Estimating the parameters of audible clinical percussion signals by fitting exponentially damped harmonics.

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.

Optimal Estimation of EMG Standard Deviation (EMG σ ) in Additive Measurement Noise: Model-Based Derivations and Their Implications.

Typical electromyogram (EMG) processors estimate EMG signal standard deviation (EMG σ ) via moving average root mean square (RMS) or mean absolute value (MAV) filters, whose outputs are used in force estimation, prosthesis/orthosis control, etc. In the inevitable presence of additive measurement noise, some processors subtract the noise standard deviation from EMG RMS (or MAV). Others compute a root difference of squares (RDS)-subtract the noise variance from the square of EMG RMS (or MAV), all followed by taking the square root. Herein, we model EMG as an amplitude-modulated random process in additive measurement noise. Assuming a Gaussian (or, separately, Laplacian) distribution, we derive analytically that the maximum likelihood estimate of EMG σ requires RDS processing. Whenever that subtraction would provide a negative-valued result, we show that EMG σ should be set to zero. Our theoretical models further show that during rest, approximately 50% of EMG σ estimates are non-zero. This result is problematic when EMG σ is used for real-time control, explaining the common use of additional thresholding. We tested our model results experimentally using biceps and triceps EMG from 64 subjects. Experimental results closely followed the Gaussian model. We conclude that EMG processors should use RDS processing and not noise standard deviation subtraction.

Advantages and limitations of using matrix pencil method for the modal analysis of medical percussion signals.

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.