Evidence map›Paper›PMID 40906531›Full record

ArticleThe Laryngoscope2026

Feasibility of Real-Time Automated Vocal Fold Motion Tracking for In-Office Laryngoscopy.

Aki Koivu, Obinna I Nwosu, Mitsuki Ota, Kristina Simonyan, Matthew R Naunheim

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Videomics and artificial intelligence in endoscopic diagnosis of laryngeal lesions: mapping current evidence through a scoping review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Review
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

5 authors.

Aki KoivuDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye & Ear, Boston, Massachusetts, USA.ORCID 0000-0003-4116-344X
Obinna I NwosuDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye & Ear, Boston, Massachusetts, USA.ORCID 0000-0003-0886-1561
Mitsuki OtaHarvard Medical School, Boston, Massachusetts, USA.
Kristina SimonyanDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye & Ear, Boston, Massachusetts, USA.ORCID 0000-0001-7444-0437
Matthew R NaunheimDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye & Ear, Boston, Massachusetts, USA.ORCID 0000-0002-3927-3984

Funding

Understanding disorder-specific neural pathophysiology in laryngeal dystonia and voice tremorP50DC019900 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Kristina Simonyan · 2021 to 2026
$11.9M
Imaging genetics of spasmodic dysphoniaR01DC011805 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Kristina Simonyan · 2012 to 2026
$8.8M
Voice tremor in spasmodic dysphonia: central mechanisms and treatment responseR01DC012545 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI SIMONYAN, KRISTINA · 2012 to 2021
$5.2M
Clinical Validation of DystoniaNet Deep Learning Platform for Diagnosis of Isolated DystoniaR01NS124228 · NINDS · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Kristina Simonyan · 2022 to 2026
$2.7M
Brain Networks in DystoniaR01NS088160 · NINDS · MASSACHUSETTS EYE AND EAR INFIRMARY · PI SIMONYAN, KRISTINA · 2015 to 2019
$2.4M
Adaptive closed-loop brain-computer interface therapeutic intervention in laryngeal dystoniaR01DC019353 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI SIMONYAN, KRISTINA · 2021 to 2025
$1.8M
NIDCD NIH HHS P50DC01990NIDCD NIH HHS P50 DC019900NIDCD NIH HHS R01 DC011805NIDCD NIH HHS R01 DC012545NIDCD NIH HHS R01 DC019353NINDS NIH HHS R01 NS088160NINDS NIH HHS R01 NS124228
6 · The paper itself

Abstract

objectivesMajor advancements have been made in applying artificial intelligence and computer vision to analyze videolaryngoscopy data. These models are limited to post hoc analysis and are aimed at research settings. In this work, we assess the feasibility of a real-time solution for automated vocal fold tracking during in-office laryngoscopy.

methodsWe trained a keypoint detection model that tracks 39 individual keypoints of the larynx, optimized for real-time deployment, on 1254 frames extracted from 57 laryngoscopy videos. Images were annotated with keypoints along the true and false vocal folds, and supraglottic structures. After training, the model was evaluated on a validation dataset of 140 test images, and second independent test dataset of 50 images. Performance was assessed by comparing manual keypoint annotations to predicted annotations and computing mean keypoint accuracy (

resultsThe model demonstrated robust detection accuracy with an

conclusionThe model accurately tracks laryngeal structures with strong detection, localization, and consistency, is compatible with affordable hardware, and enables real-time metric development. LEVEL OF EVIDENCE: 4:

Indexed as

LaryngoscopyVocal CordsArtificial IntelligenceFeasibility StudiesHumansVideo Recordingartificial intelligencevideolaryngoscopyvocal fold tracking

Identifiers

PMID40906531
PMCPMC12718639

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.