Laryngoscope Investigative Otolaryngology (Jun 2025)
Machine Learning‐Based Mobile Application for Predicting Posterior Canal Benign Paroxysmal Positional Vertigo
Abstract
ABSTRACT Objective This study investigated the predictability of the Posterior Canal Being Paroxysmal Positional Vertigo (PC‐BPPV) using vertigo/dizziness features and medical history in machine learning. Secondly, this study aimed to develop a mobile application using the model that predicts PC‐BPPV with the highest accuracy rate. Methods This study retrospectively analyzed the medical records of patients who presented to the Audiology and Balance Clinic with complaints of dizziness or vertigo between 04/01/2021 and 09/16/2023. Patients' diagnoses, demographic information, medical history, and dizziness/vertigo characteristics were used in 8 different machine learning models. A mobile application was developed with the model with the highest accuracy. Results The study included data from 280 patients. Age, symptom onset time, duration of symptoms, dizziness type, triggering factors, and auditory symptom status were the distinguishing factors for PC‐BPPV. Using these features, the Random Forest algorithm predicted PC‐BPPV with 96.43% accuracy. The accuracy rates of other algorithms were between 89.28% and 94.64%. Conclusion Dizziness/vertigo characteristics and medical history can be effectively utilized in machine learning to predict BPPV with high accuracy. The mobile application developed using this algorithm underscores the potential of artificial intelligence platforms to contribute to vestibular science in the telemedicine field. Level of Evidence Level 2.
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