounds from online HS databases and clinical heart databases. The accuracy of the proposed method was compared to the accuracies of other state-of-the-art methods, and the highest classification accuracies of [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], 99.67[Formula: see text] and 99.91[Formula: see text] in the detection of MR, MS, ASD, NM, AS, AR and VSD sounds were achieved by setting [Formula: see text] to 0.87,0.65,0.67,0.65,0.67,0.79 and 0.87, respectively.
