融合多模态数据的AI辅助耳鸣鉴别诊断教学平台构建

    Construction of an AI-assisted teaching platform with multimodal data for tinnitus differential diagnosis

    • 摘要:
      目的: 构建以耳鸣鉴别诊断为应用场景的融合多模态数据的人工智能辅助诊断教学平台,为耳鼻咽喉头颈外科临床教学提供数字化工具。
      方法: 以耳鸣鉴别诊断为核心,整合纯音测听、耳鸣匹配、影像学、病史文本等多模态临床数据,搭建AI辅助诊断教学平台;选取安徽医科大学2021级临床医学专业60名医学生,采用随机数字法分组,均衡2组基线特征,实验组采用该平台开展教学,对照组采用传统“理论讲授 + 病例分析”模式,通过平台性能测试、教学效果考核和问卷调查验证平台应用价值。
      结果: 平台总体响应速度快、稳定性好,AI诊断模型对耳鸣病因的总体诊断准确率达86.22%、灵敏度85.41%、特异度94.56%;实验组耳鸣鉴别诊断实操考核成绩(87.96 ± 3.18分)显著高于对照组(71.07 ± 4.53分)(t = 16.80,P < 0.01),2组理论考核成绩差异无统计学意义(P > 0.05);实验组学员对平台教学的总体满意度达93.3%。
      结论: 构建的平台可有效提升学员对耳鸣多模态数据的解读能力与鉴别诊断水平,为耳鼻咽喉头颈外科数字化教学提供新路径,也为其他专科AI辅助诊断教学平台的构建提供参考。

       

      Abstract:
      Objective To construct an artificial intelligence-assisted diagnosis teaching platform integrating multimodal data with tinnitus differential diagnosis as the application scenario, for providing the digital tools for clinical teaching in otorhinolaryngology head and neck surgery.
      Methods The AI-assisted diagnosis teaching platform was constructed by the differential diagnosis of tinnitus for core and integrating multimodal clinical data such as pure tone audiometry, tinnitus matching, imaging and medical history text. Sixty medical students majoring in clinical medicine of the 2021 grade in Anhui Medical University were selected, and grouped by random number method. The baseline characteristics of two groups were balanced. The experimental group conducted teaching using this platform, while the control group adopted the traditional "theoretical lecture + case analysis" mode. The application value of platform was verified through platform performance tests, teaching effect evaluations and questionnaire surveys.
      Results The platform had a fast overall response speed and good stability. The overall diagnostic accuracy rate of the AI diagnostic model for the causes of tinnitus was 86.22%, the sensitivity was 85.41%, and the specificity was 94.56%. The practical assessment score of tinnitus differential diagnosis in the experimental group (87.96 ± 3.18 points) was significantly higher than that in the control group (71.07 ± 4.53 points) (t = 16.80, P < 0.01), while there was no statistically significant difference in the theoretical assessment scores between two groups (P > 0.05). The overall satisfaction rate of the experimental group with the platform teaching reached 93.3%.
      Conclusions The platform can effectively enhance the trainees' ability to interpret multimodal data of tinnitus and their level of differential diagnosis, provide a new path for digital teaching in otorhinolaryngology head and neck surgery, and also offer a reference for the construction of AI-assisted diagnosis teaching platforms in other specialties.

       

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