PC-MCL: Patient-Consistent Multi-Cycle Learning with multi-label bias correction for respiratory sound classification

Automated respiratory sound classification supports the diagnosis of pulmonary diseases. However, many deep models still rely on cycle-level analysis and suffer from patient-specific overfitting. We propose PC-MCL (Patient-Consistent Multi-Cycle Learning) to address these limitations by utilizing three key components: multi-cycle concatenation, a 3-label formulation, and a patient-matching auxiliary task. Our work resolves a multi-label distributional bias in respiratory sound classification, a critical issue inherent to applying multi-cycle concatenation with the conventional 2-label formulation (crackle, wheeze). This bias manifests as a systematic loss of normal signal information when normal and abnormal cycles are combined. Our proposed 3-label formulation (normal, crackle, wheeze) corrects this by preserving information from all constituent cycles in mixed samples. Furthermore, the patient-matching auxiliary task acts as a multi-task regularizer, encouraging the model to learn more robust features and improving generalization. On the ICBHI 2017 benchmark, PC-MCL achieves an ICBHI Score of 65.37%, outperforming existing baselines. Ablation studies confirm that all three components are essential, working synergistically to improve the detection of abnormal respiratory events.

Adaptive Knowledge Distillation using a Device-Aware Teacher for Low-Complexity Acoustic Scene Classification

In this technical report, we describe our submission for Task 1, Low-Complexity Device-Robust Acoustic Scene Classification, of the DCASE 2025 Challenge. Our work tackles the dual challenges of strict complexity constraints and robust generalization to both seen and unseen devices, while also leveraging the new rule allowing the use of device labels at test time. Our proposed system is based on a knowledge distillation framework where an efficient CP-MobileNet student learns from a compact, specialized two-teacher ensemble. This ensemble combines a baseline PaSST teacher, trained with standard cross-entropy, and a 'generalization expert' teacher. This expert is trained using our novel Device-Aware Feature Alignment (DAFA) loss, adapted from prior work, which explicitly structures the feature space for device robustness. To capitalize on the availability of test-time device labels, the distilled student model then undergoes a final device-specific fine-tuning stage. Our proposed system achieves a final accuracy of 57.93\% on the development set, demonstrating a significant improvement over the official baseline, particularly on unseen devices.

Patient Domain Supervised Contrastive Learning for Lung Sound Classification Using Mobile Phone

Auscultation is crucial for diagnosing lung diseases. The COVID-19 pandemic has revealed the limitations of traditional, in-person lung sound assessments. To overcome these issues, advancements in digital stethoscopes and artificial intelligence (AI) have led to the development of new diagnostic methods. In this context, our study aims to use smartphone microphones to record and analyze lung sounds. We faced two major challenges: the difference in audio style between electronic stethoscopes and smartphone microphones, and the variability among patients. To address these challenges, we developed a method called Patient Domain Supervised Contrastive Learning (PD-SCL). By integrating this method with the Audio Spectrogram Transformer (AST) model, we significantly improved its performance by 2.4\% compared to the original AST model. This progress demonstrates that smartphones can effectively diagnose lung sounds, addressing inconsistencies in patient data and showing potential for broad use beyond traditional clinical settings. Our research contributes to making lung disease detection more accessible in the post-COVID-19 world.

Patient-Aware Feature Alignment for Robust Lung Sound Classification:Cohesion-Separation and Global Alignment Losses

Lung sound classification is vital for early diagnosis of respiratory diseases. However, biomedical signals often exhibit inter-patient variability even among patients with the same symptoms, requiring a learning approach that considers individual differences. We propose a Patient-Aware Feature Alignment (PAFA) framework with two novel losses, Patient Cohesion-Separation Loss (PCSL) and Global Patient Alignment Loss (GPAL). PCSL clusters features of the same patient while separating those from other patients to capture patient variability, whereas GPAL draws each patient's centroid toward a global center, preventing feature space fragmentation. Our method achieves outstanding results on the ICBHI dataset with a score of 64.84\% for four-class and 72.08\% for two-class classification. These findings highlight PAFA's ability to capture individualized patterns and demonstrate performance gains in distinct patient clusters, offering broader applications for patient-centered healthcare.

iMedic: Towards Smartphone-based Self-Auscultation Tool for AI-Powered Pediatric Respiratory Assessment

Respiratory auscultation is crucial for early detection of pediatric pneumonia, a condition that can quickly worsen without timely intervention. In areas with limited physician access, effective auscultation is challenging. We present a smartphone-based system that leverages built-in microphones and advanced deep learning algorithms to detect abnormal respiratory sounds indicative of pneumonia risk. Our end-to-end deep learning framework employs domain generalization to integrate a large electronic stethoscope dataset with a smaller smartphone-derived dataset, enabling robust feature learning for accurate respiratory assessments without expensive equipment. The accompanying mobile application guides caregivers in collecting high-quality lung sound samples and provides immediate feedback on potential pneumonia risks. User studies show strong classification performance and high acceptance, demonstrating the system's ability to facilitate proactive interventions and reduce preventable childhood pneumonia deaths. By seamlessly integrating into ubiquitous smartphones, this approach offers a promising avenue for more equitable and comprehensive remote pediatric care.