Robust Multimodal Cough Detection With Optimized Out-of-Distribution Detection for Wearables
IEEE Journal of Biomedical and Health Informatics
|October 2, 2025
Summary
A new multimodal cough detection system using audio and IMU sensors with Out-of-Distribution (OOD) detection improves accuracy for remote respiratory monitoring. This system enhances privacy and performs robustly in real-world conditions.
Area of Science:
- Biomedical Engineering
- Signal Processing
- Wearable Technology
Background:
- Continuous cough monitoring is vital for diagnosing respiratory diseases.
- Wearable devices offer remote symptom monitoring but face challenges like privacy and poor audio quality.
- Existing systems struggle with real-world acoustic complexities and background noise.
Purpose of the Study:
- To develop and optimize a compact multimodal cough detection system using audio and Inertial Measurement Unit (IMU) signals.
- To enhance the system with an Out-of-Distribution (OOD) detection algorithm for improved robustness.
- To address privacy concerns and poor audio quality in real-world remote monitoring settings.
Main Methods:
- Developed a multimodal system integrating audio and IMU sensors.
- Optimized the system using an enhanced dataset and a weighted multi-loss approach for the In-Distribution (ID) classifier.
- Implemented an OOD detection algorithm by reconstructing training data components.
Main Results:
- The optimized system demonstrated robustness across various window sizes (1-5 seconds) and efficiency at low audio frequencies.
- Maintained high accuracy (90.08%) and cough F1 score (0.7548) at 16 kHz, and 87.3% accuracy (0.7015 F1 score) at 750 Hz, even with 50% OOD data.
- The multimodal model with OOD detection outperformed single-modal models, showing significant improvement in cough detection.
Conclusions:
- The Audio-IMU multimodal model with OOD detection offers a robust solution for real-world acoustic cough detection.
- The system enhances user privacy through efficient low-frequency audio processing.
- Further improvements can be achieved by incorporating more diverse non-speech vocalization data.
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