{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T13:33:46Z","timestamp":1770471226678,"version":"3.49.0"},"reference-count":38,"publisher":"Institute of Electrical and Electronics Engineers (IEEE)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"funder":[{"name":"KPJU Research Grant Scheme 2024 funded by KPJ Healthcare University","award":["KPJU\/KPJRC\/GRANT\/2024\/01(CRGS8)"],"award-info":[{"award-number":["KPJU\/KPJRC\/GRANT\/2024\/01(CRGS8)"]}]},{"name":"Postdoctoral Research Scheme under the Centre for Image and Vision Computing (CIVC) and the Centre of Excellence (CoE) for Artificial Intelligence (AI) at Multimedia University (MMU), Malaysia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IEEE Access"],"published-print":{"date-parts":[[2025]]},"DOI":"10.1109\/access.2025.3597769","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T17:44:23Z","timestamp":1754934263000},"page":"151082-151096","source":"Crossref","is-referenced-by-count":2,"title":["Efficient and Interpretable Otoscopic Image Classification via Distilled CNN With Adaptive Channel Attention"],"prefix":"10.1109","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1341-6366","authenticated-orcid":false,"given":"Zaka Ur","family":"Rehman","sequence":"first","affiliation":[{"name":"Centre for Image and Vision Computing, CoE for Artificial Intelligence, Multimedia University, Cyberjaya, Selangor, Malaysia"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5382-6269","authenticated-orcid":false,"given":"Mohammad Faizal Ahmad","family":"Fauzi","sequence":"additional","affiliation":[{"name":"Centre for Image and Vision Computing, CoE for Artificial Intelligence, Multimedia University, Cyberjaya, Selangor, Malaysia"}]},{"given":"Farhana Nur Iman","family":"Lokman","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, KPJ Healthcare University, Nilai, Negeri Sembilan, Malaysia"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4809-6103","authenticated-orcid":false,"given":"Meriem","family":"Touhami","sequence":"additional","affiliation":[{"name":"Faculty of Artificial Intelligence and Engineering, Multimedia University, Cyberjava, Malaysia"}]},{"given":"Lokman","family":"Saim","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, KPJ Healthcare University, Nilai, Negeri Sembilan, Malaysia"}]}],"member":"263","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s43163-024-00581-w"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.27400"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-31921-0"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-024-01159-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.compbiomed.2023.106791"},{"issue":"1","key":"ref6","first-page":"1","article-title":"An ensemble approach for classification of tympanic membrane diseases using deep learning models","volume":"82","author":"Alzahrani","year":"2023","journal-title":"Multimedia Tools Appl."},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3390\/computers13080184"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1109\/TPAMI.2019.2913372"},{"key":"ref9","first-page":"52","article-title":"Review of the use of explainable artificial intelligence (XAI) in medical imaging","volume":"1","author":"Ertanhan","year":"2023","journal-title":"esearchGate Preprint"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29302"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2024.3428700"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7717\/peerj-cs.405"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.0011"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101543"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00521-025-10990-4"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.ebiom.2019.06.050","article-title":"Automated diagnosis of ear disease using ensemble deep learning with a big otoendoscopy image database","volume":"45","author":"Cha","year":"2019","journal-title":"EBioMedicine"},{"issue":"17","key":"ref17","first-page":"3891","article-title":"A web-based deep learning model for automated diagnosis of tympanic membrane pathologies","volume":"10","author":"Lee","year":"2021","journal-title":"J. Clin. Med."},{"issue":"4","key":"ref18","first-page":"173","article-title":"Deep learning attention mechanism in medical image analysis","volume":"1","author":"Zhang","year":"2023","journal-title":"Int. J. Neural Dyn. Intell."},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1109\/ICCV.2017.74"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3390\/app14104124"},{"issue":"1","key":"ref21","first-page":"1292","article-title":"Enhancing brain tumor detection in mri images through explainable deep learning models","volume":"24","author":"Chen","year":"2024","journal-title":"BMC Med. Imag."},{"key":"ref22","article-title":"PACPs-DNN: Predicting anticancer peptides using novel peptide transformation into evolutionary and structure matrix-based images with self-attention deep learning model","volume":"117","author":"Hayat","year":"2025","journal-title":"Comput. Biol. Chem."},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1021\/acsomega.4c11449"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-84146-0"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1093\/bib\/bbaf026"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1021\/acs.jcim.4c01758"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.patcog.2024.110812"},{"key":"ref28","article-title":"Attention U-net: Learning where to look for the pancreas","author":"Oktay","year":"2018","journal-title":"arXiv:1804.03999"},{"key":"ref29","article-title":"What do we need to build explainable AI systems for the medical domain?","author":"Holzinger","year":"2017","journal-title":"arXiv:1712.09923"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.34088\/kojose.1081402"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1109\/JBHI.2022.3159263"},{"issue":"9","key":"ref32","doi-asserted-by":"crossref","first-page":"e1382","DOI":"10.1097\/MAO.0000000000003210","article-title":"A Web-based deep learning model for automated diagnosis of otoscopic images","volume":"42","author":"Tsutsumi","year":"2021","journal-title":"Otol. Neurotol."},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000794"},{"issue":"4","key":"ref34","first-page":"838","article-title":"Machine learning in diagnosing middle ear disorders using tympanic membrane images: A meta-analysis","volume":"132","author":"Crowson","year":"2022","journal-title":"Laryngoscope"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28292"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07632-z"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-31921-0"},{"key":"ref38","doi-asserted-by":"crossref","DOI":"10.1016\/j.artmed.2021.102065","article-title":"EAR-UNet: A deep learning-based approach for segmentation of tympanic membranes from otoscopic images","volume":"115","author":"Pham","year":"2021","journal-title":"Artif. Intell. Med."}],"container-title":["IEEE Access"],"original-title":[],"link":[{"URL":"http:\/\/xplorestaging.ieee.org\/ielx8\/6287639\/10820123\/11122438.pdf?arnumber=11122438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T18:22:59Z","timestamp":1757010179000},"score":1,"resource":{"primary":{"URL":"https:\/\/ieeexplore.ieee.org\/document\/11122438\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":38,"URL":"https:\/\/doi.org\/10.1109\/access.2025.3597769","relation":{},"ISSN":["2169-3536"],"issn-type":[{"value":"2169-3536","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}