Machine learning approach for prediction of hearing preservation in vestibular schwannoma surgery

In vestibular schwannoma patients with functional hearing status, surgical resection while preserving the hearing is feasible. Hearing levels, tumor size, and location of the tumor have been known to be candidates of predictors. We used a machine learning approach to predict hearing outcomes in vest...

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Bibliographic Details
Published in:Scientific reports 2020-04, Vol.10 (1), p.7136-7136, Article 7136
Main Authors: Cha, Dongchul, Shin, Seung Ho, Kim, Sung Huhn, Choi, Jae Young, Moon, In Seok
Format: Article
Language:English
Subjects:
692/308/575
692/4028/546
Adult
Algorithms
Female
Hearing
Humanities and Social Sciences
Humans
Learning algorithms
Machine Learning
Male
Medical records
Middle Aged
multidisciplinary
Neural networks
Neurilemmoma - pathology
Patients
Preservation
Schwann cells
Science
Science (multidisciplinary)
Support vector machines
Surgery
Vestibular system
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Summary:In vestibular schwannoma patients with functional hearing status, surgical resection while preserving the hearing is feasible. Hearing levels, tumor size, and location of the tumor have been known to be candidates of predictors. We used a machine learning approach to predict hearing outcomes in vestibular schwannoma patients who underwent hearing preservation surgery: middle cranial fossa, or retrosigmoid approach. After reviewing the medical records of 52 patients with a pathologically confirmed vestibular schwannoma, we included 50 patient’s records in the study. Hearing preservation was regarded as positive if the postoperative hearing was within serviceable hearing (50/50 rule). The categorical variable included the surgical approach, and the continuous variable covered audiometric and vestibular function tests, and the largest diameter of the tumor. Four different algorithms were lined up for comparison of accuracy: support vector machine(SVM), gradient boosting machine(GBM), deep neural network(DNN), and diffuse random forest(DRF). The average accuracy of predicting hearing preservation ranged from 62% (SVM) to 90% (DNN). The current study is the first to incorporate machine learning methodology into a prediction of successful hearing preservation surgery. Although a larger population may be needed for better generalization, this study could aid the surgeon’s decision to perform a hearing preservation approach for vestibular schwannoma surgery.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-64175-1