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958
Vocal Fold Disorders Classification and Optimization of a Custom Video Laryngoscopy Dataset Through Structural
Elif Emre1, Dilber Cetintas2, Muhammed Yildirim2
1Department of Anatomy, Faculty of Medicine, Fırat University, Elazığ 23119, Turkey.
Journal of Clinical Medicine
|October 16, 2025
Summary
This study introduces an AI-powered method to streamline video laryngoscopy analysis by identifying key frames, improving diagnostic speed and accuracy for laryngeal lesions.
Area of Science:
- Otolaryngology
- Artificial Intelligence
- Medical Imaging
Background:
- Video laryngoscopy is crucial for diagnosing laryngeal lesions but relies on manual inspection, risking errors and delays.
- Current diagnostic methods can overlook subtle structural changes, impacting early detection and treatment.
- AI offers potential to enhance diagnostic reliability and accelerate the identification of vocal fold abnormalities.
Purpose of the Study:
- To develop and evaluate a hybrid Convolutional Neural Network (CNN) for efficient analysis of video laryngoscopy data.
- To reduce data processing load by eliminating redundant frames and focusing on clinically significant key frames.
- To improve the accuracy and speed of diagnosing laryngeal lesions, including vocal fold nodules and polyps.
Main Methods:
- A hybrid CNN architecture was designed to process video laryngoscopy footage.
- Key frames were extracted using the Structural Similarity Index Measure (SSIM) with varying thresholds.
- The system classified frames from healthy individuals and patients with vocal fold nodules or polyps.
Main Results:
- An SSIM threshold of 0.90 effectively selected informative key frames, balancing data reduction and information content.
- The AI model achieved a 98% overall classification accuracy in identifying laryngeal conditions.
- The approach significantly reduced memory usage and processing time while maintaining high diagnostic performance.
Conclusions:
- The proposed AI-driven method optimizes video laryngoscopy analysis by prioritizing critical information.
- This technique assists physicians in making faster diagnostic decisions for laryngeal pathologies.
- The system effectively reduces computational demands, making advanced analysis more accessible.

