The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography

Background: Panoramic radiography is a standard diagnostic imaging method for dentists. However, it is challenging to detect mandibular trauma and fractures in panoramic radiographs due to the superimposed facial skeleton structures. The objective of this study was to develop a deep learning algorit...

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Main Authors: Maryam Shahnavazi, Hosein Mohamadrahimi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Dental Research Journal
Subjects:
Online Access:http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=27;epage=27;aulast=Shahnavazi
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author Maryam Shahnavazi
Hosein Mohamadrahimi
author_facet Maryam Shahnavazi
Hosein Mohamadrahimi
author_sort Maryam Shahnavazi
collection DOAJ
description Background: Panoramic radiography is a standard diagnostic imaging method for dentists. However, it is challenging to detect mandibular trauma and fractures in panoramic radiographs due to the superimposed facial skeleton structures. The objective of this study was to develop a deep learning algorithm that is capable of detecting mandibular fractures and trauma automatically and compare its performance with general dentists. Materials and Methods: This is a retrospective diagnostic test accuracy study. This study used a two-stage deep learning framework. To train the model, 190 panoramic images were collected from four different sources. The mandible was first segmented using a U-net model. Then, to detect fractures, a model named Faster region-based convolutional neural network was applied. In the end, a comparison was made between the accuracy, specificity, and sensitivity of artificial intelligence and general dentists in trauma diagnosis. Results: The mAP50 and mAP75 for object detection were 98.66% and 57.90%, respectively. The classification accuracy of the model was 91.67%. The sensitivity and specificity of the model were 100% and 83.33%, respectively. On the other hand, human-level diagnostic accuracy, sensitivity, and specificity were 87.22 ± 8.91, 82.22 ± 16.39, and 92.22 ± 6.33, respectively. Conclusion: Our framework can provide a level of performance better than general dentists when it comes to diagnosing trauma or fractures.
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spelling doaj.art-94a70c49e6b1493ebe442f2bd3c93ef82023-03-21T07:29:01ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552023-01-01201272710.4103/1735-3327.369629The application of artificial neural networks in the detection of mandibular fractures using panoramic radiographyMaryam ShahnavaziHosein MohamadrahimiBackground: Panoramic radiography is a standard diagnostic imaging method for dentists. However, it is challenging to detect mandibular trauma and fractures in panoramic radiographs due to the superimposed facial skeleton structures. The objective of this study was to develop a deep learning algorithm that is capable of detecting mandibular fractures and trauma automatically and compare its performance with general dentists. Materials and Methods: This is a retrospective diagnostic test accuracy study. This study used a two-stage deep learning framework. To train the model, 190 panoramic images were collected from four different sources. The mandible was first segmented using a U-net model. Then, to detect fractures, a model named Faster region-based convolutional neural network was applied. In the end, a comparison was made between the accuracy, specificity, and sensitivity of artificial intelligence and general dentists in trauma diagnosis. Results: The mAP50 and mAP75 for object detection were 98.66% and 57.90%, respectively. The classification accuracy of the model was 91.67%. The sensitivity and specificity of the model were 100% and 83.33%, respectively. On the other hand, human-level diagnostic accuracy, sensitivity, and specificity were 87.22 ± 8.91, 82.22 ± 16.39, and 92.22 ± 6.33, respectively. Conclusion: Our framework can provide a level of performance better than general dentists when it comes to diagnosing trauma or fractures.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=27;epage=27;aulast=Shahnavazideep learningdental radiographymandibular fracturespanoramic radiography
spellingShingle Maryam Shahnavazi
Hosein Mohamadrahimi
The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
Dental Research Journal
deep learning
dental radiography
mandibular fractures
panoramic radiography
title The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
title_full The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
title_fullStr The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
title_full_unstemmed The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
title_short The application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
title_sort application of artificial neural networks in the detection of mandibular fractures using panoramic radiography
topic deep learning
dental radiography
mandibular fractures
panoramic radiography
url http://www.drjjournal.net/article.asp?issn=1735-3327;year=2023;volume=20;issue=1;spage=27;epage=27;aulast=Shahnavazi
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