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Deep learning-based automatic segmentation of the mandibular canal on panoramic radiographs: A multi-device study

Imaging Science in Dentistry 2024³â 54±Ç 1È£ p.81 ~ 91
Moe Thu Zar Aung, ÀÓ»óÇå, ÇÑÁö¿ë, ¾ç¼ö, °­ÁÖÈñ, ±èÁ¶Àº, Çã°æȸ, ÀÌ¿øÁø, Çã¹Î¼®, À̻Q,
¼Ò¼Ó »ó¼¼Á¤º¸
 ( Moe Thu Zar Aung ) - 
ÀÓ»óÇå ( Lim Sang-Heon ) - 
ÇÑÁö¿ë ( Han Ji-Yong ) - 
¾ç¼ö ( Yang Su ) - 
°­ÁÖÈñ  ( Kang Ju-Hee ) - 
±èÁ¶Àº ( Kim Jo-Eun ) - 
Çã°æȸ ( Huh Kyung-Hoe ) - 
ÀÌ¿øÁø ( Yi Won-Jin ) - 
Çã¹Î¼® ( Heo Min-Suk ) - 
À̻Q ( Lee Sam-Sun ) - 

Abstract


Purpose: The objective of this study was to propose a deep-learning model for the detection of the mandibular canal on dental panoramic radiographs.

Materials and Methods: A total of 2,100 panoramic radiographs (PANs) were collected from 3 different machines:
RAYSCAN Alpha (n = 700, PAN A), OP-100 (n = 700, PAN B), and CS8100 (n = 700, PAN C). Initially, an oral and maxillofacial radiologist coarsely annotated the mandibular canals. For deep learning analysis, convolutional neural networks (CNNs) utilizing U-Net architecture were employed for automated canal segmentation. Seven independent networks were trained using training sets representing all possible combinations of the 3 groups. These networks were then assessed using a hold-out test dataset.

Results: Among the 7 networks evaluated, the network trained with all 3 available groups achieved an average precision of 90.6%, a recall of 87.4%, and a Dice similarity coefficient (DSC) of 88.9%. The 3 networks trained using each of the 3 possible 2-group combinations also demonstrated reliable performance for mandibular canal segmentation, as follows: 1) PAN A and B exhibited a mean DSC of 87.9%, 2) PAN A and C displayed a mean DSC of 87.8%, and 3) PAN B and C demonstrated a mean DSC of 88.4%.

Conclusion: This multi-device study indicated that the examined CNN-based deep learning approach can achieve excellent canal segmentation performance, with a DSC exceeding 88%. Furthermore, the study highlighted the importance of considering the characteristics of panoramic radiographs when developing a robust deep-learning network, rather than depending solely on the size of the dataset.

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Mandibular Canal; Panoramic Radiography; Deep Learning; Artificial Intelligence

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