Automatic detection of mesiodens on panoramic radiographs using artificial intelligence.

Ha, Eun-Gyu; Jeon, Kug Jin; Kim, Young Hyun; Kim, Jae-Young; Han, Sang-Sun
Scientific reports
2021Nov ; 11 ( 1 ) :23061.
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Ha, Eun-Gyu - Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, South Korea.
Jeon, Kug Jin - Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, South Korea.
Kim, Young Hyun - Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, South Korea.
Kim, Jae-Young - Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, South Korea.
Han, Sang-Sun - Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, South Korea. sshan@yuhs.ac.
ABSTRACT
This study aimed to develop an artificial intelligence model that can detect mesiodens on panoramic radiographs of various dentition groups. Panoramic radiographs of 612 patients were used for training. A convolutional neural network (CNN) model based on YOLOv3 for detecting mesiodens was developed. The model performance according to three dentition groups (primary, mixed, and permanent dentition) was evaluated, both internally (130 images) and externally (118 images), using a multi-center dataset. To investigate the effect of image preprocessing, contrast-limited histogram equalization (CLAHE) was applied to the original images. The accuracy of the internal test dataset was 96.2% and that of the external test dataset was 89.8% in the original images. For the primary, mixed, and permanent dentition, the accuracy of the internal test dataset was 96.7%, 97.5%, and 93.3%, respectively, and the accuracy of the external test dataset was 86.7%, 95.3%, and 86.7%, respectively. The CLAHE images yielded less accurate results than the original images in both test datasets. The proposed model showed good performance in the internal and external test datasets and had the potential for clinical use to detect mesiodens on panoramic radiographs of all dentition types. The CLAHE preprocessing had a negligible effect on model performance. CI - ??2021. The Author(s).
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The developed CNN model for fully automatic detection of mesiodens showed high performance in multi-center tests for all types of dentition, including primary, mixed, and permanent dentition; For the primary, mixed, and permanent dentition, the accuracy of the internal test dataset was 96.7%, 97.5%, and 93.3%, respectively, and the accuracy of the external test dataset was 86.7%, 95.3%, and 86.7%, respectively. The CLAHE images yielded less accurate results than the original images in both test datasets.
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DOI
10.1038/s41598-021-02571-x
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ICD 03
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