Application of a Deep Learning Neural Network for Voiding Dysfunction Diagnosis Using a Vibration Sensor

Abstract

In a clinical context, there are increasing numbers of people with voiding dysfunction. To date, the methods of monitoring the voiding status of patients have included voiding diary records at home or urodynamic examinations at hospitals. The former is less objective and often contains missing data, while the latter lacks frequent measurements and is an invasive procedure. In light of these shortcomings, this study developed an innovative and contact-free technique that assists in clinical voiding dysfunction monitoring and diagnosis. Vibration signals during urination were first detected using an accelerometer and then converted into the mel-frequency cepstrum coefficient (MFCC). Lastly, an artificial intelligence model combined with uniform manifold approximation and projection (UMAP) dimensionality reduction was used to analyze and predict six common patterns of uroflowmetry to assist in diagnosing voiding dysfunction. The model was applied to the voiding database, which included data from 76 males aged 30 to 80 who required uroflowmetry for voiding symptoms. The resulting system accuracy (precision, recall, and f1-score) was around 98% for both the weighted average and macro average. This low-cost system is suitable for at-home urinary monitoring and facilitates the long-term uroflow monitoring of patients outside hospital checkups. From a disease treatment and monitoring perspective, this article also reviews other studies and applications of artificial intelligence-based methods for voiding dysfunction monitoring, thus providing helpful diagnostic information for physicians.

Prediction of Urinary Tract Infection in IoT-Fog Environment for Smart Toilets Using Modified Attention-Based ANN and Machine Learning Algorithms

“…Diagnosis and monitoring of clinical voiding dysfunction have been assisted in the recommended study [36]. While urinating, the vibration signals have been detected with the help of an accelerometer and they transformed into MFCC (Mel-Frequency Cepstrum Coefficient) [37].…”

“…The existing algorithm has fewer limitations in accessing the diagnosis information and sometimes has the probability to get diagnostic errors [36].…”

Estimation of Urine Flow Velocity Using Millimeter-Wave FMCW Radar

“…The device was designed to assist in in-home monitoring of voiding status of patients. In [ 7 ], an artificial intelligence model was used to analyze the vibration data and predict six common patterns of uroflowmetry to diagnose voiding dysfunction. Acoustic uroflowmetry that utilizes urination sound was also suggested to estimate urine velocity [ 8 , 9 ].…”