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Listening to heart sounds is an important first step in evaluating the cardiovascular system and is important in the early detection of cardiovascular disease. We present and evaluate a framework for combining machine learning algorithms, crowd workers, and experts in the classification of heart sound recordings. The development of a hybrid human-machine framework is motivated by the past success in utilizing human computation to solve problems in medicine and the use of human-machine frameworks in other domains. We describe the methods that decide when and how to escalate the analysis of heart sounds to different resources and incorporate their decision into a final classification. Our framework was tested with a combination of machine classifiers and crowd workers from Amazon's Mechanical Turk. The results indicate a hybrid approach achieves greater performance than a baseline classifier alone, utilizing less expert resources while achieving similar performance, compared to a framework without the crowd.
Callaghan et al. (Thu,) studied this question.