Although clinical percussion remains one of the most widespread traditional noninvasive methods for diagnosing pulmonary disease, the available analysis of physical characteristics of the percussion sound using modern signal processing techniques is still quite limited. The majority of existing literature on the subject reports either time-domain or spectral analysis methods. However, Fourier analysis, which represents the signal as a sum of infinite periodic harmonics, is not naturally suited for decomposition of short and aperiodic percussion signals. Broadening of the spectral peaks due to damping leads to their overlapping and masking of the lower amplitude peaks, which could be important for the fine-level signal classification. In this study, an attempt is made to automatically decompose percussion signals into a sum of exponentially damped harmonics, which in this case form a more natural basis than Fourier harmonics and thus allow for a more robust representation of the signal in the parametric space. The damped harmonic decomposition of percussion signals recorded on healthy volunteers in clinical setting is performed using the matrix pencil method, which proves to be quite robust in the presence of noise and well suited for the task.

Chest percussion is a traditional technique used for the physical examination of pulmonary injuries and diseases. It is a method of tapping body parts with fingers or small instruments to evaluate the size, consistency, borders, and presence of fluid/air in the lungs and abdomen. Percussion has been successfully used for the diagnosis of such potentially lethal conditions as traumatic and tension pneumothorax. This technique, however, has certain shortcomings, including limitations of the human ear and the subjectivity of the administrator, that lead to overall low sensitivity. Automation of the method by using a standardized percussion source and computerized classification of digitized signals would remove the subjective factor and other limitations of the technique. It would also enable rapid on-site diagnostics of pulmonary traumas when thorough clinical examination is impossible. This paper lays the groundwork for an objective signal classification approach based on a general physical model of a damped harmonic oscillator. Using this concept, critical parameters that effectively subdivide percussion signals into three main groups, historically known as "tympanic," "resonant," and "dull," are identified, opening the possibility for automated diagnostics of air/liquid inclusions in the thorax and abdomen. The key role of damping in forming the character of the percussion signal is investigated using a 3D thorax phantom. The contribution of the abdominal component into the complex multimode spectrum of chest percussion signals is demonstrated.

Used for centuries in the clinical practice, audible percussion is a method of eliciting sounds by tapping various areas of the human body either by finger tips or by a percussion hammer. Despite its advantages, pulmonary diagnostics by percussion is still highly subjective, depends on the physician's skills, and requires quiet surroundings. Automation of this well-established technique could help amplify its existing merits while removing the above drawbacks. In this work, clinical percussion signals from normal volunteers are decomposed into a sum of exponentially damped sinusoids (EDS) whose parameters are determined using the Matrix Pencil Method. Some EDS represent transient oscillation modes of the thorax/abdomen excited by the percussion event, while others are associated with the noise. It is demonstrated that relatively few EDS are usually enough to accurately reconstruct the original signal. It is shown that combining the frequency and damping parameters of these most significant EDS allows for efficient classification of percussion signals into the two main types historically known as "resonant" and "tympanic." This classification ability can provide a basis for the automated objective diagnostics of various pulmonary pathologies including pneumothorax. The algorithm can be implemented on an embedded platform for the battlefield and other emergency applications.

This paper discusses time-frequency analysis of clinical percussion signals produced by tapping over human chest or abdomen with a neurological hammer and recorded with an air microphone. The analysis of short, highly damped percussion signals using conventional time-frequency distributions (TFDs) meets certain difficulties, such as poor time-frequency localization, cross terms, and masking of the lower energy features by the higher energy ones. The above shortcomings lead to inaccurate and ambiguous representation of the signal behavior in the time-frequency plane. This work describes an attempt to construct a TF representation specifically tailored to clinical percussion signals to achieve better resolution of individual components corresponding to physical oscillation modes. Matrix Pencil Method (MPM) is used to decompose the signal into a set of exponentially damped sinusoids, which are then plotted in the time-frequency plane. Such representation provides better visualization of the signal structure than the commonly used frequency-amplitude plots and facilitates tracking subtle changes in the signal for diagnostic purposes. The performance of our approach has been verified on both ideal and real percussion signals. The MPM-based time-frequency analysis appears to be a better choice for clinical percussion signals than conventional TFDs, while its ability to visualize damping has immediate practical applications.