Hamidullah Binol1, Muhammad Khalid Khan Niazi1, Garth Essig2, Jay Shah3, Jameson K Mattingly2, Michael S Harris4, Charles Elmaraghy2, Theodoros Teknos5, Nazhat Taj-Schaal6, Lianbo Yu7, Metin N Gurcan1, Aaron C Moberly2. 1. Center for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A. 2. Department of Otolaryngology, Ohio State University, Columbus, Ohio, U.S.A. 3. School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A. 4. Otolaryngology and Communication Sciences, Froedtert Hospital, Wauwatosa, Wisconsin, U.S.A. 5. Head and Neck Cancer Center, University Hospitals Seidman Cancer Center, Cleveland, Ohio, U.S.A. 6. Department of Internal Medicine, Ohio State University College of Medicine, Columbus, Ohio, U.S.A. 7. Department of Biomedical Informatics, Ohio State University, Columbus, Ohio, U.S.A.
Abstract
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, 131:E1668-E1676, 2021.
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, 131:E1668-E1676, 2021.
Authors: Sarah E Maurrasse; Jeff C Rastatter; Stephen R Hoff; Kathleen R Billings; Taher S Valika Journal: Otolaryngol Head Neck Surg Date: 2020-05-26 Impact factor: 3.497
Authors: Nolan B Seim; Ramez H W Philips; Laura A Matrka; Brittany Locklear; Mark Inman; Aaron C Moberly; Garth F Essig Journal: Laryngoscope Date: 2017-10-27 Impact factor: 3.325
Authors: Seda Camalan; Muhammad Khalid Khan Niazi; Aaron C Moberly; Theodoros Teknos; Garth Essig; Charles Elmaraghy; Nazhat Taj-Schaal; Metin N Gurcan Journal: PLoS One Date: 2020-05-15 Impact factor: 3.240
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