{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T23:41:48Z","timestamp":1793144508201,"version":"4.5.0"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:00:00Z","timestamp":1696204800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123001676_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To compare visual estimation versus ImageJ calculation of tympanic membrane perforation size in the paediatric population between clinicians of different experience.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123001676_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Five images of tympanic membrane perforations in children, captured using an otoendoscope, were selected. The gold standard was the ImageJ results by one consultant otologist. Consultants, registrars and Senior House Officers or equivalent were asked to visually estimate and calculate the perforation size using ImageJ software.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123001676_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The mean difference in variation from gold standard between visual estimation and ImageJ calculation was 12.16 per cent, 95 per cent CI (10.55, 13.78) <jats:italic>p<\/jats:italic> &lt; 0.05, with ImageJ providing a more accurate estimation of perforation. Registrars were significantly more accurate at visual estimation than senior house officers. There was no statistically significant difference in ImageJ results between the different grades.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123001676_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Using ImageJ software is more accurate at estimating tympanic membrane perforation size than visual assessment for all ENT clinicians regardless of experience.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123001676","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T08:59:59Z","timestamp":1696237199000},"page":"388-390","source":"Crossref","is-referenced-by-count":3,"title":["Assessment of tympanic membrane perforation size using ImageJ software by ENT clinicians of different grades"],"prefix":"10.1017","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8726-3564","authenticated-orcid":false,"given":"Bhargavi","family":"Chandrasekar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristijonas","family":"Milinis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Lowe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0442-6781","authenticated-orcid":false,"given":"Sujata","family":"De","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil D","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,10,2]]},"reference":[{"key":"S0022215123001676_ref3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/j.1365-2273.1993.tb00811.x","article-title":"Errors in the assessment of tympanic membrane perforations","volume":"18","author":"Hampal","year":"1993","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"S0022215123001676_ref8","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1017\/S0022215115002303","article-title":"Spontaneous closure of traumatic tympanic membrane perforations: observational study","volume":"129","author":"Jellinge","year":"2015","journal-title":"J Laryngol Otol"},{"key":"S0022215123001676_ref4","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/j.1365-2273.2004.00838.x","article-title":"A computer program to calculate the size of tympanic membrane perforations","volume":"29","author":"Hsu","year":"2004","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"S0022215123001676_ref1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1046\/j.1365-2273.2002.00590.x","article-title":"Myringoplasty: does the size of the perforation matter","volume":"27","author":"Lee","year":"2002","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"S0022215123001676_ref5","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1017\/S0022215108003800","article-title":"Quantitative analysis of tympanic membrane perforation: a simple and reliable method","volume":"123","author":"Ibekwe","year":"2009","journal-title":"J Laryngol Otol"},{"key":"S0022215123001676_ref2","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1097\/MAO.0000000000000767","article-title":"Tympanoplasty for chronic tympanic membrane perforation in children: systematic review and meta-analysis","volume":"36","author":"Hardman","year":"2015","journal-title":"Otol Neurotol"},{"key":"S0022215123001676_ref6","unstructured":"6 Rasband, WS . ImageJ, US National Institutes of Health, Bethesda, Maryland, USA. 1997\u20132018. In: https:\/\/imagej.nih.gov\/ij\/"},{"key":"S0022215123001676_ref7","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1177\/014556130808701009","article-title":"Assessments of the size of tympanic membrane perforations: a comparison of clinical estimations with video-otoscopic calculations","volume":"87","author":"Ibekwe","year":"2008","journal-title":"Ear Nose Throat J"},{"key":"S0022215123001676_ref9","doi-asserted-by":"crossref","first-page":"3160","DOI":"10.1016\/j.pec.2022.06.018","article-title":"Sharing in-office otoendoscopy recordings may improve patient satisfaction: a prospective cohort study","volume":"105","author":"Wong","year":"2022","journal-title":"Patient Educ Couns"},{"key":"S0022215123001676_ref10","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1016\/j.ijporl.2015.10.026","article-title":"Video-otoscopy in children and patient-centered care: a randomized, controlled study","volume":"79","author":"Rimon","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215123001676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T08:32:18Z","timestamp":1710837138000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215123001676\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,2]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["S0022215123001676"],"URL":"https:\/\/doi.org\/10.1017\/s0022215123001676","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,2]]}}}