Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants

Objectives: Evaluating middle ear function is essential for interpreting screening results and prioritizing diagnostic referrals for infants with hearing impairments. Wideband Acoustic Immittance (WAI) technology offers a comprehensive approach by utilizing sound stimuli across various frequencies,...

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Main Authors: Shan Peng, Yukun Zhao, Xinyi Yao, Huilin Yin, Bei Ma, Ke Liu, Gang Li, Yang Cao
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Audiology Research
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Online Access:https://www.mdpi.com/2039-4349/15/2/35
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author Shan Peng
Yukun Zhao
Xinyi Yao
Huilin Yin
Bei Ma
Ke Liu
Gang Li
Yang Cao
author_facet Shan Peng
Yukun Zhao
Xinyi Yao
Huilin Yin
Bei Ma
Ke Liu
Gang Li
Yang Cao
author_sort Shan Peng
collection DOAJ
description Objectives: Evaluating middle ear function is essential for interpreting screening results and prioritizing diagnostic referrals for infants with hearing impairments. Wideband Acoustic Immittance (WAI) technology offers a comprehensive approach by utilizing sound stimuli across various frequencies, providing a deeper understanding of ear physiology. However, current clinical practices often restrict WAI data analysis to peak information at specific frequencies, limiting its comprehensiveness. Design: In this study, we developed five machine learning models—feedforward neural network, convolutional neural network, kernel density estimation, random forest, and support vector machine—to extract features from wideband acoustic immittance data collected from newborns aged 2–6 months. These models were trained to predict and assess the normalcy of middle ear function in the samples. Results: The integrated machine learning models achieved an average accuracy exceeding 90% in the test set, with various classification performance metrics (accuracy, precision, recall, F1 score, MCC) surpassing 0.8. Furthermore, we developed a program based on ML models with an interactive GUI interface. The software is available for free download. Conclusions: This study showcases the capability to automatically diagnose middle ear function in infants based on WAI data. While not intended for diagnosing specific pathologies, the approach provides valuable insights to guide follow-up testing and clinical decision-making, supporting the early identification and management of auditory conditions in newborns.
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spelling doaj-art-b1e97f46e8a14bc69404ab448c9fb94f2025-08-20T02:24:43ZengMDPI AGAudiology Research2039-43492025-03-011523510.3390/audiolres15020035Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in InfantsShan Peng0Yukun Zhao1Xinyi Yao2Huilin Yin3Bei Ma4Ke Liu5Gang Li6Yang Cao7Department of Audiology and Speech Language Pathology, Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, ChinaKey Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Wangjiang Road 29, Chengdu 610065, ChinaDepartment of Audiology and Speech Language Pathology, Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, ChinaDepartment of Audiology and Speech Language Pathology, Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, ChinaHealth Examination Center, Sichuan Electric Power Hospital, Chengdu 610011, ChinaKey Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Wangjiang Road 29, Chengdu 610065, ChinaDepartment of Audiology and Speech Language Pathology, Department of Otorhinolaryngology-Head & Neck Surgery, West China Hospital of Sichuan University, Chengdu 610041, ChinaKey Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Wangjiang Road 29, Chengdu 610065, ChinaObjectives: Evaluating middle ear function is essential for interpreting screening results and prioritizing diagnostic referrals for infants with hearing impairments. Wideband Acoustic Immittance (WAI) technology offers a comprehensive approach by utilizing sound stimuli across various frequencies, providing a deeper understanding of ear physiology. However, current clinical practices often restrict WAI data analysis to peak information at specific frequencies, limiting its comprehensiveness. Design: In this study, we developed five machine learning models—feedforward neural network, convolutional neural network, kernel density estimation, random forest, and support vector machine—to extract features from wideband acoustic immittance data collected from newborns aged 2–6 months. These models were trained to predict and assess the normalcy of middle ear function in the samples. Results: The integrated machine learning models achieved an average accuracy exceeding 90% in the test set, with various classification performance metrics (accuracy, precision, recall, F1 score, MCC) surpassing 0.8. Furthermore, we developed a program based on ML models with an interactive GUI interface. The software is available for free download. Conclusions: This study showcases the capability to automatically diagnose middle ear function in infants based on WAI data. While not intended for diagnosing specific pathologies, the approach provides valuable insights to guide follow-up testing and clinical decision-making, supporting the early identification and management of auditory conditions in newborns.https://www.mdpi.com/2039-4349/15/2/35machine learningwideband acoustic immittancemiddle ear functionhearing of infants
spellingShingle Shan Peng
Yukun Zhao
Xinyi Yao
Huilin Yin
Bei Ma
Ke Liu
Gang Li
Yang Cao
Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
Audiology Research
machine learning
wideband acoustic immittance
middle ear function
hearing of infants
title Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
title_full Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
title_fullStr Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
title_full_unstemmed Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
title_short Using Machine Learning for Analysis of Wideband Acoustic Immittance and Assessment of Middle Ear Function in Infants
title_sort using machine learning for analysis of wideband acoustic immittance and assessment of middle ear function in infants
topic machine learning
wideband acoustic immittance
middle ear function
hearing of infants
url https://www.mdpi.com/2039-4349/15/2/35
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