期刊
LARYNGOSCOPE
卷 131, 期 5, 页码 E1668-E1676出版社
WILEY
DOI: 10.1002/lary.29253
关键词
Computer‐ assisted Diagnosis; eardrum; image stitching; otoscope; telemedicine
资金
- National Institute on Deafness and Other Communication Disorders [R21 DC016972]
This study investigated whether a single composite image stitched from a digital otoscopy video can provide sufficient diagnostic information for accurate diagnosis, and found that it can indeed provide accurate diagnostic information.
Objectives/Hypothesis With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from a digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by the full video. Study Design Diagnostic survey analysis. Methods Five Ear, Nose, and Throat (ENT) physicians reviewed the same set of 78 digital otoscope eardrum videos from four eardrum conditions: normal, effusion, retraction, and tympanosclerosis, along with the composite images generated by a SelectStitch method that selectively uses video frames with computer-assisted selection, as well as a Stitch method that incorporates all the video frames. Participants provided a diagnosis for each item along with a rating of diagnostic confidence. Diagnostic accuracy for each pathology of SelectStitch was compared with accuracy when reviewing the entire video clip and when reviewing the Stitch image. Results There were no significant differences in diagnostic accuracy for physicians reviewing SelectStitch images and full video clips, but both provided better diagnostic accuracy than Stitch images. The inter-reader agreement was moderate. Conclusions Equal to using full video clips, composite images of eardrums generated by SelectStitch provided sufficient information for ENTs to make the correct diagnoses for most pathologies. These findings suggest that use of a composite eardrum image may be sufficient for telemedicine approaches to ear diagnosis, eliminating the need for storage and transmission of large video files, along with future applications for improved documentation in electronic medical record systems, patient/family counseling, and clinical training. Level of Evidence 3 Laryngoscope, 2020
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