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Optimized deep learning model for diagnosing tonsil and adenoid hypertrophy through X-rays.

Zhiqing Wu1, Ran Zhuo1, Yali Yang2

  • 1Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, Jiangsu, China.

Frontiers in Oncology
|March 26, 2025
PubMed
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A deep learning model using lateral nasopharyngeal X-rays accurately diagnoses pediatric tonsillar and adenoid hypertrophy. The YOLOv8-ResNet fusion model offers improved diagnostic accuracy and consistency for this common condition.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Pediatric Otolaryngology

Background:

  • Tonsillar and adenoid hypertrophy are common causes of pediatric respiratory obstruction.
  • Accurate diagnosis is crucial for effective treatment and management.
  • Traditional diagnostic methods can be subjective and time-consuming.

Purpose of the Study:

  • To evaluate a deep learning model for diagnosing tonsillar and adenoid hypertrophy using lateral nasopharyngeal X-rays.
  • To compare the performance of different convolutional neural network models in classifying hypertrophy severity.
  • To identify an optimal deep learning model for clinical application.

Main Methods:

  • A retrospective study analyzed 819 lateral nasopharyngeal X-ray images from pediatric outpatients (aged 2-12).
Keywords:
ResNet18YOLOv8adenoidartificial intelligence in medicinediagnostic imagingtonsillar

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  • A YOLOv8n model performed object detection for tonsils and adenoids, followed by classification using various CNNs.
  • Model performance was assessed using ROC-AUC, accuracy, precision, recall, and F1 score on training, validation, and test sets.
  • Main Results:

    • The YOLOv8-ResNet fusion model demonstrated excellent performance in diagnosing tonsillar and adenoid hypertrophy.
    • This combined model significantly improved diagnostic accuracy and consistency.
    • ResNet18, within the fusion model, was highlighted for its efficiency and effectiveness.

    Conclusions:

    • Deep learning models, specifically the YOLOv8n-ResNet18 combination, show significant advantages for diagnosing pediatric tonsillar and adenoid hypertrophy.
    • This AI-driven approach enhances diagnostic capabilities, offering a more objective and consistent assessment.
    • The findings support the clinical utility of this model in pediatric respiratory obstruction evaluation.