Fatma Indriani
Department of Computer Science, Lambung Mangkurat University, Banjarbaru, Indonesia

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Deep Learning-Based Lung Sound Classification Using Mel-Spectrogram Features for Early Detection of Respiratory Diseases Midfai Yabani; Mohammad Reza Faisal; Fatma Indriani; Dodon Turianto Nugrahadi; Dwi Kartini; Kenji Satou
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 8 No 1 (2026): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v8i1.1256

Abstract

Respiratory diseases such as asthma, chronic obstructive pulmonary disease, and pneumonia remain among the leading causes of death globally. Traditional diagnostic approaches, including auscultation, rely heavily on the subjective expertise of medical practitioners and the quality of the instruments used. Recent advancements in artificial intelligence offer promising alternatives for automated lung sound analysis. However, audio is an unstructured data format that must be converted into a suitable format for AI algorithms. Another significant challenge lies in the imbalanced class distribution within available datasets, which can adversely affect classification performance and model reliability. This study applied several comprehensive preprocessing techniques, including random undersampling to address data imbalance, resampling audio at 4000 Hz for standardization, and standardizing audio duration to 2.7 seconds for consistency. Feature extraction was then performed using the Mel Spectrogram method, converting audio signals into image representations to serve as input for classification algorithms based on deep learning architectures. To determine optimal performance characteristics, various Convolutional Neural Network (CNN) architectures were systematically evaluated, including LeNet-5, AlexNet, VGG-16, VGG-19, ResNet-50, and ResNet-152. VGG-16 achieved the highest classification accuracy of the tested models at 75.5%, demonstrating superior performance in respiratory sound classification tasks. This study demonstrates the potential of AI-based lung sound classification systems as a complementary diagnostic tool for healthcare professionals and the general public in supporting early identification of respiratory abnormalities and diseases. The findings suggest that automated lung sound analysis could enhance diagnostic accessibility and provide more valuable support for clinical decision-making in respiratory healthcare applications
Optimizing Input Window Length and Feature Requirements for Machine Learning-Based Postprandial Hyperglycemia Prediction Muhammad Rafly Alfarizqy Maulana; Fatma Indriani; Friska Abadi; Dwi Kartini; Muhammad Itqan Mazdadi
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 8 No 1 (2026): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v8i1.1401

Abstract

Continuous glucose monitoring systems currently generate alerts only after blood glucose thresholds are breached, limiting their utility for proactive diabetes management. Predicting postprandial glucose excursions before they occur requires determining the optimal amount of historical data and identifying which features contribute most to prediction accuracy. This study systematically evaluates how the length of the pre-meal observation window and feature composition affect machine-learning predictions of hyperglycemia events 60 minutes after eating. We analyzed 1,642 meal events from 45 adults wearing continuous glucose sensors, constructing features from pre-meal glucose trajectories, meal macronutrients, time of day, and health status. Four observation windows (15, 30, 45, 60 minutes) and three feature sets (all features, glucose-only, meal-only) were evaluated using Random Forest, XGBoost, and CatBoost with 5-fold group cross-validation. CatBoost with a 30-minute window achieved the best performance: 72.6% F1-macro, 79.6% accuracy, and 64.0% recall for hyperglycemia detection. Extending windows beyond 30 minutes did not yield consistent benefits, whereas 15-minute windows yielded comparable results. Glucose trajectory features alone retained 94% of full model performance (68.5% F1-macro), whereas meal composition alone proved insufficient (59.4% F1-macro). These findings demonstrate that recent glucose history dominates short-term prediction, enabling practical real-time systems with minimal data requirements. A 30-minute observation window with glucose and meal features offers an effective balance between prediction accuracy and system responsiveness.
Wavelength Configuration and Signal Duration for Low-Complexity PPG-Based Anemia Detection: A Preliminary Validation Study Mulia Rahmah; Fatma Indriani; Rudy Herteno; Radityo Adi Nugroho; Irwan Budiman
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 8 No 3 (2026): July
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v8i3.1718

Abstract

Anemia remains a major global health problem, while standard diagnosis still depends on invasive hemoglobin testing, which may be less practical for repeated and resource-limited screening. Photoplethysmography (PPG) offers a potential non-invasive alternative, but the contribution of different wavelength configurations to anemia classification remains unclear. This preliminary subject-based validation study evaluated the effect of PPG wavelength configuration and recording duration on low-complexity anemia classification. A public dataset containing green, red, and infrared PPG recordings from 52 subjects was used, consisting of 42 normal and 10 anemia subjects. Eight morphological and temporal features were extracted from each wavelength. Seven signal configurations, namely Green, Red, IR, Green+Red, Green+IR, Red+IR, and all channels, were evaluated across 30, 45, 60, and 90 s recording durations. Support Vector Machine, Logistic Regression, Random Forest, and Extra Trees classifiers were trained using class-weighted learning and assessed with 5-fold subject-based cross-validation to reduce subject-level data leakage. The Red+IR configuration with a class-weighted SVM at 90 s achieved the best pooled performance, with a macro F1-score of 0.754, F1-Anemia of 0.588, anemia recall of 0.500, anemia precision of 0.714, accuracy of 0.769, and an error rate of 0.231. Fold-wise analysis showed substantial variability, with a macro F1-score of 0.617 ± 0.251, sensitivity of 0.467 ± 0.506, specificity of 0.846 ± 0.144, ROC-AUC of 0.864 ± 0.150, and PR-AUC of 0.694 ± 0.344. These findings suggest that adding more PPG wavelengths does not necessarily improve classification performance. However, the model still missed 5 of 10 anemia cases, and the limited anemia recall, small minority class, and demographic imbalance indicate that the results should be interpreted as preliminary and require validation on larger, more balanced datasets.