On-device cough detection and respiratory disease classification enhanced by generative data augmentation.
George Kontogiannis1, Pantelis Tzamalis1, Anastases Giannikopoulos1
1Computer Engineering and Informatics Department, University of Patras, Patras, 26504, Greece.
Computers in Biology and Medicine
|June 2, 2026
Summary
This study introduces a smartphone AI framework for cough detection and respiratory disease classification. A novel generative augmentation strategy improves accuracy, enabling scalable, privacy-preserving remote health monitoring.
Area of Science:
- Artificial Intelligence
- Biomedical Signal Processing
- Digital Health
Background:
- Cough sounds are valuable, non-invasive biomarkers for respiratory health.
- Current smartphone-based cough analysis faces limitations in deployability, privacy, and data scarcity.
- Existing methods often rely on server-based deep learning, hindering real-world application.
Purpose of the Study:
- To develop a smartphone-compatible AI framework for automated cough detection and respiratory disease classification.
- To introduce a novel generative augmentation strategy using Variational Autoencoder (VAE) variants for improved classification under data scarcity.
- To enhance disease classification accuracy while addressing limitations of conventional audio augmentation.
Main Methods:
- A three-module AI framework: Cough Detection Module (CDM) for real-time segmentation, Disease Analysis Module (DAM) for classification (asthma, COVID-19, healthy), and Generative Augmentation Module (GAM) using five VAEs.
- GAM operates in the time-frequency domain for feature optimization and reconstructs in the time-domain for acoustic verifiability.
- Lightweight models optimized for on-device execution and Support Vector Machine classifiers with probabilistic fusion.
Main Results:
- The CDM ensures reliable cough segmentation across diverse conditions.
- The DAM effectively discriminates between asthma, COVID-19, and healthy coughs using cepstral and spectral features.
- The GAM framework successfully alleviates class imbalance, with clinically verifiable synthetic biomarkers, all operating in real-time on Android devices.
Conclusions:
- The integrated framework overcomes limitations in dataset availability, model generalizability, and deployability.
- It presents an interpretable generative approach for scalable and privacy-preserving respiratory health monitoring using smartphones.
- Smartphone-based acoustic sensing is demonstrated as a feasible tool for remote health surveillance.
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