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Kirnbauer, B; Hadzic, A; Jakse, N; Bischof, H; Stern, D.
Automatic Detection of Periapical Osteolytic Lesions on Cone-beam Computed Tomography Using Deep Convolutional Neuronal Networks.
J Endod. 2022; 48(11):1434-1440
Doi: 10.1016/j.joen.2022.07.013
Web of Science
PubMed
FullText
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- Führende Autor*innen der Med Uni Graz
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Kirnbauer Barbara
- Co-Autor*innen der Med Uni Graz
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Hadzic Arnela
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Jakse Norbert
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Stern Darko
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- Abstract:
- INTRODUCTION: Cone-beam computed tomography (CBCT) is an essential diagnostic tool in oral radiology. Radiolucent periapical lesions (PALs) represent the most frequent jaw lesions. However, the description, interpretation, and documentation of radiological findings, especially incidental findings, are time-consuming and resource-intensive, requiring a high degree of expertise. To improve quality, dentists may use artificial intelligence in the form of deep learning tools. This study was conducted to develop and validate a deep convolutional neuronal network for the automated detection of osteolytic PALs in CBCT data sets. METHODS: CBCT data sets from routine clinical operations (maxilla, mandible, or both) performed from January to October 2020 were retrospectively screened and selected. A 2-step approach was used for automatic PAL detection. First, tooth localization and identification were performed using the SpatialConfiguration-Net based on heatmap regression. Second, binary segmentation of lesions was performed using a modified U-Net architecture. A total of 144 CBCT images were used to train and test the networks. The method was evaluated using the 4-fold cross-validation technique. RESULTS: The success detection rate of the tooth localization network ranged between 72.6% and 97.3%, whereas the sensitivity and specificity values of lesion detection were 97.1% and 88.0%, respectively. CONCLUSIONS: Although PALs showed variations in appearance, size, and shape in the CBCT data set and a high imbalance existed between teeth with and without PALs, the proposed fully automated method provided excellent results compared with related literature.
- Find related publications in this database (using NLM MeSH Indexing)
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Artificial Intelligence - administration & dosage
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Cone-Beam Computed Tomography - methods
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Mandible - administration & dosage
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Neural Networks, Computer - administration & dosage
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Retrospective Studies - administration & dosage
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Periapical Diseases - diagnostic imaging
- Find related publications in this database (Keywords)
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Artificial intelligence
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deep learning/machine learning
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digital imaging/radiology
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inflammation
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oral diagnosis