Evidence map›Paper›PMID 25599652›Full record

ArticleThe Laryngoscope2015

Noninvasive depth-resolved optical measurements of the tympanic membrane and middle ear for differentiating otitis media.

Guillermo L Monroy, Ryan L Shelton, Ryan M Nolan, Cac T Nguyen, Michael A Novak, Malcolm C Hill, Daniel T McCormick, Stephen A Boppart

Open access · bronzeAbstract read
In one paragraph

Article in The Laryngoscope, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 87 citations in OpenAlex.

  1. Trial
  2. Quantitative Pneumatic Otoscopy Using a Light-Based Ranging Technique.Journal of the Association for Research in Otolaryngology : JARO · 2017
    Trial
  3. Article
  4. Artificial Intelligence in Label-Free Optical Imaging Applications.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Label-Free Optical Technologies for Middle-Ear Diseases.Bioengineering (Basel, Switzerland) · 2024
    Review
  9. Non-rigid point cloud registration for middle ear diagnostics with endoscopic optical coherence tomography.International journal of computer assisted radiology and surgery · 2024
    Article
  10. In Vivo Optical Characterization of Middle Ear Effusions and Biofilms During Otitis Media.Journal of the Association for Research in Otolaryngology : JARO · 2023
    Observational
  11. Article
  12. Otoendoscopy in the era of narrow-band imaging: a pictorial review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  13. Article
  14. Article
  15. Differentiation of otitis media-causing bacteria and biofilmsFrontiers in cellular and infection microbiology · 2022
    Article
  16. Review
  17. Review
  18. Article
  19. A review of low-cost and portable optical coherence tomography.Progress in biomedical engineering (Bristol, England) · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Guillermo L MonroyDepartment of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Ryan L SheltonBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Ryan M NolanBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Cac T NguyenBeckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Michael A NovakDepartment of Surgery, College of Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Malcolm C HillDepartment of Pediatrics, College of Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
Daniel T McCormickCarle Foundation Hospital, Urbana, Illinois, U.S.A.
Stephen A BoppartDepartment of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, Illinois, U.S.A.
University of Illinois Urbana-Champaign · USCarle Foundation Hospital · USUrbana University · US

Funding

Partnership for Primary Care Imaging of the EarR01EB013723 · NIBIB · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI BOPPART, STEPHEN A · 2011 to 2018
$6.4M
NIBIB NIH HHS R01 EB013723
6 · The paper itself

Abstract

objective/hypothesisIn this study, optical coherence tomography (OCT) is used to noninvasively and quantitatively determine tympanic membrane (TM) thickness and the presence and thickness of any middle-ear biofilm located behind the TM. These new metrics offer the potential to differentiate normal, acute, and chronic otitis media (OM) infections in pediatric subjects. STUDY

designCase series with comparison group.

methodsThe TM thickness of 34 pediatric subjects was acquired using a custom-built, handheld OCT system following a traditional otoscopic ear exam.

resultsOverall thickness (TM and any associated biofilm) was shown to be statistically different for normal, acute, and chronic infection groups (normal-acute and normal-chronic: P value < 0.001; acute-chronic: P value = 0.0016). Almost all observed scans from the chronic group had an accompanying biofilm structure. When the thickness of the TM and biofilm were considered separately in chronic OM, the chronic TM thickness correlated with the normal group (P value = 0.68) yet was still distinct from the acute OM group (P value < 0.001), indicating that the TM in chronic OM returns to relatively normal thickness levels.

conclusionIdentifying these physical changes in vivo provides new metrics for noninvasively and quantitatively differentiating normal, acute, and chronic OM. This new diagnostic information has the potential to assist physicians to more effectively and efficiently screen, manage, and refer patients based on quantitative data. LEVEL OF EVIDENCE: 4.

Indexed as

ChildDiagnosis, DifferentialEar, MiddleHumansOtitis MediaOutpatientsTomography, Optical CoherenceTympanic Membranebiofilmoptical coherence tomographyOtitis mediaotolaryngologypediatric

Identifiers

PMID25599652
PMCPMC4506882
OpenAlexW2134404785

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.