BackgroundSince the emergence of COVID-19 in December 2019, multidisciplinary research teams have wrestled with how best to control the pandemic in light of its considerable physical, psychological and economic damage. Mass testing has been advocated as a potential remedy; however, mass testing using physical tests is a costly and hard-to-scale solution.MethodsThis study demonstrates the feasibility of an alternative form of COVID-19 detection, harnessing digital technology through the use of audio biomarkers and deep learning. Specifically, we show that a deep neural network based model can be trained to detect symptomatic and asymptomatic COVID-19 cases using breath and cough audio recordings.ResultsOur model, a custom convolutional neural network, demonstrates strong empirical performance on a data set consisting of 355 crowdsourced participants, achieving an area under the curve of the receiver operating characteristics of 0.846 on the task of COVID-19 classification.ConclusionThis study offers a proof of concept for diagnosing COVID-19 using cough and breath audio signals and motivates a comprehensive follow-up research study on a wider data sample, given the evident advantages of a low-cost, highly scalable digital COVID-19 diagnostic tool.

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The COVID-19 pandemic has affected the world unevenly; while industrial economies have been able to produce the tests necessary to track the spread of the virus and mostly avoided complete lockdowns, developing countries have faced issues with testing capacity. In this paper, we explore the usage of deep learning models as a ubiquitous, low-cost, pre-testing method for detecting COVID-19 from audio recordings of breathing or coughing taken with mobile devices or via the web. We adapt an ensemble of Convolutional Neural Networks that utilise raw breathing and coughing audio and spectrograms to classify if a speaker is infected with COVID-19 or not. The different models are obtained via automatic hyperparameter tuning using Bayesian Optimisation combined with HyperBand. The proposed method outperforms a traditional baseline approach by a large margin. Ultimately, it achieves an Unweighted Average Recall (UAR) of 74.9 %, or an Area Under ROC Curve (AUC) of 80.7 % by ensembling neural networks, considering the best test set result across breathing and coughing in a strictly subject independent manner. In isolation, breathing sounds thereby appear slightly better suited than coughing ones (76.1 % vs 73.7 % UAR).

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