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Deep learning for otitis media classification using otoscopic image.

Qingqing Guo1, Liangzhen Xie2, Ling Zhou2

  • 1Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.

Medicine
|December 2, 2025
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Summary
This summary is machine-generated.

Deep learning models accurately classify otitis media (OM). VGGNet-19 achieved 94.51% accuracy, showing potential for automated diagnosis of this common ear infection.

Keywords:
convolutional neural networksdeep learningmodel evaluationotitis media diagnosisotoscopic image classificationotoscopic image dataset

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Otolaryngology

Background:

  • Otitis media (OM) is a widespread health concern impacting hearing and general well-being.
  • Current diagnostic methods for OM rely on subjective otoscopic image interpretation, leading to diagnostic inconsistencies and errors.

Purpose of the Study:

  • To evaluate the efficacy of five deep learning models in classifying otoscopic images for otitis media diagnosis.
  • To identify the most effective deep learning model for differentiating between normal ears and various types of otitis media.

Main Methods:

  • A dataset of 819 otoscopic images was utilized, categorized into normal, acute otitis media, otitis media with effusion, and chronic suppurative otitis media.
  • Five deep learning models (ResNet-18, GoogLeNet, AlexNet, MobileNet-V3, VGGNet-19) were trained and validated on 60% and 20% of the data, respectively.
  • Model performance was rigorously assessed using accuracy, sensitivity, specificity, precision, F1 score, and ROC-AUC analysis on a 20% test set.

Main Results:

  • VGGNet-19 exhibited superior performance, achieving the highest accuracy (94.51%), sensitivity (94.18%), specificity (98.10%), and precision (93.86%).
  • The VGGNet-19 model demonstrated exceptional capability in identifying chronic suppurative otitis media.
  • While other evaluated models provided competitive results, VGGNet-19 consistently outperformed them across key performance metrics.

Conclusions:

  • VGGNet-19 shows significant potential as an accurate and automated tool for the classification of otitis media.
  • The findings support the integration of deep learning for improved diagnostic accuracy in otitis media.
  • Further research is recommended to address dataset imbalances and validate these findings in diverse clinical settings to enhance generalizability.