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Erschienen in: Oral Radiology 3/2022

05.10.2021 | Original Article

Diagnostic charting of panoramic radiography using deep-learning artificial intelligence system

verfasst von: Melike Başaran, Özer Çelik, Ibrahim Sevki Bayrakdar, Elif Bilgir, Kaan Orhan, Alper Odabaş, Ahmet Faruk Aslan, Rohan Jagtap

Erschienen in: Oral Radiology | Ausgabe 3/2022

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Abstract

Objectives

The goal of this study was to develop and evaluate the performance of a new deep-learning (DL) artificial intelligence (AI) model for diagnostic charting in panoramic radiography.

Methods

One thousand eighty-four anonymous dental panoramic radiographs were labeled by two dento-maxillofacial radiologists for ten different dental situations: crown, pontic, root-canal treated tooth, implant, implant-supported crown, impacted tooth, residual root, filling, caries, and dental calculus. AI Model CranioCatch, developed in Eskişehir, Turkey and based on a deep CNN method, was proposed to be evaluated. A Faster R-CNN Inception v2 (COCO) model implemented with the TensorFlow library was used for model development. The assessment of AI model performance was evaluated with sensitivity, precision, and F1 scores.

Results

When the performance of the proposed AI model for detecting dental conditions in panoramic radiographs was evaluated, the best sensitivity values were obtained from the crown, implant, and impacted tooth as 0.9674, 0.9615, and 0.9658, respectively. The worst sensitivity values were obtained from the pontic, caries, and dental calculus, as 0.7738, 0.3026, and 0.0934, respectively. The best precision values were obtained from pontic, implant, implant-supported crown as 0.8783, 0.9259, and 0.8947, respectively. The worst precision values were obtained from residual root, caries, and dental calculus, as 0.6764, 0.5096, and 0.1923, respectively. The most successful F1 Scores were obtained from the implant, crown, and implant-supported crown, as 0.9433, 0.9122, and 0.8947, respectively.

Conclusion

The proposed AI model has promising results at detecting dental conditions in panoramic radiographs, except for caries and dental calculus. Thanks to the improvement of AI models in all areas of dental radiology, we predict that they will help physicians in panoramic diagnosis and treatment planning, as well as digital-based student education, especially during the pandemic period.
Literatur
1.
Zurück zum Zitat Fukuda M, Inamoto K, Shibata N, Ariji Y, Yanashita Y, Kutsuna S, Nakata K, Katsumata A, Fujita H, Ariji E. Evaluation of an artificial intelligence system for detecting vertical root fracture on panoramic radiography. Oral Radiol. 2020;36(4):337–43.CrossRef Fukuda M, Inamoto K, Shibata N, Ariji Y, Yanashita Y, Kutsuna S, Nakata K, Katsumata A, Fujita H, Ariji E. Evaluation of an artificial intelligence system for detecting vertical root fracture on panoramic radiography. Oral Radiol. 2020;36(4):337–43.CrossRef
2.
Zurück zum Zitat Stuart C, White P, Michael J. Oral radiology: principles and interpretation. Mosby. India: Elsevier; 2014. Stuart C, White P, Michael J. Oral radiology: principles and interpretation. Mosby. India: Elsevier; 2014.
3.
Zurück zum Zitat Perschbacher S. Interpretation of panoramic radiographs. Aust Dent J. 2012;57Suppl1:40–5.CrossRef Perschbacher S. Interpretation of panoramic radiographs. Aust Dent J. 2012;57Suppl1:40–5.CrossRef
4.
Zurück zum Zitat European Society of Radiology (ESR). What the radiologist should know about artificial intelligence—an ESR white paper. Insights Imaging. 2019;10(1):44.CrossRef European Society of Radiology (ESR). What the radiologist should know about artificial intelligence—an ESR white paper. Insights Imaging. 2019;10(1):44.CrossRef
5.
Zurück zum Zitat Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, Fujita H, Ariji E. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dentomaxillofac Radiol. 2019;48(3):20180218.CrossRef Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, Fujita H, Ariji E. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dentomaxillofac Radiol. 2019;48(3):20180218.CrossRef
6.
Zurück zum Zitat Ariji Y, Yanashita Y, Kutsuna S, Muramatsu C, Fukuda M, Kise Y, Nozawa M, Kuwada C, Fujita H, Katsumata A, Ariji E. Automatic detection and classification of radiolucent lesions in the mandible on panoramic radiographs using a deep learning object detection technique. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(4):424–30.CrossRef Ariji Y, Yanashita Y, Kutsuna S, Muramatsu C, Fukuda M, Kise Y, Nozawa M, Kuwada C, Fujita H, Katsumata A, Ariji E. Automatic detection and classification of radiolucent lesions in the mandible on panoramic radiographs using a deep learning object detection technique. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(4):424–30.CrossRef
7.
Zurück zum Zitat Hung K, Montalvao C, Tanaka R, Kawai T, Bornstein MM. The use and performance of artificial intelligence applications in dental and maxillofacial radiology: a systematic review. Dentomaxillofac Radiol. 2020;49(1):20190107.CrossRef Hung K, Montalvao C, Tanaka R, Kawai T, Bornstein MM. The use and performance of artificial intelligence applications in dental and maxillofacial radiology: a systematic review. Dentomaxillofac Radiol. 2020;49(1):20190107.CrossRef
8.
Zurück zum Zitat Tuzoff DV, Tuzova LN, Bornstein MM, Krasnov AS, Kharchenko MA, Nikolenko SI, Sveshnikov MM, Bednenko GB. Tooth detection and numbering in panoramic radiographs using convolutional neural networks. Dentomaxillofac Radiol. 2019;48(4):20180051.CrossRef Tuzoff DV, Tuzova LN, Bornstein MM, Krasnov AS, Kharchenko MA, Nikolenko SI, Sveshnikov MM, Bednenko GB. Tooth detection and numbering in panoramic radiographs using convolutional neural networks. Dentomaxillofac Radiol. 2019;48(4):20180051.CrossRef
9.
Zurück zum Zitat Lee JH, Kim DH, Jeong SN, Choi SH. Detection and diagnosis of dental caries using a deep learning-based convolutional neural network algorithm. J Dent. 2018;77:106–11.CrossRef Lee JH, Kim DH, Jeong SN, Choi SH. Detection and diagnosis of dental caries using a deep learning-based convolutional neural network algorithm. J Dent. 2018;77:106–11.CrossRef
10.
Zurück zum Zitat Sen D, Chakrabarti R, Chatterjee S, Grewal DS, Manrai K. Artificial intelligence and the radiologist: the future in the Armed Forces Medical Services. BMJ Mil Health. 2020;166(4):254–6.CrossRef Sen D, Chakrabarti R, Chatterjee S, Grewal DS, Manrai K. Artificial intelligence and the radiologist: the future in the Armed Forces Medical Services. BMJ Mil Health. 2020;166(4):254–6.CrossRef
12.
Zurück zum Zitat Pesapane F, Codari M, Sardanelli F. Artificial intelligence in medical imaging: threat or opportunity? Radiologists again at the forefront of innovation in medicine. Eur Radiol Exp. 2018;2(1):35.CrossRef Pesapane F, Codari M, Sardanelli F. Artificial intelligence in medical imaging: threat or opportunity? Radiologists again at the forefront of innovation in medicine. Eur Radiol Exp. 2018;2(1):35.CrossRef
13.
Zurück zum Zitat Langlotz CP (2019) Will artificial intelligence replace radiologists? Radiological Society of North America, Radiology: artificial intelligence 1(3):e190058. Langlotz CP (2019) Will artificial intelligence replace radiologists? Radiological Society of North America, Radiology: artificial intelligence 1(3):e190058.
14.
Zurück zum Zitat Nagi R, Aravinda K, Rakesh N, Gupta R, Pal A, Mann AK. Clinical applications and performance of intelligent systems in dental and maxillofacial radiology: a review. Imaging Sci Dent. 2020;50(2):81–92.CrossRef Nagi R, Aravinda K, Rakesh N, Gupta R, Pal A, Mann AK. Clinical applications and performance of intelligent systems in dental and maxillofacial radiology: a review. Imaging Sci Dent. 2020;50(2):81–92.CrossRef
15.
Zurück zum Zitat Abdalla-Aslan R, Yeshua T, Kabla D, Leichter I, Nadler C. An artificial intelligence system using machine-learning for automatic detection and classification of dental restorations in panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(5):593–602.CrossRef Abdalla-Aslan R, Yeshua T, Kabla D, Leichter I, Nadler C. An artificial intelligence system using machine-learning for automatic detection and classification of dental restorations in panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(5):593–602.CrossRef
16.
Zurück zum Zitat Miki Y, Muramatsu C, Hayashi T, Zhou X, Hara T, Katsumata A, Fujita H. Classification of teeth in cone-beam CT using deep convolutional neural network. Comput Biol Med. 2017;80:24–9.CrossRef Miki Y, Muramatsu C, Hayashi T, Zhou X, Hara T, Katsumata A, Fujita H. Classification of teeth in cone-beam CT using deep convolutional neural network. Comput Biol Med. 2017;80:24–9.CrossRef
17.
Zurück zum Zitat Chen H, Zhang K, Lyu P, Li H, Zhang L, Wu J, Lee CH. A deep learning approach to automatic teeth detection and numbering based on object detection in dental periapical films. Sci Rep. 2019;9(1):3840.CrossRef Chen H, Zhang K, Lyu P, Li H, Zhang L, Wu J, Lee CH. A deep learning approach to automatic teeth detection and numbering based on object detection in dental periapical films. Sci Rep. 2019;9(1):3840.CrossRef
18.
Zurück zum Zitat Kuang W, Ye W. A kernel-modified SVM based computeraided diagnosis system in initial caries. In: IITA‘08 Proceedings of the Second International Symposium on Intelligent Information Technology Application, IEEE, Shanghai, China. 2008. p. 20–22. Kuang W, Ye W. A kernel-modified SVM based computeraided diagnosis system in initial caries. In: IITA‘08 Proceedings of the Second International Symposium on Intelligent Information Technology Application, IEEE, Shanghai, China. 2008. p. 20–22.
19.
Zurück zum Zitat Devito KL, de Souza BF, Felippe Filho WN. An artificial multilayer perceptron neural network for diagnosis of proximal dental caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):879–84.CrossRef Devito KL, de Souza BF, Felippe Filho WN. An artificial multilayer perceptron neural network for diagnosis of proximal dental caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):879–84.CrossRef
20.
Zurück zum Zitat Takahashi T, Nozaki K, Gonda T, Mameno T, Wada M, Ikebe K. Identification of dental implants using deep learning-pilot study. Int J Implant Dent. 2020;6(1):53.CrossRef Takahashi T, Nozaki K, Gonda T, Mameno T, Wada M, Ikebe K. Identification of dental implants using deep learning-pilot study. Int J Implant Dent. 2020;6(1):53.CrossRef
21.
Zurück zum Zitat Lin P, Lai Y, Huang PJPR. An effective classification and numbering system for dental bitewing radiographs using teeth region and contour information. Pattern Recognit. 2010;43(4):1380–92.CrossRef Lin P, Lai Y, Huang PJPR. An effective classification and numbering system for dental bitewing radiographs using teeth region and contour information. Pattern Recognit. 2010;43(4):1380–92.CrossRef
22.
Zurück zum Zitat Poedjiastoeti W, Suebnukarn S. Application of convolutional neural network in the diagnosis of jaw tumors. Healthc Inform Res. 2018;24(3):236–41.CrossRef Poedjiastoeti W, Suebnukarn S. Application of convolutional neural network in the diagnosis of jaw tumors. Healthc Inform Res. 2018;24(3):236–41.CrossRef
23.
Zurück zum Zitat Ekert T, Krois J, Meinhold L, Elhennawy K, Emara R, Golla T, Schwendicke F. Deep learning for the radiographic detection of apical lesions. J Endod. 2019;45(7):917-922.e5.CrossRef Ekert T, Krois J, Meinhold L, Elhennawy K, Emara R, Golla T, Schwendicke F. Deep learning for the radiographic detection of apical lesions. J Endod. 2019;45(7):917-922.e5.CrossRef
25.
Zurück zum Zitat Kuwada C, Ariji Y, Fukuda M, Kise Y, Fujita H, Katsumata A, Ariji E. Deep learning systems for detecting and classifying the presence of impacted supernumerary teeth in the maxillary incisor region on panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(4):464–9.CrossRef Kuwada C, Ariji Y, Fukuda M, Kise Y, Fujita H, Katsumata A, Ariji E. Deep learning systems for detecting and classifying the presence of impacted supernumerary teeth in the maxillary incisor region on panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(4):464–9.CrossRef
26.
Zurück zum Zitat Orhan K, Bilgir E, Bayrakdar IS, Ezhov M, Gusarev M, Shumilov E. Evaluation of artificial intelligence for detecting impacted third molars on cone-beam computed tomography scans. J Stomatol Oral Maxillofac Surg. 2020;S2468–7855(20):30303–7. Orhan K, Bilgir E, Bayrakdar IS, Ezhov M, Gusarev M, Shumilov E. Evaluation of artificial intelligence for detecting impacted third molars on cone-beam computed tomography scans. J Stomatol Oral Maxillofac Surg. 2020;S2468–7855(20):30303–7.
Metadaten
Titel
Diagnostic charting of panoramic radiography using deep-learning artificial intelligence system
verfasst von
Melike Başaran
Özer Çelik
Ibrahim Sevki Bayrakdar
Elif Bilgir
Kaan Orhan
Alper Odabaş
Ahmet Faruk Aslan
Rohan Jagtap
Publikationsdatum
05.10.2021
Verlag
Springer Nature Singapore
Erschienen in
Oral Radiology / Ausgabe 3/2022
Print ISSN: 0911-6028
Elektronische ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-021-00572-0

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