To address the need for skilled clinicians in heart sound interpretation, recent research efforts on automating cardiac auscultation have explored deep learning approaches. There has been a growing interest in the potential of pretrained, self-supervised audio foundation models for biomedical end tasks. Despite exhibiting promising results, these foundational models are typically computationally intensive. Within the context of automatic cardiac auscultation, this study explores a lightweight alternative to these general-purpose audio foundation models by introducing the Scattering Transformer, a novel, training-free transformer architecture for heart murmur detection. The proposed method leverages standard wavelet scattering networks by introducing contextual dependencies in a transformer-like architecture without any backpropagation. We evaluate our approach on the public CirCor DigiScope dataset, directly comparing it against leading general-purpose foundational models, demonstrating performance highly competitive with contemporary state-of-the-art methods. This study establishes the Scattering Transformer as a viable and promising alternative in resource-constrained setups.

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Scattering Transformer: A Training-Free Transformer Architecture for Heart Murmur Detection

  • Rami Zewail

摘要

To address the need for skilled clinicians in heart sound interpretation, recent research efforts on automating cardiac auscultation have explored deep learning approaches. There has been a growing interest in the potential of pretrained, self-supervised audio foundation models for biomedical end tasks. Despite exhibiting promising results, these foundational models are typically computationally intensive. Within the context of automatic cardiac auscultation, this study explores a lightweight alternative to these general-purpose audio foundation models by introducing the Scattering Transformer, a novel, training-free transformer architecture for heart murmur detection. The proposed method leverages standard wavelet scattering networks by introducing contextual dependencies in a transformer-like architecture without any backpropagation. We evaluate our approach on the public CirCor DigiScope dataset, directly comparing it against leading general-purpose foundational models, demonstrating performance highly competitive with contemporary state-of-the-art methods. This study establishes the Scattering Transformer as a viable and promising alternative in resource-constrained setups.