An Artificial Intelligence Tool for Image Simulation in Rhinoplasty

Author:

Chinsk Hernan12,Lerch Ricardo3,Tournour Damián2,Chinski Luis12,Caruso Diego4

Affiliation:

1. Otolaryngology Center, Buenos Aires, CABA, Argentina

2. Otolaryngology Department, Hospital de Clínicas José de San Martín, University of Buenos Aires, CABA, Argentina

3. Algorithmic Laboratories Artificial Intelligence, Buenos Aires, Argentina

4. Clinical Research Department, Hospital Dr. César Milstein, affiliated with the University of Buenos Aires, Buenos Aires, Argentina

Abstract

AbstractDuring rhinoplasty consultations, surgeons typically create a computer simulation of the expected result. An artificial intelligence model (AIM) can learn a surgeon's style and criteria and generate the simulation automatically. The objective of this study is to determine if an AIM is capable of imitating a surgeon's criteria to generate simulated images of an aesthetic rhinoplasty surgery. This is a cross-sectional survey study of resident and specialist doctors in otolaryngology conducted in the month of November 2019 during a rhinoplasty conference. Sequential images of rhinoplasty simulations created by a surgeon and by an AIM were shown at random. Participants used a seven-point Likert scale to evaluate their level of agreement with the simulation images they were shown, with 1 indicating total disagreement and 7 total agreement. Ninety-seven of 122 doctors agreed to participate in the survey. The median level of agreement between the participant and the surgeon was 6 (interquartile range or IQR 5–7); between the participant and the AIM it was 5 (IQR 4–6), p-value < 0.0001. The evaluators were in total or partial agreement with the results of the AIM's simulation 68.4% of the time (95% confidence interval or CI 64.9–71.7). They were in total or partial agreement with the surgeon's simulation 77.3% of the time (95% CI 74.2–80.3). An AIM can emulate a surgeon's aesthetic criteria to generate a computer-simulated image of rhinoplasty. This can allow patients to have a realistic approximation of the possible results of a rhinoplasty ahead of an in-person consultation. The level of evidence of the study is 4.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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