Changxin Li

Yue Pan, Xingyao Wang, Hanyue Zhang et al.

Remote monitoring of heart failure (HF) via speech signals provides a non-invasive and cost-effective solution for long-term patient management. However, substantial inter-individual heterogeneity in vocal characteristics often limits the accuracy of traditional cross-sectional classification models. To address this, we propose a Longitudinal Intra-Patient Tracking (LIPT) scheme designed to capture the trajectory of relative symptomatic changes within individuals. Central to this framework is a Personalised Sequential Encoder (PSE), which transforms longitudinal speech recordings into context-aware latent representations. By incorporating historical data at each timestamp, the PSE facilitates a holistic assessment of the clinical trajectory rather than modelling discrete visits independently. Experimental results from a cohort of 225 patients demonstrate that the LIPT paradigm significantly outperforms the classic cross-sectional approaches, achieving a recognition accuracy of 99.7% for clinical status transitions. The model's high sensitivity was further corroborated by additional follow-up data, confirming its efficacy in predicting HF deterioration and its potential to secure patient safety in remote, home-based settings. Furthermore, this work addresses the gap in existing literature by providing a comprehensive analysis of different speech task designs and acoustic features. Taken together, the superior performance of the LIPT framework and PSE architecture validates their readiness for integration into long-term telemonitoring systems, offering a scalable solution for remote heart failure management.

Yue Pan, Liwei Liu, Changxin Li et al.

Speech is a cost-effective and non-intrusive data source for identifying acute and chronic heart failure (HF). However, there is a lack of research on whether Chinese syllables contain HF-related information, as observed in other well-studied languages. This study presents the first Chinese speech database of HF patients, featuring paired recordings taken before and after hospitalisation. The findings confirm the effectiveness of the Chinese language in HF detection using both standard 'patient-wise' and personalised 'pair-wise' classification approaches, with the latter serving as an ideal speaker-decoupled baseline for future research. Statistical tests and classification results highlight individual differences as key contributors to inaccuracy. Additionally, an adaptive frequency filter (AFF) is proposed for frequency importance analysis. The data and demonstrations are published at https://github.com/panyue1998/Voice_HF.

Peng Hui, Jiamuyang Zhao, Changxin Li et al.

The emergence of ResNet provides a powerful tool for training extremely deep networks. The core idea behind it is to change the learning goals of the network. It no longer learns new features from scratch but learns the difference between the target and existing features. However, the difference between the two kinds of features does not have an independent and clear meaning, and the amount of learning is based on the absolute rather than the relative difference, which is sensitive to the size of existing features. We propose a new network that perfectly solves these two problems while still having the advantages of ResNet. Specifically, it chooses to learn the quotient of the target features with the existing features, so we call it the quotient network. In order to enable this network to learn successfully and achieve higher performance, we propose some design rules for this network so that it can be trained efficiently and achieve better performance than ResNet. Experiments on the CIFAR10, CIFAR100, and SVHN datasets prove that this network can stably achieve considerable improvements over ResNet by simply making tiny corresponding changes to the original ResNet network without adding new parameters.