Artificial intelligence to detect tympanic membrane perforations.

Objective: To explore the feasibility of constructing a proof-of-concept artificial intelligence algorithm to detect tympanic membrane perforations, for future application in under-resourced rural settings. Methods: A retrospective review was conducted of otoscopic images analysed using transfer lea...

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Publicado en:Journal of Laryngology & Otology Vol. 134; no. 4; pp. 311 - 316
Autores principales: Habib, A-R, Wong, E, Sacks, R, Singh, N
Formato: pictorial research tables/charts Journal Article
Publicado: Cambridge University Press Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
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      pub: Cambridge University Press
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        atl: Artificial intelligence to detect tympanic membrane perforations.
      aug:
        au:
          Habib, A-R
          Wong, E
          Sacks, R
          Singh, N
        affil: Department of Otolaryngology – Head and Neck Surgery, Westmead Hospital, Sydney, Australia
      sug:
        subj:
          Tympanic Membrane Perforation Diagnosis
          Artificial Intelligence
          Algorithms
          Human
          Otoscopy
          Machine Learning
          Retrospective Design
          Confidence Intervals
          Tympanic Membrane
          Otolaryngologists
      ab: Objective: To explore the feasibility of constructing a proof-of-concept artificial intelligence algorithm to detect tympanic membrane perforations, for future application in under-resourced rural settings. Methods: A retrospective review was conducted of otoscopic images analysed using transfer learning with Google's Inception-V3 convolutional neural network architecture. The 'gold standard' 'ground truth' was defined by otolaryngologists. Perforation size was categorised as less than one-third (small), one-third to two-thirds (medium), or more than two-thirds (large) of the total tympanic membrane diameter. Results: A total of 233 tympanic membrane images were used (183 for training, 50 for testing). The algorithm correctly identified intact and perforated tympanic membranes (overall accuracy = 76.0 per cent, 95 per cent confidence interval = 62.1–86.0 per cent); the area under the curve was 0.867 (95 per cent confidence interval = 0.771–0.963). Conclusion: A proof-of-concept image-classification artificial intelligence algorithm can be used to detect tympanic membrane perforations and, with further development, may prove to be a valuable tool for ear disease screening. Future endeavours are warranted to develop a point-of-care tool for healthcare workers in areas distant from otolaryngology.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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