Loading article...
Loading article...
Stream/Area:
-
Subject:
-
Paper ID:
IJSREM67619
Volume:
10 |
9 |
Sep 2026
Pages:
1-7
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

Department of Artificial Intelligence & Machine Learning
Vivekananda College Of Engineering and Technology Puttur Neharu Nagara

Department of Artificial Intelligence & Machine Learning
Vivekananda College Of Engineering and Technology Puttur Neharu Nagara

Department of Artificial Intelligence & Machine Learning
Vivekananda College Of Engineering and Technology Puttur Neharu Nagara

Department of Artificial Intelligence & Machine Learning
Vivekananda College Of Engineering and Technology Puttur Neharu Nagara

Department of Artificial Intelligence & Machine Learning
Vivekananda College Of Engineering and Technology Puttur Neharu Nagara
Respiratory diseases remain a leading cause of illness and death worldwide, yet diagnosing them usually means reading a chest X-ray, listening to breath sounds and reviewing clinical notes as three separate exercises. This paper presents a multimodal deep learning application that brings these sources together to screen for asthma, chronic obstructive pulmonary disease, pulmonary fibrosis, pneumonia and tuberculosis. Chest X-rays are analysed with a ResNet50 network, breathing recordings are converted into Mel-frequency cepstral coefficients and classified by a dense neural network, and clinical notes are vectorised with term frequency-inverse document frequency and classified by a second dense network. The three calibrated confidence scores are combined by late weighted fusion, with weights of 45%, 30% and 25% for image, audio and text, and the fused score is mapped to a disease decision and a risk level. Gradient-weighted class activation maps show which lung regions influenced the image prediction. The models sit inside a secure web application that stores patient records and produces downloadable reports. The system is built on a balanced dataset of 1,500 patient records, and its end-to-end behaviour is demonstrated on disease-present and normal cases. It is meant to support clinicians, not replace them.
KEYWORDS
This paper presented an integrated approach to respiratory disease screening using chest X-ray images, breathing audio and clinical notes. ResNet50, MFCC with a dense neural network, and TF-IDF with a dense neural network analyse the three modalities, and their predictions are combined by late weighted fusion with weights of 45% for image, 30% for audio and 25% for text. The system supports the detection of Asthma, COPD, Pulmonary Fibrosis, Pneumonia and Tuberculosis while providing confidence scores, risk classification, Grad-CAM visual explanations and downloadable reports. With authentication, data storage, validation and an interactive interface, the application offers a practical framework for explainable respiratory disease screening. However, it is intended to support medical professionals and should not replace clinical diagnosis. In future, the system can be trained with larger and more diverse clinical datasets to improve reliability across patient populations. Additional respiratory information such as spirometry and oxygen-saturation measurements may be incorporated to strengthen the multimodal analysis. A separate React Native/Expo mobile interface could be developed using the existing Flask backend and trained models. Improvements to Grad-CAM and other explainable AI methods may give clearer interpretations of chest X-ray predictions, and integration with hospital information systems and electronic health records could support secure clinical use, subject to validation, privacy protection and regulatory approval. Continuous performance monitoring, periodic model updating, personalised risk assessment and multilingual clinical-text processing are further enhancements.
1. T. Dimakatso, V. Kuthadi, R. Selvaraj, and O. Dinakenyane, “Pragmatic review on progressions in multimodal disease prediction with combination of machine learning, deep learning and electronic health records,” in Proc. 4th IEEE Int. Conf. ICT in Business Industry & Government (ICTBIG), 2024, doi: 10.1109/ICTBIG64922.2024.10911239. 2. S. D. M. Sunil and P. V. Joshi, “Early prediction of chronic diseases through multimodal data fusion in machine learning: A survey,” in Proc. 7th Int. Conf. Intelligent Sustainable Systems (ICISS), 2025, pp. 1108–1115, doi: 10.1109/ICISS63372.2025.11076438. 3. M. Constantinou, T. Exarchos, A. G. Vrahatis, and P. Vlamos, “COVID-19 classification on chest X-ray images using deep learning methods,” Int. J. Environ. Res. Public Health, vol. 20, no. 3, Art. no. 2035, 2023, doi: 10.3390/ijerph20032035. 4. M. Irtaza, A. Ali, M. Gulzar, and A. Wali, “Multi-label classification of lung diseases using deep learning,” IEEE Access, vol. 12, pp. 124062–124080, 2024, doi: 10.1109/ACCESS.2024.3454537. 5. E. Khan, M. Z. U. Rehman, F. Ahmed, F. A. Alfouzan, N. M. Alzahrani, and J. Ahmad, “Chest X-ray classification for the detection of COVID-19 using deep learning techniques,” Sensors, vol. 22, no. 3, Art. no. 1211, 2022, doi: 10.3390/s22031211. 6. R. Sreejith, R. K. Ramasamy, W.-N. Mohd-Isa, J. Abdullah, S. M. Jamal, F. A. Hamzah, and S. Thanjappan, “RespireNet: Enhancing lung sound classification using CNN-TCN hybrid approach,” in Proc. 5th Int. Conf. Artificial Intelligence and Application Technologies (AIAT), Kyoto, Japan, Dec. 2025, pp. 1–10, doi: 10.1145/3787120.3787132. 7. W. Zhang, X. Li, Q. Liu, X. Zheng, Y. Ge, X. Pan, and Y. Zhou, “High-accuracy lung sound classification for healthy versus unhealthy diagnosis using artificial neural network,” Frontiers in Bioengineering and Biotechnology, vol. 13, Art. no. 1583416, 2025, doi: 10.3389/fbioe.2025.1583416. 8. I. Topaloglu, G. Ozduygu, C. Atasoy, G. Batıhan, D. Serce, G. Inanc, M. O. Güçsav, A. M. Yıldız, T. Tuncer, S. Dogan, and P. D. Barua, “Machine learning-driven lung sound analysis: Novel methodology for asthma diagnosis,” Advances in Respiratory Medicine, vol. 93, Art. no. 32, 2025, doi: 10.3390/arm93050032. 9. B. Estay Zamorano, A. Dehghan Firoozabadi, P. Adasme, W. Montiel Piña, M. Chávez Muñoz, D. Zabala-Blanco, P. Palacios Játiva, and C. A. Azurdia-Meza, “Multimodal deep learning approaches for lung disease detection: A review,” Medicina, vol. 62, Art. no. 1223, 2026. L. Brunese, F. Mercaldo, A. Reginelli, and A. Santone, “Explainable deep learning for pulmonary disease and coronavirus COVID-19 detection from X-rays,” Comput. Methods Programs Biomed., vol. 196, Art. no. 105608, 2020, doi: 10.1016/j.cmpb.2020.105608.
Publication Date
9/30/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
Documents
Article Views
1
Total views since publication
PDF Downloads
6
Total downloads since publication
Geographic Reach
5
Digital Preservation: This article is permanently archived on Zenodo and complies with all data preservation standards across major indexing platforms.
Plagiarism Screening
This manuscript has been checked for plagiarism using TurnitinPlagiarismChecker software.
Conflict of Interest
The authors declare no conflict of interest related to this research work.
Funding Information
No funding information available for this research.
Related research in the same subject area
Loading similar articles...