Pierantonio Laveneziana

Physical examination of the thorax is key to the clinical diagnosis of respiratory diseases. Among other examination techniques, palpation evaluates the transmission of high-frequency vibrations produced by vocalizations (tactile fremitus), which helps the physicians to identify abnormalities within the respiratory system. We propose the use of an airborne ultrasound surface motion camera (AUSMC) to quantitatively map the vibrations induced by subject vocalization. This approach could make the examination of vocal fremitus quantifiable, reproducible, and archivable. Massive data collection of vocal fremitus could allow using artificial intelligence algorithms to isolate vibration patterns that could help disease identification. Until now, in contrast, the interpretation of vocal fremitus has been subject to the physician’s experience and remains subjective. In the present work, we demonstrate the capabilities of the AUSMC to measure vocal fremitus thoracic vibration maps on 77 healthy volunteers. We have observed a spatial dependence of vibration maps on vocalization frequency. We observed that the left lung generates fewer surface vibrations than the right one, which was expected according to their respective dimensions. We also discuss the implications of our findings.