An intelligent healthcare system for detection and classification to discriminate vocal fold disorders

The growing population of senior citizens around the world will appear as a big challenge in the future and they will engage a significant portion of the healthcare facilities. Therefore, it is necessary to develop intelligent healthcare systems so that they can be deployed in smart homes and cities for remote diagnosis. To overcome the problem, an intelligent healthcare system is proposed in this study. The proposed intelligent system is based on the human auditory mechanism and capable of detection and classification of various types of the vocal fold disorders. In the proposed system, critical bandwidth phenomena by using the bandpass filters spaced over Bark scale is implemented to simulate the human auditory mechanism. Therefore, the system acts like an expert clinician who can evaluate the voice of a patient by auditory perception. The experimental results show that the proposed system can detect the pathology with an accuracy of 99.72%. Moreover, the classification accuracy for vocal fold polyp, keratosis, vocal fold paralysis, vocal fold nodules, and adductor spasmodic dysphonia is 97.54%, 99.08%, 96.75%, 98.65%, 95.83%, and 95.83%, respectively. In addition, an experiment for paralysis versus all other disorders is also conducted, and an accuracy of 99.13% is achieved. The results show that the proposed system is accurate and reliable in vocal fold disorder assessment and can be deployed successfully for remote diagnosis. Moreover, the performance of the proposed system is better as compared to existing disorder assessment systems

A zero-watermarking algorithm for privacy protection in biomedical signals

Confidentiality of health information is indispensable to protect privacy of an individual. However, recent advances in electronic healthcare systems allow transmission of sensitive information through the Internet, which is prone to various vulnerabilities, attacks and may leads to unauthorized disclosure. Such situations may not only create adverse effects for individuals but may also cause severe consequences such as hefty regulatory fines, bad publicity, legal fees, and forensics. To avoid such predicaments, a privacy protected healthcare system is proposed in this study that protects the identity of an individual as well as detects vocal fold disorders. The privacy of the developed healthcare system is based on the proposed zero-watermarking algorithm, which embeds a watermark in a secret key instead of the signals to avoid the distortion in an audio sample. The identity is protected by the generation of its secret shares through visual cryptography. The generated shares are embedded by finding the patterns into the audio with the application of one-dimensional local binary pattern. The proposed zero-watermarking algorithm is evaluated by using audio samples taken from the Massachusetts Eye and Ear Infirmary voice disorder database. Experimental results demonstrate that the proposed algorithm achieves imperceptibility and is reliable in its extraction of identity. In addition, the proposed algorithm does not affect the results of disorder detection and it is robust against noise attacks of various signal-to-noise ratios

An IoT-based smart healthcare system to detect dysphonia

Smart healthcare systems for the internet of things (IoT) platform are cost-efficient and facilitate continuous remote monitoring of patients to avoid unnecessary hospital visits and long waiting times to see practitioners. Presenting a smart healthcare system for the detection of dysphonia can reduce the suffering and pain of patients by providing an initial evaluation of voice. This preliminary feedback of voice could minimize the burden on ENT specialists by referring only genuine cases to them as well as giving an early alarm of potential voice complications to patients. Any possible delay in the treatment and/or inaccurate diagnosis using the subjective nature of tools may lead to severe circumstances for an individual because some types of dysphonia are life-threatening. Therefore, an accurate and reliable smart healthcare system for IoT platform to detect dysphonia is proposed and implemented in this study. Higher-order directional derivatives are used to analyze the time–frequency spectrum of signals in the proposed system. The computed derivatives provide essential and vital information by analyzing the spectrum along different directions to capture the changes that appeared due to malfunctioning the vocal folds. The proposed system provides 99.1% accuracy, while the sensitivity and specificity are 99.4 and 98.1%, respectively. The experimental results showed that the proposed system could provide better classification accuracy than the traditional non-directional first-order derivatives. Hence, the system can be used as a reliable tool for detecting dysphonia and implemented in edge devices to avoid latency issues and protect privacy, unlike cloud processing

Chaos-based robust method of zero-watermarking for medical signals

The growing use of wireless health data transmission via Internet of Things is significantly beneficial to the healthcare industry for optimal usage of health-related facilities. However, at the same time, the use raises concern of privacy protection. Health-related data are private and should be suitably protected. Several pathologies, such as vocal fold disorders, indicate high risks of prevalence in individuals with voice-related occupations, such as teachers, singers, and lawyers. Approximately, one-third of the world population suffers from the voice-related problems during the life span and unauthorized access to their data can create unavoidable circumstances in their personal and professional lives. In this study, a zero-watermarking method is proposed and implemented to protect the identity of patients who suffer from vocal fold disorders. In the proposed method, an image for a patient's identity is generated and inserted into secret keys instead of a host medical signal. Consequently, imperceptibility is naturally achieved. The locations for the insertion of the watermark are determined by a computation of local binary patterns from the time–frequency spectrum. The spectrum is calculated for low frequencies such that it may not be affected by noise attacks. The experimental results suggest that the proposed method has good performance and robustness against noise, and it is reliable in the recovery of an individual's identity

leveraging artificial intelligence to improve voice disorder identification through the use of a reliable mobile app

The evolution of the Internet of Things, cloud computing and wireless communication has contributed to an advance in the interconnectivity, efficiency and data accessibility in smart cities, improving environmental sustainability, quality of life and well-being, knowledge and intellectual capital. In this scenario, the satisfaction of security and privacy requirements to preserve data integrity, confidentiality and authentication is of fundamental importance. In particular, this is essential in the healthcare sector, where health-related data are considered sensitive information able to reveal confidential details about the subject. In this regard, to limit the possibility of security attacks or privacy violations, we present a reliable mobile voice disorder detection system capable of distinguishing between healthy and pathological voices by using a machine learning algorithm. This latter is totally embedded in the mobile application, so it is able to classify the voice without the necessity of transmitting user data to or storing user data on any server. A Boosted Trees algorithm was used as the classifier, opportunely trained and validated on a dataset composed of 2003 voices. The most frequently considered acoustic parameters constituted the inputs of the classifier, estimated and analyzed in real time by the mobile application

Exploratory Analysis of Internet of Things (IoT) in Healthcare: A Topic Modeling Approach

The rapid integration of the physical and cyber worlds through the Internet of Things, or IoTs, is transforming our lives in ways that we could not have imagined even five years ago. Although they are still in their infancy, IoTs have already made a significant impact, particularly in the healthcare domain. The purpose of this study is to unravel key themes latent in the sparse but growing academic literature on the application of IoTs in healthcare. Specifically, we performed topic modeling and identified five dominant clusters of research, namely, privacy and security, wireless network technologies, applications, data, and smart health and cloud. Our results show that research in healthcare IoT has mainly focused on the technical aspects with little attention to social concerns. In addition to categorizing and discussing the topics identified, the paper provides directions for future researc

Protection of Records and Data Authentication based on Secret Shares and Watermarking

The rapid growth in communication technology facilitates the health industry in many aspects from transmission of sensor’s data to real-time diagnosis using cloud-based frameworks. However, the secure transmission of data and its authenticity become a challenging task, especially, for health-related applications. The medical information must be accessible to only the relevant healthcare staff to avoid any unfortunate circumstances for the patient as well as for the healthcare providers. Therefore, a method to protect the identity of a patient and authentication of transmitted data is proposed in this study. The proposed method provides dual protection. First, it encrypts the identity using Shamir’s secret sharing scheme without the increase in dimension of the original identity. Second, the identity is watermarked using zero-watermarking to avoid any distortion into the host signal. The experimental results show that the proposed method encrypts, embeds and extracts identities reliably. Moreover, in case of malicious attack, the method distorts the embedded identity which provides a clear indication of fabrication. An automatic disorder detection system using Mel-frequency cepstral coefficients and Gaussian mixture model is also implemented which concludes that malicious attacks greatly impact on the accurate diagnosis of disorders