Olfactory ERP-based classification of anosmia and normosmia using machine learning
Kwangsu Kim1, Thomas Hummel1,2
1Smell and Taste Clinic, Department of Otorhinolaryngology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany.
Clinical Neurophysiology Practice
|June 22, 2026
Summary
Electroencephalogram (EEG) data can classify smell dysfunction (normosmia vs. anosmia) using machine learning. This objective approach shows promise for diagnosing smell disorders.
Area of Science:
- Neuroscience
- Computational Biology
- Ophthalmology
Background:
- Olfactory dysfunction, affecting millions, lacks objective diagnostic tools.
- Current methods for assessing smell rely on subjective patient reports or basic smell identification tests.
- Developing objective measures for olfactory function is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To determine if electroencephalogram (EEG) signals can differentiate between normal (normosmia) and impaired (anosmia) sense of smell using machine learning.
- To evaluate classification performance across various single and combined olfactory stimulation conditions.
Main Methods:
- EEG data were collected from 66 participants (26 normosmic, 40 anosmic) during stimulation with phenyl ethyl alcohol (PEA), hydrogen sulfide (H₂S), and carbon dioxide (CO₂).
- Chemosensory event-related potentials (CSERPs) were analyzed using three machine learning models: support vector machine (SVM), random forest (RF), and convolutional neural network (CNN).
Main Results:
- The highest classification accuracy (86.37%) was achieved using a combination of PEA_Right + H₂S_Left + H₂S_Right stimulation.
- Convolutional Neural Networks (CNNs) generally outperformed SVM and RF models.
- Hydrogen sulfide (H₂S) stimulation demonstrated significant discriminative power, especially when presented to the left nostril.
Conclusions:
- Machine learning analysis of EEG-based CSERPs provides an effective method for distinguishing olfactory dysfunction.
- This approach demonstrates the feasibility of objective evaluation for olfactory processing.
- EEG-based machine learning offers a potential framework for data-driven diagnostic strategies for smell disorders.
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