{ "id": "AIBD-0264", "title": "FOX AI cochlear-implant fitting matches or beats manual fitting in a 24-patient crossover RCT in Brussels", "summary": "In a Brussels crossover RCT, newly implanted patients fitted with FOX had better speech intelligibility at 3 and 12 months; all manual-arm patients kept the FOX map; 47 experienced users improved.", "date_observed": "2022-12-21", "date_basis": "unassessed", "date_precision": "unassessed", "benefit_status": null, "source_collection": null, "source_entry": null, "account": "Wathour et al. (Ear and Hearing, published online 21 December 2022) ran a one-year randomized crossover trial. It had 24 newly implanted cochlear-implant patients at Cliniques universitaires Saint-Luc, Brussels. It compared manual fitting with the Fitting to Outcome eXpert (FOX). From 3 months the FOX group showed less variability and better speech intelligibility in quiet and noise. Median phoneme scores were 50%, 70% and 50% at 55, 70 and 85 dB SPL versus 45%, 50% and 40%. After crossover, 100% of the manual group kept the FOX map and 82% performed better with it. 63% of the FOX group preferred their manual map for comfort. A companion study (Otology & Neurotology, 18 January 2023) gave 47 experienced users a FOX map. It found median improvements of 10 dB at 6,000 Hz and 10% in phonemic discrimination and speech scores after 15 days of take-home use. Two 2019 case studies from the same group reported improved word recognition with AI suggestions in one of two adults. Otoconsult's site describes FOX as an outcome-based application assisting audiologists and AI-FOX as the successor of a deterministic first-generation tool. P. J. Govaerts co-authored all three papers. Whether any author is affiliated with Otoconsult could not be verified from the records read.", "category": "benefit created", "unexpected": false, "purpose": "Recommend cochlear-implant MAP settings to audiologists from measured auditory outcomes", "system": "FOX (Fitting to Outcome eXpert) / AI-FOX cochlear-implant fitting software", "model_version": "Generation used in the 2022-2023 studies not stated; Otoconsult describes AI-FOX as successor to a deterministic first-generation FOX", "developer": "Otoconsult (per otoconsult.com)", "deployer": "Cliniques universitaires Saint-Luc, Brussels", "location": "Brussels, Belgium", "domain": "Health; hearing", "segment": "Cochlear-implant recipients", "benefit_type": "Improved Accessibility", "taxonomy_note": null, "registry_ids": {}, "ratings": [ { "group": "personal", "depth": 2, "reason": "Better speech intelligibility at 3 and 12 months in newly implanted patients. Median 10% gains in speech scores for experienced users." }, { "group": "organizational", "depth": 1, "reason": "Authors report the FOX approach equivalent or superior in “hearing performance, comfort, and resources”." }, { "group": "societal", "depth": null, "reason": "Single-center studies. No population-level outcome." } ], "ai_role": { "status": "assessed", "statement": "The software proposes MAP settings from measured outcomes. The trials compare it with manual fitting and attribute the measured gains to the FOX maps. All three papers share co-author P. J. Govaerts. The developer's identity is taken from Otoconsult's own site. No record independent of the authors' group is among the sources." }, "evidence": [ { "kind": "peer-reviewed study", "citation": "Wathour J, Govaerts PJ, Derue L, et al. Ear Hear 44(3) (2023)", "title": "Prospective Comparison Between Manual and Computer-Assisted (FOX) Cochlear Implant Fitting in Newly Implanted Patients", "url": "https://doi.org/10.1097/aud.0000000000001314", "date": "2022-12-21", "written_by": "makers", "quote": "the AI-FOX approach was equivalent to or even outperformed the manual approach in hearing performance, comfort, and resources" }, { "kind": "peer-reviewed study", "citation": "Wathour J, Govaerts PJ, Lacroix E, Naima D. Otol Neurotol 44(3) (2023)", "title": "Effect of a CI Programming Fitting Tool with Artificial Intelligence in Experienced Cochlear Implant Patients", "url": "https://doi.org/10.1097/mao.0000000000003810", "date": "2023-01-18", "written_by": "makers", "quote": "The AI-assisted CI mapping model as a potential assistive tool may improve audiological outcomes for experienced CI patients" }, { "kind": "case report", "citation": "Wathour J, Govaerts PJ, Deggouj N. Cochlear Implants Int (2019)", "title": "From manual to artificial intelligence fitting: Two cochlear implant case studies", "url": "https://doi.org/10.1080/14670100.2019.1667574", "date": "2019-09-17", "written_by": "makers", "quote": "For subject 2, the word recognition scores improved at soft and loud intensities with the AI suggestions." }, { "kind": "press release", "citation": "Otoconsult product page", "title": "AI-FOX", "url": "https://www.otoconsult.com/fox", "date": null, "written_by": "makers", "quote": "AI-FOX is an expert system. It is the successor of the first-generation FOX, which was a deterministic tool." } ], "replication": { "produced_by": [ "Outcome measurements (thresholds, loudness scaling, speech scores) fed to the FOX recommender", "Audiologists applying the recommended MAPs" ], "must_hold": [ "Clinicians accept and apply FOX recommendations", "Patients tolerate the map (63% of FOX-arm patients preferred manual maps for comfort)" ], "echoes": [ { "date": "2019-09-17", "setting": "Two adult case studies, same center", "model_version": null, "outcome": "recurred", "source": "https://doi.org/10.1080/14670100.2019.1667574" }, { "date": "2023-01-18", "setting": "47 experienced CI users, same center, 15-day take-home comparison", "model_version": null, "outcome": "recurred", "source": "https://doi.org/10.1097/mao.0000000000003810" } ] }, "paired_incident": null, "headline": "FOX matches or beats manual cochlear-implant fitting in RCT", "metric": "100% of the manual group kept the FOX map and 82% performed better with it", "comparator": null, "later": null, "value": null, "developer_country": "Belgium", "deployer_country": "Belgium", "unrated_because": null, "brief_notes": null, "brief": null, "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "source": null, "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer and the deployer added from the organization's own site or a registry.", "source": "https://www.otoconsult.com/; https://www.saintluc.be/fr/contact", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" }, { "date": "2026-10-21", "change": "Notes about which sources could be read were reworded for readers; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" } ], "confidence": "claimed", "shade": "low", "claim_status": "The makers' claim", "claim_basis": "Sources: two peer-reviewed studies from the makers, the makers' case report and the makers' press release. The cited evidence includes no independent source and no finding by a regulator or court.", "profile": { "case_id": "AIBD-0264", "catalog_version": "1.0.0", "source_fingerprint": "9b7d1293e0fe4b22bb253066405901d889d497590f6ed50bf0b63907f8d46c0b", "collection_refs": [ { "collection_id": "aibd", "version": "snapshot-8bf7cfec9cb185aa" }, { "collection_id": "aibd", "version": "2026-10-25" } ], "source_ids": [ "AIBD-0264-source-0001", "AIBD-0264-source-0002", "AIBD-0264-source-0003", "AIBD-0264-source-0004" ], "families": { "strategic assessments": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "evaluations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "monetary observations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "institutional decisions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] } }, "fields": { "actors[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "developer": "Otoconsult (per otoconsult.com)", "deployer": "Cliniques universitaires Saint-Luc, Brussels" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "developer", "deployer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "actors[].ownership_control": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "ai_contribution": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ai_role": { "status": "assessed", "statement": "The software proposes MAP settings from measured outcomes. 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(Ear and Hearing, published online 21 December 2022) ran a one-year randomized crossover trial. It had 24 newly implanted cochlear-implant patients at Cliniques universitaires Saint-Luc, Brussels. It compared manual fitting with the Fitting to Outcome eXpert (FOX). From 3 months the FOX group showed less variability and better speech intelligibility in quiet and noise. Median phoneme scores were 50%, 70% and 50% at 55, 70 and 85 dB SPL versus 45%, 50% and 40%. After crossover, 100% of the manual group kept the FOX map and 82% performed better with it. 63% of the FOX group preferred their manual map for comfort. A companion study (Otology & Neurotology, 18 January 2023) gave 47 experienced users a FOX map. It found median improvements of 10 dB at 6,000 Hz and 10% in phonemic discrimination and speech scores after 15 days of take-home use. Two 2019 case studies from the same group reported improved word recognition with AI suggestions in one of two adults. Otoconsult's site describes FOX as an outcome-based application assisting audiologists and AI-FOX as the successor of a deterministic first-generation tool. P. J. Govaerts co-authored all three papers. 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