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Volume 12
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10.3390/app12199583
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Article

Ultrasound and Magnetic Resonance Imaging of the Tongue in Obstructive Sleep Apnoea

by
Viktória Molnár
1,*,
Zoltán Lakner
2,
András Molnár
1,
Dávid László Tárnoki
3,
Ádám Domonkos Tárnoki
3,
László Kunos
4,
Zsófia Jokkel
3 and
László Tamás
1,5
1
Department of Otolaryngology and Head and Neck Surgery, Semmelweis University, 1083 Budapest, Hungary
2
Szent István Campus, Hungarian University of Agriculture and Life Sciences, 2100 Gödöllő, Hungary
3
Medical Imaging Centre, Semmelweis University, 1082 Budapest, Hungary
4
Pest County Pulmonology Hospital, Munkácsy Mihály Str. 70, 2045 Törökbálint, Hungary
5
Department of Voice, Speech and Swallowing Therapy, Faculty of Health Sciences, Semmelweis University, 1088 Budapest, Hungary
*
Author to whom correspondence should be addressed.
Appl. Sci. 2022, 12(19), 9583; https://doi.org/10.3390/app12199583
Submission received: 29 August 2022 / Revised: 16 September 2022 / Accepted: 17 September 2022 / Published: 24 September 2022
(This article belongs to the Section Applied Biosciences and Bioengineering)
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Abstract

To examine the geometrical parameters of the tongue in obstructive sleep apnoea (OSA) based on sex, age and BMI parameters and ultrasound (US) and MRI. The presence of OSA and tongue-based obstruction can be predicted using these parameters. Of 100 patients, 64% were diagnosed with OSA according to overnight polysomnography. MRI and US devices were used to measure tongue parameters. The location of the obstruction was identified using drug-induced sleep endoscopy. Statistical analysis was performed using the quadratic discriminant analysis. Men presented higher tongue volumes and axial diameter during Müller’s maneuver (MM) of US and coronal diameter of the MRI. In women, all examined MRI parameters were significantly correlated with apnoea-hypopnea index (AHI). A stronger correlation between BMI and AHI parameters was observed in women than in men. Using our algorithm, which includes tongue parameters and anthropometric values, the presence of OSA could be predicted in 91% with US and 82% with MRI. The detection of tongue-based obstruction was successful in 89% using US and 87% using MRI, whereas tongue-based obstruction was successful in 70% using US. Using MRI and US of the tongue combined with basic anthropometric parameters, the presence of OSA and tongue-based obstruction can be identified with high precision.
Keywords: artificial intelligence; drug-induced sleep endoscopy; MRI; obstructive sleep apnoea; tongue; ultrasound; machine learning artificial intelligence; drug-induced sleep endoscopy; MRI; obstructive sleep apnoea; tongue; ultrasound; machine learning

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MDPI and ACS Style

Molnár, V.; Lakner, Z.; Molnár, A.; Tárnoki, D.L.; Tárnoki, Á.D.; Kunos, L.; Jokkel, Z.; Tamás, L. Ultrasound and Magnetic Resonance Imaging of the Tongue in Obstructive Sleep Apnoea. Appl. Sci. 2022, 12, 9583. https://doi.org/10.3390/app12199583

AMA Style

Molnár V, Lakner Z, Molnár A, Tárnoki DL, Tárnoki ÁD, Kunos L, Jokkel Z, Tamás L. Ultrasound and Magnetic Resonance Imaging of the Tongue in Obstructive Sleep Apnoea. Applied Sciences. 2022; 12(19):9583. https://doi.org/10.3390/app12199583

Chicago/Turabian Style

Molnár, Viktória, Zoltán Lakner, András Molnár, Dávid László Tárnoki, Ádám Domonkos Tárnoki, László Kunos, Zsófia Jokkel, and László Tamás. 2022. "Ultrasound and Magnetic Resonance Imaging of the Tongue in Obstructive Sleep Apnoea" Applied Sciences 12, no. 19: 9583. https://doi.org/10.3390/app12199583

APA Style

Molnár, V., Lakner, Z., Molnár, A., Tárnoki, D. L., Tárnoki, Á. D., Kunos, L., Jokkel, Z., & Tamás, L. (2022). Ultrasound and Magnetic Resonance Imaging of the Tongue in Obstructive Sleep Apnoea. Applied Sciences, 12(19), 9583. https://doi.org/10.3390/app12199583

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