Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment

Objectives: Machine learning is increasingly being used in the medical field. Based on machine learning models, the present study aims to improve the prediction performance of craniodentofacial morphological harmony judgment after orthodontic treatment and to determine the most significant factors.M...

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Main Authors: Xin Wang, Xiaoke Zhao, Guangying Song, Jianwei Niu, Tianmin Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.862847/full
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author Xin Wang
Xiaoke Zhao
Xiaoke Zhao
Xiaoke Zhao
Guangying Song
Guangying Song
Jianwei Niu
Jianwei Niu
Jianwei Niu
Tianmin Xu
Tianmin Xu
author_facet Xin Wang
Xiaoke Zhao
Xiaoke Zhao
Xiaoke Zhao
Guangying Song
Guangying Song
Jianwei Niu
Jianwei Niu
Jianwei Niu
Tianmin Xu
Tianmin Xu
author_sort Xin Wang
collection DOAJ
description Objectives: Machine learning is increasingly being used in the medical field. Based on machine learning models, the present study aims to improve the prediction performance of craniodentofacial morphological harmony judgment after orthodontic treatment and to determine the most significant factors.Methods: A dataset of 180 subjects was randomly selected from a large sample of 3,706 finished orthodontic cases from six top orthodontic treatment centers around China. Thirteen algorithms were used to predict the value of the cephalometric morphological harmony score of each subject and to search for the optimal model. Based on the feature importance ranking and by removing features, the regression models of machine learning (including the Adaboost, ExtraTree, XGBoost, and linear regression models) were used to predict and compare the score of harmony for each subject from the dataset with cross validations. By analyzing the prediction values, the most optimal model and the most significant cephalometric characteristics were determined.Results: When nine features were included, the performance of the XGBoost regression model was MAE = 0.267, RMSE = 0.341, and Pearson correlation coefficient = 0.683, which indicated that the XGBoost regression model exhibited the best fitting and predicting performance for craniodentofacial morphological harmony judgment. Nine cephalometric features including L1/NB (inclination of the lower central incisors), ANB (sagittal position between the maxilla and mandible), LL-EP (distance from the point of the prominence of the lower lip to the aesthetic plane), SN/OP (inclination of the occlusal plane), SNB (sagittal position of the mandible in relation to the cranial base), U1/SN (inclination of the upper incisors to the cranial base), L1-NB (protrusion of the lower central incisors), Ns-Prn-Pos (nasal protrusion), and U1/L1 (relationship between the protrusions of the upper and lower central incisors) were revealed to significantly influence the judgment.Conclusion: The application of the XGBoost regression model enhanced the predictive ability regarding the craniodentofacial morphological harmony evaluation by experts after orthodontic treatment. Teeth position, teeth alignment, jaw position, and soft tissue morphology would be the most significant factors influencing the judgment. The methodology also provided guidance for the application of machine learning models to resolve medical problems characterized by limited sample size.
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spelling doaj.art-ba215b8472fa4b5cb98b2a8c56010d142022-12-22T02:54:31ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-05-011310.3389/fphys.2022.862847862847Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic TreatmentXin Wang0Xiaoke Zhao1Xiaoke Zhao2Xiaoke Zhao3Guangying Song4Guangying Song5Jianwei Niu6Jianwei Niu7Jianwei Niu8Tianmin Xu9Tianmin Xu10Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, ChinaState Key Laboratory of Virtual Reality Technology and Systems, School of Computer Science and Engineering, Beihang University, Beijing, ChinaBeijing Advanced Innovation Center for Big Data and Brain Computing (BDBC), Beihang University, Beijing, ChinaHangzhou Innovation Research Institute, Beihang University, Beijing, ChinaDepartment of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, ChinaNHC Research Center of Engineering and Technology for Computerized Dentistry, Beijing, ChinaState Key Laboratory of Virtual Reality Technology and Systems, School of Computer Science and Engineering, Beihang University, Beijing, ChinaBeijing Advanced Innovation Center for Big Data and Brain Computing (BDBC), Beihang University, Beijing, ChinaHangzhou Innovation Research Institute, Beihang University, Beijing, ChinaDepartment of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, ChinaNHC Research Center of Engineering and Technology for Computerized Dentistry, Beijing, ChinaObjectives: Machine learning is increasingly being used in the medical field. Based on machine learning models, the present study aims to improve the prediction performance of craniodentofacial morphological harmony judgment after orthodontic treatment and to determine the most significant factors.Methods: A dataset of 180 subjects was randomly selected from a large sample of 3,706 finished orthodontic cases from six top orthodontic treatment centers around China. Thirteen algorithms were used to predict the value of the cephalometric morphological harmony score of each subject and to search for the optimal model. Based on the feature importance ranking and by removing features, the regression models of machine learning (including the Adaboost, ExtraTree, XGBoost, and linear regression models) were used to predict and compare the score of harmony for each subject from the dataset with cross validations. By analyzing the prediction values, the most optimal model and the most significant cephalometric characteristics were determined.Results: When nine features were included, the performance of the XGBoost regression model was MAE = 0.267, RMSE = 0.341, and Pearson correlation coefficient = 0.683, which indicated that the XGBoost regression model exhibited the best fitting and predicting performance for craniodentofacial morphological harmony judgment. Nine cephalometric features including L1/NB (inclination of the lower central incisors), ANB (sagittal position between the maxilla and mandible), LL-EP (distance from the point of the prominence of the lower lip to the aesthetic plane), SN/OP (inclination of the occlusal plane), SNB (sagittal position of the mandible in relation to the cranial base), U1/SN (inclination of the upper incisors to the cranial base), L1-NB (protrusion of the lower central incisors), Ns-Prn-Pos (nasal protrusion), and U1/L1 (relationship between the protrusions of the upper and lower central incisors) were revealed to significantly influence the judgment.Conclusion: The application of the XGBoost regression model enhanced the predictive ability regarding the craniodentofacial morphological harmony evaluation by experts after orthodontic treatment. Teeth position, teeth alignment, jaw position, and soft tissue morphology would be the most significant factors influencing the judgment. The methodology also provided guidance for the application of machine learning models to resolve medical problems characterized by limited sample size.https://www.frontiersin.org/articles/10.3389/fphys.2022.862847/fullcephalometric analysisfacial harmonymachine learningmalocclusionorthodontic treatment
spellingShingle Xin Wang
Xiaoke Zhao
Xiaoke Zhao
Xiaoke Zhao
Guangying Song
Guangying Song
Jianwei Niu
Jianwei Niu
Jianwei Niu
Tianmin Xu
Tianmin Xu
Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
Frontiers in Physiology
cephalometric analysis
facial harmony
machine learning
malocclusion
orthodontic treatment
title Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
title_full Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
title_fullStr Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
title_full_unstemmed Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
title_short Machine Learning-Based Evaluation on Craniodentofacial Morphological Harmony of Patients After Orthodontic Treatment
title_sort machine learning based evaluation on craniodentofacial morphological harmony of patients after orthodontic treatment
topic cephalometric analysis
facial harmony
machine learning
malocclusion
orthodontic treatment
url https://www.frontiersin.org/articles/10.3389/fphys.2022.862847/full
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