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AI for assessing swallows Real-time Assessment from the Swallowing Sound Within 250ms of completing a swallow, GOKURI will extract the following key sound components: 1. Elevation of larynx 2. Dilatation of UES (Upper Esophageal Sphincter) 3. Return of larynx By automatically detecting the spatio-temporal characteristics 2) followed by deeplearning, it will deter- mine the occurrence of healthy swallows. Using AI to determine swal- lowing ability Using big data compiled from day-to-day eating and swallowing activities, we will not only be able to make estimations of the swallowing ability, but also be able to compare long-term trends in the swallowing perfor- mances. Swallows Vs. Aspiration In GOKURI, safe swallows are visualized in green. It can also detect coughs, which is often a sign of aspira- tion. This will make both the smartphone interface and the LED on the neck-wear to turn red. Towards standardizing the swallowability In a framework that extends beyond the geographical and business boundaries, GOKURI will be the central link, which combines swallowing and mealtime-care. Quantification of the swallowability and cloud sharing will create a platform for the hospitals, healthcare workers and the food manufacturers to come together to offer the best pleasure of eating to satisfy the ability of each person. Standby (LED turn Blue) Detect (LED turn Green) 1. Elevation of larynx 2. Dilatation of UES 3. Return of larynx GOKURI Database Nursing homes Community comprehensive care centers Family Hospitals/Healthcare facilities Food Manufacturers

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A4Z_() enAI for assessing swallows
Real-time Assessment from the Swallowing Sound Within 250ms of completing a swallow, GOKURI will extract the following key sound components:
1. Elevation of larynx 2. Dilatation of UES (Upper Esophageal Sphincter) 3. Return of larynx
By automatically detecting the spatio-temporal characteristics2) followed by deeplearning, it will deter- mine the occurrence of healthy swallows.
Using AI to determine swal- lowing ability Using big data compiled from day-to-day eating and swallowing activities, we will not only be able to make estimations of the swallowing ability, but also be able to compare long-term trends in the swallowing perfor- mances.
Swallows Vs. Aspiration In GOKURI, safe swallows are visualized in green. It can also detect coughs, which is often a sign of aspira- tion. This will make both the smartphone interface and the LED on the neck-wear to turn red.
Towards standardizing the swallowability In a framework that extends beyond the geographical and business boundaries, GOKURI will be the central link, which combines swallowing and mealtime-care. Quantification of the swallowability and cloud sharing will create a platform for the hospitals, healthcare workers and the food manufacturers to come together to offer the best pleasure of eating to satisfy the ability of each person.
Standby (LED turn Blue) Detect (LED turn Green)
1. Elevation of larynx 2. Dilatation of UES 3. Return of larynx
GOKURI Database Nursing homes
Community comprehensive care centers
Wearable Ubiquitous
A neck-worn device for swallow assessment GOKURI, developed at the University of Tsukuba, is a smartphone-based wearable device for mHealth to judge the level of safety of your swallowing1, 3, 10) . (Patent No. 5952536, JP)
Importance of preventing aspiration pneumonia According to the Ministry of Health, Labour and Welfare, pneumonia is the 3rd leading cause of death in Japan since 2012. In particular, aspiration pneumonia and the decline in the swallowing ability is increasingly becom- ing too important to be neglected. GOKURI is devel- oped as a tool to help prevent aspiration by assisting the detection of safe swallows.
Non-invasive and portable The Videofluoroscopic Swallowing Study and the Video Endoscopic Examination of Swallowing, the only gold standards that so far have been, could not be used for long periods nor during daily life. Further- more, the food used in testing needs to be prepared with additives that alters the texture and the taste, a hurdle, which is overcome with the GOKURI.
Product Specifications Name: GOKURI Weight: 20 g Operating range: -40 to +85 Patent: No. 5952536 (JP) Supports: Android 6.0, marshmallow or newer
List of selected publications 1 Nagae, M., and Suzuki, K., "A Neck Mounted Interface for Sensing the Swallowing Activity based on Swallowing Sound," Proc. of Annual Intl. Conference of the IEEE EMBS, pp. 5224-5227, 2011.
2 Ueno, T., Teramoto, Y., Suzuki, K., and Eguchi, K., Recording of the swallowing sound during healthy swallows, The 50th Annual Meeting of the Japanese Association of Rehabilitation Medicine, 2013, [In Japanese].
3 Nakai, K., Suzuki, K., Eguchi, K., Ayuzawa, S., Hidaka, K., Ueno, T., Teramoto, Y., Okamoto E., Saito, K., Matsumura, A., Novel Neck Mounting Device Which Sense and Indicate the Swallowing Activity for Dysphagia Patients, XV WFNS world Congrss of Neurosurgery Seoul, Korea, 2013
4 Suzuki, K., Ueno, T., Teramoto, Y., Dushyanta Jayatilake, Nakai, K., Eguchi K., Ayuzawa, S., Hidaka, K., and Matsumura A., Development of a neck-warable swallow monitoring device for the Repetitive Saliva Swallowing Test, The 19th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation, 2013 [In Japanese].
5 Teramoto, Y., Ueno, T., Dushyanta Jayatilake, Suzuki, K., Nakai, K., Hidaka, K., Eguchi K., and Matsumura A., A case-report on swallow sound variation of an MG subject before and after administering edrophonium, The 19th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation, 2013 [In Japanese].
6 Suzuki, K., Jayatilake, D., Teramoto, Y., Ueno, T., Nakai, K., Hidaka, K., Ayuzawa, S., Eguchi, K., and Matsumura, A., "Comprehensive Analysis of Pharyngeal Pressure Trace from High-Resolution Manometry," 22nd Dysphagia Research Society Annual Meeting, 2014.
7 Teramoto, Y., Ueno, T., Jayatilake, D., Suzuki, K., Nakai, K., Hidaka, K., Ayuzawa, S., Eguchi, K., and Matsumura, A., "Examination of Swallowing Sound by the Simultaneous Recording of Videofluo- roscopy and High-resolution Manometory," 22nd Dysphagia Research Society Annual Meeting, 2014
8 Jayatilake, D., Suzuki, K., et al., "Swallowscope: A Smartphone based Device for the Assessment of Swallowing Ability," Proc. of IEEE-EMBS International Conference on Biomedical Health Informatics, 2014
9 Jayatilake, D., Suzuki, K., Teramoto, Y., Ueno, T., Nakai, K., Hidaka, K., Ayuzawa, S., and Matsumura, A., "Automatic detection of swallowing events from the swallowing sound," 2015 Dysphagia Research Society Annual Meeting, 2015
10 Teramoto, Y., Ueno, T., Jayatilake, D., Suzuki, K., Nakai, K., Hidaka, K., Ayuzawa, S., and Matsumura, A., "Relationship between swallowing function and the sound of before and after the UES transition of the bolus," 2015 Dysphagia Research Society Annual Meeting, 2015
11 Yohei Teramoto, Tomoyuki Ueno, Dushyantha Jayatilake and Akira Matsumura, “Estimation of presence of pharyngeal residue from the externally recorded swallowing sounds”, 8th World Congress of the International Society of Physical and Rehabilitation Medicine, 2014
12 Jayatilake, D., Ueno, T., Teramoto, Y., Nakai, K., Hidaka, K., Ayuzawa, S., Eguchi, K., Matsumura, A. and Suzuki, K., "Smartphone-Based Real-time Assessment of Swallowing Ability From the Swallowing Sound," in Translational Engineering in Health and Medicine, IEEE Journal of , vol.3, no. 1, pp. 1-10, Dec. 2015, doi: 10.1109/JTEHM.2015.2500562

Smartphone and the wearable unit is everything.
30 27 JST START 24
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AI for assessing swallows
[1] Nagae, M., and Suzuki, K., "A Neck Mounted Interface for Sensing the Swallowing Activity based on Swallowing Sound," Proc. of Annual International Conference of the IEEE EMBS, pp. 5224-5227, 2011.
[2] Nakai, K., Suzuki, K., Eguchi, K., Ayuzawa, S., Hidaka, K., Ueno, T., Teramoto, Y., Okamoto E., Saito, K., Matsumura, A., Novel Neck Mounting Device Which Sense and Indicate the Swallowing Activity for Dys- phagia Patients, XV WFNS world Congrss of Neurosurgery Seoul, Korea, 2013.
[3] Jayatilake, D., Suzuki, K., et al., "Swallowscope: A Smartphone based Device for the Assessment of Swallowing Ability," Proc. of IEEE-EMBS International Conference on Biomedical Health Informatics, 2014
[4] 5952536 [5] 502013.
Comparison of swallowing sound with VFSS and High-resolution Manometry
GOKURI, developed at the AI laboratory of Univer-
sity of Tsukuba1, 2 , 3, is an mHealth-based device for the monitoring of swallowing activities (JP pat-
ent:59525364). Using a smartphone, GOKURI eval- uates the swallowing ability from the swallowing
sound collected on the neck.
Elevation of larynx Dilatation of UES(Upper Esophageal Sphincter) Return of larynx
By automatically detecting the spatio-tempo- ral characteristics5 followed by deeplearning, it will determine the occurrence of healthy swallows.
Real-time Assessment from the Swallowing Sound
The Videofluoroscopic Swallowing Study (VFSS) and the Video Endoscopic Examina- tion of Swallowing, the only gold standards available could not be used for long periods, at bedside or during daily life. Furthermore, the food used in these tests are prepared with additives that alters the texture and the taste. However, GOKURI can be used easily without any of those constraints.
Non-invasive and portable
According to the Ministry of Health, Labour and Welfare, pneumonia is the 3rd leading cause of death in Japan since 2012. In particular, aspira- tion pneumonia and the decline in the swallowing ability is increasingly becoming too important to be neglected. GOKURI is developed as a tool to help prevent aspiration by assisting the detection of safe swallows.
Preventing Aspiration Pneumonia
Swallowing support platform
Hospitals/Healthcare facilitiesFood Manufacturers