{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:50:38Z","timestamp":1787579438405,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T00:00:00Z","timestamp":1604966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R21 DC016972"],"award-info":[{"award-number":["R21 DC016972"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>With the increasing emphasis on developing effective telemedicine approaches in Otolaryngology, this study explored whether a single composite image stitched from a digital otoscopy video provides acceptable diagnostic information to make an accurate diagnosis, as compared with that provided by the full video.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Diagnostic survey analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Five Ear, Nose, and Throat (ENT) physicians reviewed the same set of 78 digital otoscope eardrum videos from four eardrum conditions: normal, effusion, retraction, and tympanosclerosis, along with the composite images generated by a\n                      <jats:italic>SelectStitch<\/jats:italic>\n                      method that selectively uses video frames with computer\u2010assisted selection, as well as a\n                      <jats:italic>Stitch<\/jats:italic>\n                      method that incorporates all the video frames. Participants provided a diagnosis for each item along with a rating of diagnostic confidence. Diagnostic accuracy for each pathology of\n                      <jats:italic>SelectStitch<\/jats:italic>\n                      was compared with accuracy when reviewing the entire video clip and when reviewing the\n                      <jats:italic>Stitch<\/jats:italic>\n                      image.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in diagnostic accuracy for physicians reviewing\n                      <jats:italic>SelectStitch<\/jats:italic>\n                      images and full video clips, but both provided better diagnostic accuracy than\n                      <jats:italic>Stitch<\/jats:italic>\n                      images. The inter\u2010reader agreement was moderate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Equal to using full video clips, composite images of eardrums generated by\n                      <jats:italic>SelectStitch<\/jats:italic>\n                      provided sufficient information for ENTs to make the correct diagnoses for most pathologies. These findings suggest that use of a composite eardrum image may be sufficient for telemedicine approaches to ear diagnosis, eliminating the need for storage and transmission of large video files, along with future applications for improved documentation in electronic medical record systems, patient\/family counseling, and clinical training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      3\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 131:E1668\u2013E1676, 2021\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.29253","type":"journal-article","created":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T17:38:16Z","timestamp":1605029896000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Digital Otoscopy Videos Versus Composite Images: A Reader Study to Compare the Accuracy of\n                    <scp>ENT<\/scp>\n                    Physicians"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2537-8280","authenticated-orcid":false,"given":"Hamidullah","family":"Binol","sequence":"first","affiliation":[{"name":"Center for Biomedical Informatics Wake Forest School of Medicine  Winston\u2010Salem North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Khalid Khan","family":"Niazi","sequence":"additional","affiliation":[{"name":"Center for Biomedical Informatics Wake Forest School of Medicine  Winston\u2010Salem 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