Traditional remote spirometry lacks the precision required for effective pulmonary monitoring. We present a novel, non-invasive approach using multimodal predictive models that integrate RGB or thermal video data with patient metadata. Our method leverages energy-efficient Spiking Neural Networks (SNNs) for the regression of Peak Expiratory Flow (PEF) and classification of Forced Expiratory Volume (FEV1) and Forced Vital Capacity (FVC), using lightweight CNNs to overcome SNN limitations in regression tasks. Multimodal data integration is improved with a Multi-Head Attention Layer, and we employ K-Fold validation and ensemble learning to boost robustness. Using thermal data, our SNN models achieve 92% accuracy on a breathing-cycle basis and 99.5% patient-wise. PEF regression models attain Relative RMSEs of 0.11 (thermal) and 0.26 (RGB), with an MAE of 4.52% for FEV1/FVC predictions, establishing state-of-the-art performance. Code and dataset can be found on https://github.com/ahmed-sharshar/RespiroDynamics.git

Respiratory illnesses are a significant global health burden. Respiratory illnesses, primarily Chronic obstructive pulmonary disease (COPD), is the seventh leading cause of poor health worldwide and the third leading cause of death worldwide, causing 3.23 million deaths in 2019, necessitating early identification and diagnosis for effective mitigation. Among the diagnostic tools employed, spirometry plays a crucial role in detecting respiratory abnormalities. However, conventional clinical spirometry methods often entail considerable costs and practical limitations like the need for specialized equipment, trained personnel, and a dedicated clinical setting, making them less accessible. To address these challenges, wearable spirometry technologies have emerged as promising alternatives, offering accurate, cost-effective, and convenient solutions. The development of machine learning models for wearable spirometry heavily relies on the availability of high-quality ground truth spirometry data, which is a laborious and expensive endeavor. In this research, we propose using active learning, a sub-field of machine learning, to mitigate the challenges associated with data collection and labeling. By strategically selecting samples from the ground truth spirometer, we can mitigate the need for resource-intensive data collection. We present evidence that models trained on small subsets obtained through active learning achieve comparable/better results than models trained on the complete dataset.

Chronic obstructive pulmonary disease (COPD) is one of the leading causes of death worldwide, usually associated with smoking and environmental occupational exposures. Prior studies have shown that current COPD diagnosis (i.e., spirometry test) can be unreliable because the test can be difficult to do and depends on an adequate effort from the testee and supervision of the testor. Moreover, the extensive early detection and diagnosis of COPD is challenging. We address the COPD detection problem by constructing two novel COPD physiological signals datasets (4432 medical records from 54 patients in the WestRo COPD dataset and 13824 medical records from 534 patients in the WestRo Porti COPD dataset), demonstrating their complex coupled fractal dynamical characteristics, and performing a rigorous fractional-order dynamics deep learning analysis to diagnose COPD with high accuracy. We find that the fractional-order dynamical modeling can extract distinguishing signatures from the physiological signals across patients with all COPD stages--from stage 0 (healthy) to stage 4 (very severe). We exploit these fractional signatures to develop and train a deep neural network that predicts the suspected patients' COPD stages based on the input features (such as thorax breathing effort, respiratory rate, or oxygen saturation levels). We show that our COPD diagnostics method (fractional dynamic deep learning model) achieves a high prediction accuracy (98.66% 0.45%) on WestRo COPD dataset and can serve as an excellent and robust alternative to traditional spirometry-based medical diagnosis. Our fractional dynamic deep learning model (FDDLM) for COPD diagnosis also presents high prediction accuracy when validated by a dataset with different physiological signals recorded (i.e., 94.01%

According to the World Health Organisation (WHO), 235 million people suffer from respiratory illnesses and four million people die annually due to air pollution. Regular lung health monitoring can lead to prognoses about deteriorating lung health conditions. This paper presents our system SpiroMask that retrofits a microphone in consumer-grade masks (N95 and cloth masks) for continuous lung health monitoring. We evaluate our approach on 48 participants (including 14 with lung health issues) and find that we can estimate parameters such as lung volume and respiration rate within the approved error range by the American Thoracic Society (ATS). Further, we show that our approach is robust to sensor placement inside the mask.