Accurate Segmentation and Tracking of Chorda Tympani in
Endoscopic Middle Ear Surgery with Artificial Intelligence.
EAR, NOSE & THROAT JOURNAL 2023:1455613231212051. [PMID:
38083840 DOI:
10.1177/01455613231212051]
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Abstract
Objective: We introduce a novel endoscopic middle ear surgery dataset specifically designed for evaluating deep learning (DL)-based semantic segmentation of chorda tympani. Methods: We curated a dataset comprising 8240 images from 25 patients, divided into a training set (20%, 1648 images), validation set (5%, 412 images), and test set (75%, 6180 images). We employed data enhancement techniques to expand the picture size of the training and validation sets by 5 times (training set: 8240 images, verification set: 2060 images). Subsequently, we employed a multistage transfer learning training method to establish, train, and validate various convolutional neural networks. Results: On the validation set of 2060 labeled images, our proposed network achieved good results, with the U-net exhibiting the highest effectiveness (mIOU = 0.8737, mPA = 0.9263). Furthermore, when applied to the test dataset of 6180 raw images and contrasted with the prediction of otologists, the overall performance of the U-net was excellent (accuracy = 0.911, precision = 0.9823, sensitivity = 0.8777, specificity = 0.9714). Conclusions: Our findings demonstrate that DL can be successfully employed for automatic segmentation of chorda tympani in endoscopic middle ear surgery, yielding high-performance results. This study validates the potential feasibility of future intelligent navigation technologies to assist in endoscopic middle ear surgery.
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