An artificial intelligence algorithm that differentiates anterior ethmoidal artery location on sinus computed tomography scans. Issue 1 (23rd January 2020)

• Record Type: Journal Article
• Authors: Huang, J; Habib, A-R; Mendis, D; Chong, J; Smith, M; Duvnjak, M; Chiu, C; Singh, N; Wong, E
• Is Part Of: Journal of laryngology & otology. Volume 134:Issue 1(2020)
• Page Start: 52
• Page End: 55
• Publication Date: 2020-01-23
• Subjects: Deep Learning, -- Artificial Intelligence, -- Anterior Ethmoidal Artery, -- Skull Base, -- Injuries, -- Endoscopic Sinus Surgery, -- Complication; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215119002536
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: Deep learning using convolutional neural networks represents a form of artificial intelligence where computers recognise patterns and make predictions based upon provided datasets. This study aimed to determine if a convolutional neural network could be trained to differentiate the location of the anterior ethmoidal artery as either adhered to the skull base or within a bone 'mesentery' on sinus computed tomography scans. Methods: Coronal sinus computed tomography scans were reviewed by two otolaryngology residents for anterior ethmoidal artery location and used as data for the Google Inception-V3 convolutional neural network base. The classification layer of Inception-V3 was retrained in Python (programming language software) using a transfer learning method to interpret the computed tomography images. Results: A total of 675 images from 388 patients were used to train the convolutional neural network. A further 197 unique images were used to test the algorithm; this yielded a total accuracy of 82.7 per cent (95 per cent confidence interval = 77.7–87.8), kappa statistic of 0.62 and area under the curve of 0.86. Conclusion: Convolutional neural networks demonstrate promise in identifying clinically important structures in functional endoscopic sinus surgery, such as anterior ethmoidal artery location on pre-operative sinus computed tomography.