{"id":"https://openalex.org/W3012103507","doi":"https://doi.org/10.1117/12.2549394","title":"Decision fusion on image analysis and tympanometry to detect eardrum abnormalities","display_name":"Decision fusion on image analysis and tympanometry to detect eardrum abnormalities","publication_year":2020,"publication_date":"2020-03-16","ids":{"openalex":"https://openalex.org/W3012103507","doi":"https://doi.org/10.1117/12.2549394","mag":"3012103507"},"language":"en","primary_location":{"id":"doi:10.1117/12.2549394","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2549394","pdf_url":null,"source":{"id":"https://openalex.org/S4306519512","display_name":"Medical Imaging 2020: Computer-Aided Diagnosis","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2020: Computer-Aided Diagnosis","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080655513","display_name":"Hamidullah Binol","orcid":"https://orcid.org/0000-0003-2537-8280"},"institutions":[{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Hamidullah Binol","raw_affiliation_strings":["Wake Forest School of Medicine (United States)"],"affiliations":[{"raw_affiliation_string":"Wake Forest School of Medicine (United States)","institution_ids":["https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028601109","display_name":"Aaron C. Moberly","orcid":"https://orcid.org/0000-0001-9022-6916"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aaron C. Moberly","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034159054","display_name":"Muhammad Khalid Khan Niazi","orcid":"https://orcid.org/0000-0002-1278-7512"},"institutions":[{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. Khalid Khan Niazi","raw_affiliation_strings":["Wake Forest School of Medicine (United States)"],"affiliations":[{"raw_affiliation_string":"Wake Forest School of Medicine (United States)","institution_ids":["https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000654195","display_name":"Garth Essig","orcid":"https://orcid.org/0000-0002-6786-6576"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Garth Essig","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103177938","display_name":"Jay Shah","orcid":"https://orcid.org/0000-0002-9965-0913"},"institutions":[{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jay Shah","raw_affiliation_strings":["Case Western Reserve Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"Case Western Reserve Univ. (United States)","institution_ids":["https://openalex.org/I58956616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088897592","display_name":"Charles Elmaraghy","orcid":"https://orcid.org/0000-0002-1890-2876"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charles Elmaraghy","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112408130","display_name":"Theodoros N. Teknos","orcid":null},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Theodoros Teknos","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081325354","display_name":"Nazhat Taj\u2010Schaal","orcid":null},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nazhat Taj-Schaal","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048499133","display_name":"Lianbo Yu","orcid":"https://orcid.org/0000-0002-2025-2585"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lianbo Yu","raw_affiliation_strings":["The Ohio State Univ. (United States)"],"affiliations":[{"raw_affiliation_string":"The Ohio State Univ. (United States)","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077316017","display_name":"Metin N. G\u00fcrcan","orcid":"https://orcid.org/0000-0002-2421-8229"},"institutions":[{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Metin N. Gurcan","raw_affiliation_strings":["Wake Forest School of Medicine (United States)"],"affiliations":[{"raw_affiliation_string":"Wake Forest School of Medicine (United States)","institution_ids":["https://openalex.org/I47251452"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5080655513"],"corresponding_institution_ids":["https://openalex.org/I47251452"],"apc_list":null,"apc_paid":null,"fwci":2.9487,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.92703376,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":99},"biblio":{"volume":null,"issue":null,"first_page":"54","last_page":"54"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14326","display_name":"Ear and Head Tumors","score":0.9876000285148621,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10860","display_name":"Speech and Audio Processing","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/1711","display_name":"Signal Processing"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tympanometry","display_name":"Tympanometry","score":0.9483267664909363},{"id":"https://openalex.org/keywords/decision-tree","display_name":"Decision tree","score":0.4960730969905853},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3961211144924164},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.37983769178390503},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.37370193004608154},{"id":"https://openalex.org/keywords/audiology","display_name":"Audiology","score":0.2696436643600464},{"id":"https://openalex.org/keywords/hearing-loss","display_name":"Hearing loss","score":0.1264721155166626},{"id":"https://openalex.org/keywords/audiometry","display_name":"Audiometry","score":0.08715483546257019}],"concepts":[{"id":"https://openalex.org/C2780283655","wikidata":"https://www.wikidata.org/wiki/Q1671504","display_name":"Tympanometry","level":4,"score":0.9483267664909363},{"id":"https://openalex.org/C84525736","wikidata":"https://www.wikidata.org/wiki/Q831366","display_name":"Decision tree","level":2,"score":0.4960730969905853},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3961211144924164},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.37983769178390503},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.37370193004608154},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.2696436643600464},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.1264721155166626},{"id":"https://openalex.org/C2780554537","wikidata":"https://www.wikidata.org/wiki/Q758881","display_name":"Audiometry","level":3,"score":0.08715483546257019}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1117/12.2549394","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2549394","pdf_url":null,"source":{"id":"https://openalex.org/S4306519512","display_name":"Medical Imaging 2020: Computer-Aided Diagnosis","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2020: Computer-Aided Diagnosis","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.4099999964237213,"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W2419101827","https://openalex.org/W4389568370","https://openalex.org/W2092986129","https://openalex.org/W3032375762","https://openalex.org/W2368252113","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W2380853339"],"abstract_inverted_index":{"Ear":[0],"diseases":[1,29],"are":[2,208],"frequently":[3],"occurring":[4],"conditions":[5],"affecting":[6],"the":[7,10,35,60,63,87,105,129,133,173,180,186,199,206,211,218,227,237,243,250,255],"majority":[8,166],"of":[9,24,34,46,62,89,95,132,159,214,221,245,271,282],"pediatric":[11],"population,":[12],"potentially":[13],"resulting":[14],"in":[15,26,196],"hearing":[16],"loss":[17],"and":[18,54,80,192,224,260,279],"communication":[19],"disabilities.":[20],"The":[21,202],"current":[22],"standard":[23],"care":[25],"diagnosing":[27],"ear":[28],"includes":[30],"a":[31,40,44,68,110,122,138,165],"visual":[32,50],"examination":[33,51],"tympanic":[36],"membrane":[37],"(TM)":[38],"by":[39,137],"medical":[41],"expert":[42],"with":[43,100],"range":[45,131],"available":[47],"otoscopes.":[48],"However,":[49],"is":[52,249],"subjective":[53],"depends":[55],"on":[56,125],"various":[57],"factors,":[58],"including":[59],"experience":[61],"expert.":[64],"This":[65],"work":[66],"proposes":[67],"decision":[69,124,168,182,233],"fusion":[70,169,183,234],"mechanism":[71],"to":[72,145,171,198,240,253],"combine":[73],"predictions":[74,156],"obtained":[75],"from":[76,150,157,257,268],"digital":[77,101,258],"otoscopy":[78,102,259],"images":[79,148],"biophysical":[81],"measurements":[82],"(obtained":[83],"through":[84],"tympanometry)":[85],"for":[86,210,217,226,277],"detection":[88],"eardrum":[90],"abnormalities.":[91,284],"Our":[92],"database":[93],"consisted":[94],"73":[96],"tympanometry":[97,106,117,126,222],"records":[98],"along":[99],"videos.":[103],"For":[104],"aspect,":[107],"we":[108,120,142,163],"trained":[109],"random":[111],"forest":[112],"classifier":[113],"(RF)":[114],"using":[115,128],"raw":[116],"attributes.":[118],"Additionally,":[119],"mimicked":[121],"clinician\u2019s":[123],"findings":[127],"normal":[130],"tympanogram":[134],"values":[135],"provided":[136],"clinical":[139,212],"guide.":[140],"Moreover,":[141],"re-trained":[143],"Inception-ResNet-v2":[144],"classify":[146],"TM":[147,228],"selected":[149],"each":[151,158],"otoscopic":[152],"video.":[153],"After":[154],"obtaining":[155],"three":[160],"different":[161,269],"sources,":[162],"performed":[164],"voting-based":[167],"technique":[170],"reach":[172],"final":[174],"decision.":[175],"Experimental":[176],"results":[177,203,263],"show":[178],"that":[179,205,265],"proposed":[181],"method":[184],"improved":[185],"classification":[187,238],"accuracy,":[188],"positive":[189],"predictive":[190,194],"value,":[191],"negative":[193],"value":[195],"comparison":[197],"single":[200],"classifiers.":[201],"revealed":[204],"accuracies":[207],"64.4%":[209],"evaluations":[213],"tympanometry,":[215],"76.7%":[216],"computerized":[219,280],"analysis":[220,230],"data,":[223],"74.0%":[225],"image":[229],"while":[231],"our":[232,246],"methodology":[235],"increases":[236],"accuracy":[239],"84.9%.":[241],"To":[242],"best":[244],"knowledge,":[247],"this":[248],"first":[251],"study":[252],"fuse":[254],"data":[256],"tympanometry.":[261],"Preliminary":[262],"suggest":[264],"fusing":[266],"information":[267,276],"sources":[270],"sensors":[272],"may":[273],"provide":[274],"complementary":[275],"accurate":[278],"diagnosis":[281],"TM-related":[283]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":4}],"updated_date":"2026-04-04T16:13:02.066488","created_date":"2025-10-10T00:00:00"}
