An artificial intelligence algorithm that differentiates anterior ethmoidal artery location on sinus computed tomography scans.

Objective: Deep learning using convolutional neural networks represents a form of artificial intelligence where computers recognise patterns and make predictions based upon provided datasets. This study aimed to determine if a convolutional neural network could be trained to differentiate the locati...

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Published in:Journal of Laryngology & Otology Vol. 134; no. 1; pp. 52 - 56
Main Authors: Huang, J, Habib, A-R, Mendis, D, Chong, J, Smith, M, Duvnjak, M, Chiu, C, Singh, N, Wong, E
Format: diagnostic images research tables/charts Journal Article
Published: Cambridge University Press Jan2020
Online Access:View this record in EBSCOhost
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      dt: Jan2020
      vid: 134
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      pub: Cambridge University Press
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        atl: An artificial intelligence algorithm that differentiates anterior ethmoidal artery location on sinus computed tomography scans.
      aug:
        au:
          Huang, J
          Habib, A-R
          Mendis, D
          Chong, J
          Smith, M
          Duvnjak, M
          Chiu, C
          Singh, N
          Wong, E
        affil: Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital, Australia
      sug:
        subj:
          Neural Networks (Computer)
          Algorithms
          Preoperative Period
          Tomography, X-Ray Computed Methods
          Ethmoid Sinus Blood Supply
          Ophthalmic Artery Radiography
          Skull Base Radiography
          Mesentery Radiography
          Surgery, Otorhinolaryngologic Methods
          Endoscopy Methods
          Human
          Artificial Intelligence
          Specialties, Medical
          Interns and Residents
          Programming Languages
          Software
          Confidence Intervals
          kappa Statistic
          Diagnosis, Differential
          Paranasal Sinuses Surgery
          Ophthalmic Artery Injuries
          Wounds and Injuries Risk Factors
          Wounds and Injuries Prevention and Control
          Treatment Outcomes
      ab: Objective: Deep learning using convolutional neural networks represents a form of artificial intelligence where computers recognise patterns and make predictions based upon provided datasets. This study aimed to determine if a convolutional neural network could be trained to differentiate the location of the anterior ethmoidal artery as either adhered to the skull base or within a bone 'mesentery' on sinus computed tomography scans. Methods: Coronal sinus computed tomography scans were reviewed by two otolaryngology residents for anterior ethmoidal artery location and used as data for the Google Inception-V3 convolutional neural network base. The classification layer of Inception-V3 was retrained in Python (programming language software) using a transfer learning method to interpret the computed tomography images. Results: A total of 675 images from 388 patients were used to train the convolutional neural network. A further 197 unique images were used to test the algorithm; this yielded a total accuracy of 82.7 per cent (95 per cent confidence interval = 77.7–87.8), kappa statistic of 0.62 and area under the curve of 0.86. Conclusion: Convolutional neural networks demonstrate promise in identifying clinically important structures in functional endoscopic sinus surgery, such as anterior ethmoidal artery location on pre-operative sinus computed tomography.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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