Transformers for rapid detection of airway stenosis and stridor

J James Anibal R Rebecca Doctor M Micah Boyer K Karlee Newberry I Iris De Santiago S Shaheen Awan Y Yassmeen Abdel-Aty G Gregory Dion V Veronica Daoud H Hannah Huth S Stephanie Watts B Bradford J. Wood D David Clifton A Alexander Gelbard M Maria Powell J Jamie Toghranegar O Olivier Elemento A Anais Rameau A Alexandros Sigaras S Satrajit Ghosh V Vardit Ravitsky J Jean Christophe Belisle-Pipon D David Dorr P Phillip Payne A Alistair Johnson R Ruth Bahr D Donald Bolser F Frank Rudzicz J Jordan Lerner Ellis J Jennifer Sui K Karim Hanna T Theresa Zesiewicz R Robin Zhao L Lochana Jayachandran S Samantha Salvi-Cruz Y Yael Bensoussan

Abstract

Abstract Upper airway stenosis is a potentially life-threatening condition involving the narrowing of the airway. In more severe cases, airway stenosis may be accompanied by stridor, a type of disordered breathing caused by turbulent airflow. Patients with airway stenosis have a higher risk of airway failure and additional precautions must be taken before medical interventions like intubation. However, stenosis and stridor are often misdiagnosed as other respiratory conditions like asthma/wheezing, worsening outcomes. This report presents a unified dataset containing recorded breathing tasks from patients with stridor and airway stenosis. Customized transformer-based models were also trained to perform stenosis and stridor detection tasks using low-cost data from multiple acoustic prompts recorded on common devices. These methods achieved AUC scores of 0.875 for stenosis detection and 0.864 for stridor detection, demonstrating the potential to add value as screening tools in real-world clinical workflows, particularly in high-volume settings like emergency departments.

Article Details

Volume / Issue Vol. 15, Issue 1
Published May 02, 2025
ISSN 2045-2322
Publisher Nature Portfolio

Journal Info

Scientific Reports

Nature Portfolio

ISSN: 2045-2322 Open Access Life Sciences

Authors (36)

J

James Anibal

R

Rebecca Doctor

M

Micah Boyer

K

Karlee Newberry

I

Iris De Santiago

S

Shaheen Awan

Y

Yassmeen Abdel-Aty

G

Gregory Dion

V

Veronica Daoud

H

Hannah Huth

S

Stephanie Watts

B

Bradford J. Wood

D

David Clifton

A

Alexander Gelbard

M

Maria Powell

J

Jamie Toghranegar

O

Olivier Elemento

A

Anais Rameau

A

Alexandros Sigaras

S

Satrajit Ghosh

V

Vardit Ravitsky

J

Jean Christophe Belisle-Pipon

D

David Dorr

P

Phillip Payne

A

Alistair Johnson

R

Ruth Bahr

D

Donald Bolser

F

Frank Rudzicz

J

Jordan Lerner Ellis

J

Jennifer Sui

K

Karim Hanna

T

Theresa Zesiewicz

R

Robin Zhao

L

Lochana Jayachandran

S

Samantha Salvi-Cruz

Y

Yael Bensoussan