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基于深度学习的 BPPV 诊断眼震检测。

Deep Learning-Based Nystagmus Detection for BPPV Diagnosis.

机构信息

Department of Health Sciences and Technology, Gachon Advanced Institute for Health Sciences and Technology, Gachon University, Incheon 21999, Republic of Korea.

Gachon Biomedical & Convergence Institute, Gachon University Gil Medical Center, Incheon 21565, Republic of Korea.

出版信息

Sensors (Basel). 2024 May 26;24(11):3417. doi: 10.3390/s24113417.

DOI:10.3390/s24113417
PMID:38894208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11175138/
Abstract

In this study, we propose a deep learning-based nystagmus detection algorithm using video oculography (VOG) data to diagnose benign paroxysmal positional vertigo (BPPV). Various deep learning architectures were utilized to develop and evaluate nystagmus detection models. Among the four deep learning architectures used in this study, the CNN1D model proposed as a nystagmus detection model demonstrated the best performance, exhibiting a sensitivity of 94.06 ± 0.78%, specificity of 86.39 ± 1.31%, precision of 91.34 ± 0.84%, accuracy of 91.02 ± 0.66%, and an -score of 92.68 ± 0.55%. These results indicate the high accuracy and generalizability of the proposed nystagmus diagnosis algorithm. In conclusion, this study validates the practicality of deep learning in diagnosing BPPV and offers avenues for numerous potential applications of deep learning in the medical diagnostic sector. The findings of this research underscore its importance in enhancing diagnostic accuracy and efficiency in healthcare.

摘要

在这项研究中,我们提出了一种基于深度学习的眼球震颤检测算法,使用视频眼动图(VOG)数据来诊断良性阵发性位置性眩晕(BPPV)。我们利用各种深度学习架构来开发和评估眼球震颤检测模型。在本研究中使用的四个深度学习架构中,作为眼球震颤检测模型提出的 CNN1D 模型表现出最佳性能,其灵敏度为 94.06 ± 0.78%,特异性为 86.39 ± 1.31%,精度为 91.34 ± 0.84%,准确率为 91.02 ± 0.66%,AUC 为 92.68 ± 0.55%。这些结果表明,所提出的眼球震颤诊断算法具有较高的准确性和泛化性。总之,本研究验证了深度学习在诊断 BPPV 中的实用性,并为深度学习在医学诊断领域的众多潜在应用提供了途径。这项研究的结果强调了其在提高医疗保健诊断准确性和效率方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/50d9967b7bf9/sensors-24-03417-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/e3cdd2306d6d/sensors-24-03417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/223ab1c111c3/sensors-24-03417-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/4aab0c9fafb2/sensors-24-03417-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/ed5a99c28689/sensors-24-03417-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/50d9967b7bf9/sensors-24-03417-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/e3cdd2306d6d/sensors-24-03417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/223ab1c111c3/sensors-24-03417-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/4aab0c9fafb2/sensors-24-03417-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/ed5a99c28689/sensors-24-03417-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d51/11175138/50d9967b7bf9/sensors-24-03417-g005.jpg

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Front Neurol. 2025 Aug 7;16:1636696. doi: 10.3389/fneur.2025.1636696. eCollection 2025.
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Transformer-Based Detection and Clinical Evaluation System for Torsional Nystagmus.基于Transformer的眼球扭转性眼震检测与临床评估系统
Sensors (Basel). 2025 Jun 28;25(13):4039. doi: 10.3390/s25134039.
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本文引用的文献

1
Multimodal deep learning-based diagnostic model for BPPV.基于多模态深度学习的 BPPV 诊断模型。
BMC Med Inform Decis Mak. 2024 Mar 21;24(1):82. doi: 10.1186/s12911-024-02438-x.
2
Torsional nystagmus recognition based on deep learning for vertigo diagnosis.基于深度学习的扭转性眼球震颤识别用于眩晕诊断。
Front Neurosci. 2023 Jun 9;17:1160904. doi: 10.3389/fnins.2023.1160904. eCollection 2023.
3
Application of machine learning in the diagnosis of vestibular disease.机器学习在前庭疾病诊断中的应用。
使用智能手机眼动追踪进行自我记录位置测试的可行性。
Digit Biomark. 2025 May 23;9(1):98-103. doi: 10.1159/000545720. eCollection 2025 Jan-Dec.
Sci Rep. 2022 Dec 2;12(1):20805. doi: 10.1038/s41598-022-24979-9.
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Central positional nystagmus: an update.中枢性位置性眼球震颤:最新进展
J Neurol. 2022 Apr;269(4):1851-1860. doi: 10.1007/s00415-021-10852-8. Epub 2021 Oct 20.
5
Hybrid clustering system using Nystagmus parameters discrimination for vestibular disorder diagnosis.基于眼震参数判别分析的混合聚类系统在前庭功能障碍诊断中的应用。
J Xray Sci Technol. 2020;28(5):923-938. doi: 10.3233/XST-200661.
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Characteristics of assessment and treatment in Benign Paroxysmal Positional Vertigo (BPPV).良性阵发性位置性眩晕(BPPV)的评估和治疗特点。
J Vestib Res. 2020;30(1):55-62. doi: 10.3233/VES-190687.
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Classification of vestibular signs and examination techniques: Nystagmus and nystagmus-like movements.前庭体征分类及检查技术:眼球震颤及类似眼球震颤运动。
J Vestib Res. 2019;29(2-3):57-87. doi: 10.3233/VES-190658.
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Developing a Diagnostic Decision Support System for Benign Paroxysmal Positional Vertigo Using a Deep-Learning Model.使用深度学习模型开发良性阵发性位置性眩晕的诊断决策支持系统。
J Clin Med. 2019 May 8;8(5):633. doi: 10.3390/jcm8050633.
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Using the Physical Examination to Diagnose Patients with Acute Dizziness and Vertigo.运用体格检查诊断急性头晕和眩晕患者。
J Emerg Med. 2016 Apr;50(4):617-28. doi: 10.1016/j.jemermed.2015.10.040. Epub 2016 Feb 16.
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