Pediatric Otoscopy Video Screening with Shift Contrastive Anomaly
Detection
- URL: http://arxiv.org/abs/2110.13254v1
- Date: Mon, 25 Oct 2021 20:39:28 GMT
- Title: Pediatric Otoscopy Video Screening with Shift Contrastive Anomaly
Detection
- Authors: Weiyao Wang, Aniruddha Tamhane, Christine Santos, John R. Rzasa, James
H. Clark, Therese L. Canares, and Mathias Unberath
- Abstract summary: We present a two stage method that first, identifies valid frames by detecting and extracting ear drum patches from the video sequence.
Second, performs the proposed shift contrastive anomaly detection to flag the otoscopy video sequences as normal or abnormal.
Our method achieves an AUROC of 88.0% on the patient-level and also outperforms the average of a group of 25 clinicians in a comparative study.
- Score: 4.922640055654283
- License: http://creativecommons.org/licenses/by/4.0/
- Abstract: Ear related concerns and symptoms represents the leading indication for
seeking pediatric healthcare attention. Despite the high incidence of such
encounters, the diagnostic process of commonly encountered disease of the
middle and external presents significant challenge. Much of this challenge
stems from the lack of cost effective diagnostic testing, which necessitating
the presence or absence of ear pathology to be determined clinically. Research
has however demonstrated considerable variation among clinicians in their
ability to accurately diagnose and consequently manage ear pathology. With
recent advances in computer vision and machine learning, there is an increasing
interest in helping clinicians to accurately diagnose middle and external ear
pathology with computer-aided systems. It has been shown that AI has the
capacity to analyse a single clinical image captured during examination of the
ear canal and eardrum from which it can determine the likelihood of a
pathognomonic pattern for a specific diagnosis being present. The capture of
such an image can however be challenging especially to inexperienced
clinicians. To help mitigate this technical challenge we have developed and
tested a method using video sequences. We present a two stage method that
first, identifies valid frames by detecting and extracting ear drum patches
from the video sequence, and second, performs the proposed shift contrastive
anomaly detection to flag the otoscopy video sequences as normal or abnormal.
Our method achieves an AUROC of 88.0% on the patient-level and also outperforms
the average of a group of 25 clinicians in a comparative study, which is the
largest of such published to date. We conclude that the presented method
achieves a promising first step towards automated analysis of otoscopy video.
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