Digital diaphanoscopy of maxillary sinus pathologies supported by machine learning

J Biophotonics. 2023 Sep;16(9):e202300138. doi: 10.1002/jbio.202300138. Epub 2023 Jun 20.

Abstract

Maxillary sinus pathologies remain among the most common ENT diseases requiring timely diagnosis for successful treatment. Standard ENT inspection approaches indicate low sensitivity in detecting maxillary sinus pathologies. In this paper, we report on capabilities of digital diaphanoscopy combined with machine learning tools in the detection of such pathologies. We provide a comparative analysis of two machine learning approaches applied to digital diapahnoscopy data, namely, convolutional neural networks and linear discriminant analysis. The sensitivity and specificity values obtained for both employed approaches exceed the reported accuracy indicators for traditional screening diagnosis methods (such as nasal endoscopy or ultrasound), suggesting the prospects of their usage for screening maxillary sinuses alterations. The analysis of the obtained values showed that the linear discriminant analysis, being a simpler approach as compared to neural networks, allows one to detect the maxillary sinus pathologies with the sensitivity and specificity of 0.88 and 0.98, respectively.

Keywords: convolutional neural networks; digital diaphanoscopy; linear discriminant analysis; maxillary sinuses; optical diagnostics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Endoscopy
  • Machine Learning
  • Maxillary Sinus* / diagnostic imaging
  • Neural Networks, Computer
  • Transillumination*