Evidence map›Paper›PMID 30098123›Full record

ArticleInternational forum of allergy & rhinology2019

Automated classification of osteomeatal complex inflammation on computed tomography using convolutional neural networks.

Naweed I Chowdhury, Timothy L Smith, Rakesh K Chandra, Justin H Turner

Abstract read
In one paragraph

Article in International forum of allergy & rhinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

  1. Article
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  5. Review
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  7. The accuracy of deep learning models for diagnosing maxillary fungal ball rhinosinusitis.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 · 2024
    Article
  8. Review
  9. [Research on the classification model of chronic sinusitis based on VGG].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. The Evolution and Application of Artificial Intelligence in Rhinology: A State of the Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Review
  16. A Scoping Review of Artificial Intelligence Research in Rhinology.American journal of rhinology & allergy · 2023
    Article
  17. Article
  18. Article
  19. 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

4 authors.

Naweed I ChowdhuryVanderbilt University School of Medicine, Otolaryngology-Head & Neck Surgery, Nashville, TN.
Timothy L SmithOregon Health & Science University, Department of Otolaryngology-Head & Neck Surgery, Portland, OR.ORCID 0000-0002-6424-7083
Rakesh K ChandraVanderbilt University School of Medicine, Otolaryngology-Head & Neck Surgery, Nashville, TN.
Justin H TurnerVanderbilt University School of Medicine, Otolaryngology-Head & Neck Surgery, Nashville, TN.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
DETERMINANTS OF SURGICAL OUTCOMES IN CHRONIC SINUSITISR01DC005805 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI SMITH, TIMOTHY L, SOLER, ZACHARY M · 2004 to 2020
$7.6M
The Mechanism of Inflammation-mediated Olfactory Dysfunction in Chronic RhinosinusitisR03DC014809 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TURNER, JUSTIN H · 2015 to 2017
$473k
NCATS NIH HHS NCT01332136NCATS NIH HHS UL1 TR000445NIAID NIH HHS L30 AI113795NIDCD NIH HHS R01 DC005805NIDCD NIH HHS R03 DC014809
6 · The paper itself

Abstract

backgroundConvolutional neural networks (CNNs) are advanced artificial intelligence algorithms well suited to image classification tasks with variable features. These have been used to great effect in various real-world applications including handwriting recognition, face detection, image search, and fraud prevention. We sought to retrain a robust CNN with coronal computed tomography (CT) images to classify osteomeatal complex (OMC) occlusion and assess the performance of this technology with rhinologic data.

methodsThe Google Inception-V3 CNN trained with 1.28 million images was used as the base model. Preoperative coronal sections through the OMC were obtained from 239 patients enrolled in 2 prospective chronic rhinosinusitis (CRS) outcomes studies, labeled according to OMC status, and mirrored to obtain a set of 956 images. Using this data, the classification layer of Inception-V3 was retrained in Python using a transfer learning method to adapt the CNN to the task of interpreting sinonasal CT images.

resultsThe retrained neural network achieved 85% classification accuracy for OMC occlusion, with a 95% confidence interval for algorithm accuracy of 78% to 92%. Receiver operating characteristic (ROC) curve analysis on the test set confirmed good classification ability of the CNN with an area under the ROC curve (AUC) of 0.87, significantly different than both random guessing and a dominant classifier that predicts the most common class (p < 0.0001).

conclusionCurrent state-of-the-art CNNs may be able to learn clinically relevant information from 2-dimensional sinonasal CT images with minimal supervision. Future work will extend this approach to 3-dimensional images in order to further refine this technology for possible clinical applications.

Indexed as

Neural Networks, ComputerAdultArtificial IntelligenceAutomation, LaboratoryChronic DiseaseFemaleHumansInflammationMaleNasal ObstructionParanasal SinusesProspective StudiesRhinitisSinusitisTomography, X-Ray Computedchronic diseaseconvolutional neural networkmachine learningneural networksinusitis

Identifiers

PMID30098123
PMCPMC6318014

What OpenQuestion holds

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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.