Evidence map›Paper›PMID 33668528›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Automatic Pharyngeal Phase Recognition in Untrimmed Videofluoroscopic Swallowing Study Using Transfer Learning with Deep Convolutional Neural Networks.

Ki-Sun Lee, Eunyoung Lee, Bareun Choi, Sung-Bom Pyun

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  10. The effect of time on the automated detection of the pharyngeal phase in videofluoroscopic swallowing studies.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2021
    Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Ki-Sun LeeMedical Science Research Center, Ansan Hospital, Korea University College of Medicine, Ansan-si 15355, Korea.ORCID 0000-0002-6933-3589
Eunyoung LeeDepartment of Physical Medicine and Rehabilitation, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea.
Bareun ChoiDepartment of Physical Medicine and Rehabilitation, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea.ORCID 0000-0001-5231-7446
Sung-Bom PyunDepartment of Physical Medicine and Rehabilitation, Anam Hospital, Korea University College of Medicine, Seoul 02841, Korea.

Funding

Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education NRF-2019R1I1A1A01062961Korea University Grant K2008481
6 · The paper itself

Abstract

backgroundVideo fluoroscopic swallowing study (VFSS) is considered as the gold standard diagnostic tool for evaluating dysphagia. However, it is time consuming and labor intensive for the clinician to manually search the recorded long video image frame by frame to identify the instantaneous swallowing abnormality in VFSS images. Therefore, this study aims to present a deep leaning-based approach using transfer learning with a convolutional neural network (CNN) that automatically annotates pharyngeal phase frames in untrimmed VFSS videos such that frames need not be searched manually.

methodsTo determine whether the image frame in the VFSS video is in the pharyngeal phase, a single-frame baseline architecture based the deep CNN framework is used and a transfer learning technique with fine-tuning is applied.

resultsCompared with all experimental CNN models, that fine-tuned with two blocks of the VGG-16 (VGG16-FT5) model achieved the highest performance in terms of recognizing the frame of pharyngeal phase, that is, the accuracy of 93.20 (±1.25)%, sensitivity of 84.57 (±5.19)%, specificity of 94.36 (±1.21)%, AUC of 0.8947 (±0.0269) and Kappa of 0.7093 (±0.0488).

conclusionsUsing appropriate and fine-tuning techniques and explainable deep learning techniques such as grad CAM, this study shows that the proposed single-frame-baseline-architecture-based deep CNN framework can yield high performances in the full automation of VFSS video analysis.

Indexed as

action recognitionconvolutional neural networkdeep learningtransfer learningvideofluoroscopic swallowing study

Identifiers

PMID33668528
PMCPMC7918932

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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.