Preprint Communication Version 1 Preserved in Portico This version is not peer-reviewed

Reinforcement Learning Based Vocal Fold Localization in Preoperative Neck CT for Injection Laryngoplasty

Version 1 : Received: 7 November 2022 / Approved: 14 November 2022 / Online: 14 November 2022 (04:16:28 CET)

A peer-reviewed article of this Preprint also exists.

Abdullah Al, W.; Cha, W.; Yun, I.D. Reinforcement Learning Based Vocal Fold Localization in Preoperative Neck CT for Injection Laryngoplasty. Appl. Sci. 2023, 13, 262. Abdullah Al, W.; Cha, W.; Yun, I.D. Reinforcement Learning Based Vocal Fold Localization in Preoperative Neck CT for Injection Laryngoplasty. Appl. Sci. 2023, 13, 262.

Abstract

Transcutaneous injection laryngoplasty is a well-known procedure for treating paralyzed vocal fold by injecting augmentation material into it. Hence, vocal fold localization plays a vital role in the preoperative planning as the fold location is required to determine the optimal injection route. In this communication, we propose a mirror environment based reinforcement learning (RL) algorithm for localizing the right and left vocal folds in preoperative neck CT. RL-based methods commonly showed noteworthy outcome in general anatomic landmark localization problem in the recent years. However, such methods suggest training individual agent for localizing each fold, though the right and left vocal folds are located in close proximity and have high feature-similarity. Utilizing the lateral symmetry between the right and left vocal folds, the proposed mirror environment allows for a single agent for localizing both the folds by treating the left fold as a flipped version of the right fold. Thus, localization of both folds can be trained using a single training session which utilizes the inter-fold correlation and avoids redundant feature learning. Experiment with 120 CT volumes showed improved localization performance and training efficiency of the proposed method compared with the standard RL method.

Keywords

injection laryngoplasty; neck CT; vocal fold localization; deep learning; reinforcement learning; mirror environment

Subject

Computer Science and Mathematics, Artificial Intelligence and Machine Learning

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