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Related Experiment Video

Updated: Jul 16, 2026

Testing a Cochlear Implant Electrode Insertion Training System for Optimal Electrode Array Placement in Different Inner Ear Anatomies
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Deep learning for subtype classification of inner ear malformations on temporal bone HRCT: Development and

Xiaoge Li1, Xing Zhao2, Qianyu Hao3

  • 1Senior Department of Otolaryngology Head and Neck Surgery, the Sixth Medical Center of Chinese PLA General Hospital/State Key Laboratory of Hearing and Balance Science/National Clinical Research Center for Otolaryngologic Diseases/Key Laboratory of Hearing Science, Ministry of Education/Beijing Key Laboratory of Hearing Impairment Prevention and Treatment, Beijing 100048, China.

European Journal of Radiology
|July 14, 2026
PubMed

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Summary

A deep learning model accurately classifies inner ear malformations (IEMs) from CT scans, outperforming human experts. This AI tool aids in preoperative risk assessment and surgical planning for IEMs.

Area of Science:

  • Radiology
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Accurate classification of inner ear malformations (IEMs) using temporal bone high-resolution computed tomography (HRCT) is crucial for surgical planning.
  • Expertise in subspecialty radiology is often required for precise IEM diagnosis.

Purpose of the Study:

  • To develop and externally validate a deep learning (DL) model for multiclass diagnosis of IEMs on temporal bone HRCT.
  • To assess the model's performance against otolaryngologists in classifying IEM subtypes.

Main Methods:

  • A weakly supervised DL framework using a Transformer-based multiple instance learning architecture was developed.
  • The model was trained and validated on a multicenter cohort of 9,182 temporal bone HRCT scans (3,161 IEMs, 6,021 normal).
Keywords:
CTClinical decision supportDeep learningInner ear malformationsMulticenter validationMultiple instance learningSubtype classification

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  • Performance was evaluated against senior and junior otolaryngologists, with explainability assessed via attention-based slice ranking and Grad-CAM.
  • Main Results:

    • The DL model achieved high accuracy (93.9%) and macro-F1 score (88.2%) on an independent external test set.
    • The model outperformed both senior (75.7%) and junior (62.9%) otolaryngologists in the reader study.
    • Interpretable outputs, including contributing slices and Grad-CAM heatmaps, were generated by the model.

    Conclusions:

    • The developed weakly supervised DL framework provides accurate and generalizable subtype-level diagnosis of IEMs from temporal bone HRCT.
    • This AI tool can serve as a practical decision-support system for standardized preoperative assessment, especially where subspecialty expertise is limited.