Wu Yan, He Baihui, Shen Min, Yang Yan, Jin Yulian, Zhang Qing, Yang Jun, Li Shuna
Department of Otorhinolaryngology-Head & Neck Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine.
Liaoning Medical Instrument Inspection and Testing Institute.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Sep;36(9):685-690. doi: 10.13201/j.issn.2096-7993.2022.09.007.
To construct a prediction model for Ménière's disease based on neural network and evaluate its prediction ability. Sixty-four patients with Ménière's disease underwent gadolinium enhanced magnetic resonance imaging of inner ear which showed endolymphatic hydrops. Meanwhile, 40 healthy adults were enrolled as controls. The database of wideband tympanometry of patients and control subjects was analyzed, and the neural network model was established by MATLAB 2021a software. The prediction ability of the model was evaluated by accuracy, positive predictive value, negative predictive value, the Youden index, sensitivity, specificity, receiver operating characteristic curve and area under curve (AUC). A feedforward network model was built with a single hidden layer to predict Ménière's disease with wideband tympanometry. There were 104 features in the input layer, 13 neuron nodes in the hidden layer and 1 output neuron in the output layer. The accuracy of the model was 83.2%, the positive predictive value was 80.7%, the negative predictive value was 84.3%, the sensitivity was 76.5%, the specificity was 83.7%, the Youden index was 0.602, and the AUC was 0.855. Based on neural network, the prediction model of Ménière's disease with high accuracy was constructed according to the results of wideband tympanometry, which provided reference for the diagnose of Ménière's disease.
构建基于神经网络的梅尼埃病预测模型并评估其预测能力。64例梅尼埃病患者接受了内耳钆增强磁共振成像检查,显示存在内淋巴积水。同时,纳入40名健康成年人作为对照。分析患者和对照受试者的宽带鼓室导抗图数据库,并使用MATLAB 2021a软件建立神经网络模型。通过准确率、阳性预测值、阴性预测值、约登指数、敏感性、特异性、受试者工作特征曲线和曲线下面积(AUC)评估模型的预测能力。构建了一个具有单个隐藏层的前馈网络模型,以通过宽带鼓室导抗图预测梅尼埃病。输入层有104个特征,隐藏层有13个神经元节点,输出层有1个输出神经元。模型的准确率为83.2%,阳性预测值为80.7%,阴性预测值为84.3%,敏感性为76.5%,特异性为83.7%,约登指数为0.602,AUC为0.855。基于神经网络,根据宽带鼓室导抗图结果构建了高精度的梅尼埃病预测模型,为梅尼埃病的诊断提供了参考。