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Medicine AI Hardware Technology

Giving the Humble Stethoscope an AI Upgrade Could Save Millions of Kids (ieee.org) 82

the_newsbeagle writes: The stethoscope is a ubiquitous medical tool that has barely changed since it was invented in the early 1800s. But now a team of engineers, doctors, and public health researchers have come together to reinvent the tool using adaptive acoustics and AI. Their motivation is this statistic: Every year, nearly 1 million kids die of pneumonia around the world, with most deaths in sub-Saharan Africa and South Asia. The death toll is highest among children under the age of 5. The researchers, from Johns Hopkins University, designed a smart stethoscope for use by unskilled workers in noisy medical clinics. It uses a dynamic audio filtering system to remove ambient noise and distracting body sounds while not interfering with the subtle sounds from the lungs. And it uses AI to analyze the cleaned-up signal and provide a diagnosis.
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Giving the Humble Stethoscope an AI Upgrade Could Save Millions of Kids

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  • The main reason kids in impoverished nations are dying of pneumonia is the lack of electronic AI stethoscopes. Hopefully these guys have a startup and start shipping soon.
    • by Anonymous Coward

      I certainly hope they will 3D print them from privately mined asteroids.

    • You're being sarcastic, right? It probably takes, what, maybe half an hour on the outside to teach someone the basics of using a stethoscope, being a very simple device with no moving parts, needs no power, and is very durable, and most of all, very very cheap to produce? Not everything needs a gods-be-damned AI in it.
      • Regarding pricing, medically approved scopes start at over $100 (in the US). There are cheaper ones available.

        Half an hour would be plenty of time for someone to learn how to hear a living person's heart beat. Verify life (scope is needed for that).

        But what heart murmurs? I had one as a kid and I have a cat that has a different one (various levels and variants, for mamals).

        What about identifying irregular heart activity?

        To actually treat someone via stethoscope analysis requires a lot of time and educati

        • You know what? WHATEVER. I think shit like this is just a solution in search of a problem, especially in poor countries that would be happy to get just plain old-fashioned stethoscopes and actual doctors. Everything has to get more complicated and more expensive because I'm sure the profit margin on a plain-old-stethoscope is small, so let's make some fancy thing that needs power and if it breaks you can't fix it so we can charge more and make more profit. Don't even pretend that isn't a major portion of th
          • You know what? WHATEVER. I think shit like this is just a solution in search of a problem, especially in poor countries that would be happy to get just plain old-fashioned stethoscopes and actual doctors. Everything has to get more complicated and more expensive because I'm sure the profit margin on a plain-old-stethoscope is small, so let's make some fancy thing that needs power and if it breaks you can't fix it so we can charge more and make more profit. Don't even pretend that isn't a major portion of the motivation behind things like this.

            Sounds to me like a noise cancelling mic and amp. Technology that's been around for years. Even cynical old me sees that as a good thing.

            Even jaded old me couldn't resist saving children. I think it's kinda a genetic predisposition.

            Practical old me tells us we better figure out how to feed all of the children we save though.

      • You're being sarcastic, right? It probably takes, what, maybe half an hour on the outside to teach someone the basics of using a stethoscope, being a very simple device with no moving parts, needs no power, and is very durable, and most of all, very very cheap to produce? Not everything needs a gods-be-damned AI in it.

        From what I can figure, this is just a stethoscope with a mic on thesensor side, and another mic on the other side to cancel out ambient noise. Okay.

    • The main reason kids in impoverished nations are dying of pneumonia is the lack of electronic AI stethoscopes. Hopefully these guys have a startup and start shipping soon.

      That and those things that remove water vapor and generate enough water for the whole village. We need to send those over as well.

  • by Lionfire ( 103856 ) on Thursday January 31, 2019 @11:16PM (#58053580) Homepage Journal
    This article sounded a lot more interesting when I misread the title.
    • I too misread the title. Saw Hubble, thought "How would they point it at Earth?" and read on. Not til close to the end did I realize that's just the name.
    • Re: (Score:2, Funny)

      by h33t l4x0r ( 4107715 )
      I read "Humble Stethoscope" but I imagined it coming bundled with a bunch of Steam games.
  • Cool stuff (Score:4, Insightful)

    by JustAnotherOldGuy ( 4145623 ) on Friday February 01, 2019 @12:06AM (#58053720) Journal

    This is the stuff AI (or what passes for AI) can help solve- all sorts of fiddly problems that can benefit from the introduction of a "smart tool". I'm all for smarter gadgets and diagnostics that can help give regular/untrained people the ability to deal with various problems.

    I mean, HELLO, this is what computers are meant to do- to help us do things we couldn't otherwise do.

    Sure, maybe the wizards at the Mayo Clinic won't use it, but they aren't the target audience. I can see where this could be useful in all sorts of circumstances. On the battlefield, for one, but also in places where people trained to decipher the sounds heard through a stethoscope are far and few between.

    It's like the super-simple AEDs (Automated External Defibrillator) that you see in offices and stores- they're simple enough that almost anyone can use one to restart a heart. My office has one and looks pretty straightforward to use.

    Gadgets like a smarter stethoscope could help save some lives, and that's a good thing.

    • Some. Yet the title clearly claims millions.
    • by pz ( 113803 )

      The summary takes a swipe at mature technology (the stethoscope) just because it is mature. Mature does not mean bad, nor ineffective. On the contrary, mature means "we have figured out all the ways to make this better." Stethoscopes are awesome instruments: they take no power, last indefinitely, and can be used to diagnose a wide range of diseases in skilled hands.

      Now the last part is the important one: in skilled hands. The proposed instrument is for unskilled hands to help diagnose disease where doct

      • Re: (Score:2, Interesting)

        by swillden ( 191260 )

        It will need batteries.

        Sure. Batteries are cheap.

        It will cost a bundle.

        There's no reason to expect this to be the case. It's a device specifically targeted at very poor regions of the world and there's nothing about it that requires expensive hardware. It requires a lot less hardware than is in the typical low-end smartphone that sells in India for $40.

        It may have annual licensing fees.

        How much do you want to bet me that it doesn't?

        It will surely need an internet connection.

        There is absolutely no reason for it to need an Internet connection.

        Or would that same money be better put into training its workers as health care technicians specifically skilled to diagnose pneumonia through traditional stethoscopes? No licensing. Stethoscopes are dirt cheap.

        But training is very expensive, and you're talking about very complex training.

      • I find your arguments less than compelling.

        Is it a perfect solution? No.

        Is it likely to be a useful, cost-effective way to help the target audience? Yes, I think so.

        No one is saying that this is the end-all be-all solution to solve this problem, but it can help and I think it's obvious that it has a lot of potential. Just because it's not perfect or doesn't meet your ideal criteria isn't enough of a reason to not use it.

        I remember when people said the same about cellphones- "They're too expensive, not usefu

    • by yarbo ( 626329 )

      AEDs don't restart hearts. A flatline rhythm, AKA asystole, is not a shockable rhythm. The AED will figure out if it's a shockable rhythm though, but it's important I ruin all medical shows and movies.

      AEDs are great if people know how to use them and know what else to do (check pulse, delegate someone to call 911), run chest compressions while someone else attaches pads, etc...

      You should take a class though, because you don't want to have to figure everything out for the first time during an emergency. Y

      • AEDs don't restart hearts.

        You're correct, and that was my mistake. I should have said that it can help normalize an irregular heartbeat (or whatever term is accurate).

        As for training on them, I agree 100%. An emergency situation is not the best time to learn anything.

        I opened ours up at lunch one day and went through the manual- it looks very straightforward to use. I think most people could get the gist of it in a 15 or 20 minute session.

        It's a perfect example of a somewhat-smart gadget that can help save lives, even in relatively

  • WhoopeeShit (Score:4, Interesting)

    by AndyKron ( 937105 ) on Friday February 01, 2019 @12:13AM (#58053734)
    And it will only cost ten times what a normal one would AND the yearly software license will be so affordable!
  • by codeButcher ( 223668 ) on Friday February 01, 2019 @03:17AM (#58054028)
    All those years sine the 1800s and they haven't been able to upgrade it with a simple heating pad? I've had some stethoscopes on my chest and back that could give me pneumonia all on their own.
  • by account_deleted ( 4530225 ) on Friday February 01, 2019 @04:07AM (#58054126)
    Comment removed based on user account deletion
  • This would replace the doctor, not the stethoscope.
    He's the weak link.

  • Send your doctors to medical school on merit.
    Graduate the best and only the best.
    Ensure anyone who wants to work in your nation as a medical doctor is a qualified professional.
    Everyone sits the same exams and has to pass the same exams to be approved.
    Stethoscope skills are part of the needed years of approved study.
    After years of hard work and study a doctor enters the profession.
    Review the work done by doctors and ensure peer review is done.

    The reason why that education is important is that not e
    • by drinkypoo ( 153816 ) <drink@hyperlogos.org> on Friday February 01, 2019 @09:49AM (#58054822) Homepage Journal

      You have it completely backwards. The stethoscope won't have a bad day, it doesn't have ear wax, and it doesn't have to go to school. And the data will be produced through analysis, and it will have heard more conditions than any doctor. Doctors expect pneumonia. Computers don't. They process signals and match patterns.

      In the future, doctors may be rare, and involved in only the very strangest and most complex cases, while nurses with advanced diagnostic equipment handle the routine stuff. And the computers will learn from the doctors, and health care will improve as a result.

      As for the beginning of your comment, there is a world-wide shortage of doctors at the moment. I don't know how it works in other countries, but in this one the AMA has made it difficult to become one in a lot of irrelevant ways, which is to say they don't improve overall quality. Washing someone out because they don't perform well in an ER environment when they might be a perfectly good practitioner in other contexts, for example. Not every doc needs to work in the ER. We cannot survive your plan.

      • by AHuxley ( 892839 )
        Re "they don't perform well in an ER environment"
        Why should any nation have to accept doctors who cant learn and who cant study?
        Why could not see a very different set of people everyday in the ER and put their education to some use?
        Thats the way that sorts out the professionals. Peer review and constant education and learning.
        The good quality doctors can do all that. People who cant need to look for another profession.
        A nurses with advanced diagnostic equipment is not a doctor.
        That is a way to sort
  • ....it's not a bad idea to upgrade the concept of stethoscopes, but I think there's still a value in the basic tool that is (essentially) impervious to damage, climate, immersion, AND DOESN'T NEED A BATTERY. *Particularly* in that undeveloped remote-care situation they envisage in the OP.

  • with most deaths in sub-Saharan Africa and South Asia. The death toll is highest among children under the age of 5. The researchers, from Johns Hopkins University, designed a smart stethoscope for use by unskilled workers in noisy medical clinics.

    Did anyone consider the possibility of simply examining children in quiet rooms before they decided to throw a few million dollars in research funds for a ten thousand dollar "pneumonia detector" to be deployed in some of the most impoverished locations in the world? I bet the local practitioners could think of better uses for thousands of dollars than a battery-operated tool to replace a $5 stethoscope... like vaccines, a refrigerator, etc...

    • Come on that's way to obvious of a solution. Don't you know we're suppose to throw tech at a problem with a simple solution.
  • Really? Yeah because an AI stethoscope won't be expensive and will be easy to service in sub-Saharan Africa. Did you read the bit about "developing strategies for countries with limited resources" or was your head up your ass because you're a fucking engineer who's never been to sub-Saharan Africa. FYI given the many illnesses that plague people living in sub-Saharan Africa broad spectrum antibiotics would be the right treatment. But hey what do doctors know compared to IEEE engineers who have never tr
  • No food, no water, no medicine, no doctors, no "quiet please, I'm diagnosing your dying child". So the solution is to replace the most reliable medical tool in the entire industry, a solid device that can be thrown around and has zero dependencies other than the patient, and someone to wield it, and we're going to replace it with a computer.

    May I remind you:

    No food, no water, no medicine, no doctors, no quiet, no electricity, no tech support.

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