Deep Audio Features and Self-Supervised Learning for Early Diagnosis of Neonatal Diseases: Sepsis and Respiratory Distress Syndrome Classification from Infant Cry Signals
Bibliographic record
Abstract
Neonatal mortality remains a critical global challenge, particularly in resource-limited settings with restricted access to advanced diagnostic tools. Early detection of life-threatening conditions like Sepsis and Respiratory Distress Syndrome (RDS), which significantly contribute to neonatal deaths, is crucial for timely interventions and improved survival rates. This study investigates the use of newborn cry sounds, specifically the expiratory segments (the most informative parts of cry signals) as non-invasive biomarkers for early disease diagnosis. We utilized an expanded and balanced cry dataset, applying Self-Supervised Learning (SSL) models—wav2vec 2.0, WavLM, and HuBERT—to extract feature representations directly from raw cry audio signals. This eliminates the need for manual feature extraction while effectively capturing complex patterns associated with sepsis and RDS. A classifier consisting of a single fully connected layer was placed on top of the SSL models to classify newborns into Healthy, Sepsis, or RDS groups. We fine-tuned the SSL models and classifiers by optimizing hyperparameters using two learning rate strategies: linear and annealing. Results demonstrate that the annealing strategy consistently outperformed the linear strategy, with wav2vec 2.0 achieving the highest accuracy of approximately 90% (89.76%). These findings highlight the potential of integrating this method into Newborn Cry Diagnosis Systems (NCDSs). Such systems could assist medical staff in identifying critically ill newborns, prioritizing care, and improving neonatal outcomes through timely interventions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".