Airway management

Deep‐learning model associating lateral cervical radiographic features with Cormack–Lehane grade 3 or 4 glottic view

AnaesthesiaPublished Diagnostic accuracy study

Authors' conclusion

Radiographic features around the hyoid bone, pharynx and cervical spine were associated with grade 3 and 4 glottic views.

Study context

Population
Thyroid surgery patients; prediction of Cormack-Lehane grade 3 or 4 direct laryngoscopy views253 (4%) grade 3 or 4
Participants
5,939 patients
Comparison
New convolutional neural network model vs six similar models
Outcome
Brier score for prediction of Cormack-Lehane grade 3 or 4 glottic view
Methodological detailsdeep-learning model development, single-centre, 10 randomly sampled datasets used to train the model
  • Deep-learning model development
  • Single-centre
  • 10 randomly sampled datasets used to train the model

Performance

As reported in the abstract

Brier score (95%CI; lower = better)

New model

0.023

95% CI 0.021–0.025

VGG

0.034

95% CI 0.034–0.035

ResNet

0.033

95% CI 0.033–0.035

Xception

0.032

95% CI 0.031–0.033

ResNext

0.033

95% CI 0.032–0.033

DenseNet

0.030

95% CI 0.029–0.032

SENet

0.031

95% CI 0.029–0.032

New model lower than each other model
all p < 0.001

Further findings

OutcomeValues
Performance of the new modelNew model R2 0.428 (0.388-0.468) · mean squared error 0.023 (0.021-0.025) · mean absolute error 0.048 (0.046-0.049) · balanced accuracy 0.713 (0.684-0.742) · AUC 0.965 (0.962-0.969)
  • Performance of the new model: mean (95%CI)

Original publication

Deep‐learning model associating lateral cervical radiographic features with Cormack–Lehane grade 3 or 4 glottic view. Anaesthesia. Published 5 October 2022. doi:10.1111/anae.15874

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