We assessed the performance of three air-coupled and four contact sens
ors under standardized conditions of lung sound recording. Recordings
were obtained from three of the investigators at the best site on the
posterior lower chest as determined by auscultation. Lung sounds were
band-pass filtered between 100 and 2,000 Hz and sampled simultaneously
with calibrated airflow at a rate of 10 kHz. Fourier techniques were
used for power spectral analysis. Average spectra for inspiratory soun
ds at flows of 2 +/- 0.5 L/s were referenced against background noise
at zero flow. Air-coupled and contact sensors had comparable maximum s
ignal-to-noise ratios and gave similar values for most spectral parame
ters. Unexpectedly, less sensitivity (lower signal-to-noise ratio) at
high frequencies was observed in the air-coupled devices. Sensor perfo
rmance needs to be characterized in studies of lung sounds. We suggest
that lung sound spectra should be averaged at known over several brea
ths and that all measurements should be reported relative to sounds re
corded at zero flow.