Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals

Abstract Background Posteroanterior and lateral cephalogram have been widely used for evaluating the necessity of orthognathic surgery. The purpose of this study was to develop a deep learning network to automatically predict the need for orthodontic surgery using cephalogram. Methods The cephalogra...

Full description

Bibliographic Details
Main Authors: WooSang Shin, Han-Gyeol Yeom, Ga Hyung Lee, Jong Pil Yun, Seung Hyun Jeong, Jong Hyun Lee, Hwi Kang Kim, Bong Chul Kim
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-021-01513-3
_version_ 1818416271134294016
author WooSang Shin
Han-Gyeol Yeom
Ga Hyung Lee
Jong Pil Yun
Seung Hyun Jeong
Jong Hyun Lee
Hwi Kang Kim
Bong Chul Kim
author_facet WooSang Shin
Han-Gyeol Yeom
Ga Hyung Lee
Jong Pil Yun
Seung Hyun Jeong
Jong Hyun Lee
Hwi Kang Kim
Bong Chul Kim
author_sort WooSang Shin
collection DOAJ
description Abstract Background Posteroanterior and lateral cephalogram have been widely used for evaluating the necessity of orthognathic surgery. The purpose of this study was to develop a deep learning network to automatically predict the need for orthodontic surgery using cephalogram. Methods The cephalograms of 840 patients (Class ll: 244, Class lll: 447, Facial asymmetry: 149) complaining about dentofacial dysmorphosis and/or a malocclusion were included. Patients who did not require orthognathic surgery were classified as Group I (622 patients—Class ll: 221, Class lll: 312, Facial asymmetry: 89). Group II (218 patients—Class ll: 23, Class lll: 135, Facial asymmetry: 60) was set for cases requiring surgery. A dataset was extracted using random sampling and was composed of training, validation, and test sets. The ratio of the sets was 4:1:5. PyTorch was used as the framework for the experiment. Results Subsequently, 394 out of a total of 413 test data were properly classified. The accuracy, sensitivity, and specificity were 0.954, 0.844, and 0.993, respectively. Conclusion It was found that a convolutional neural network can determine the need for orthognathic surgery with relative accuracy when using cephalogram.
first_indexed 2024-12-14T11:48:14Z
format Article
id doaj.art-d071e29b844a4fad83981b75ebeb7dcf
institution Directory Open Access Journal
issn 1472-6831
language English
last_indexed 2024-12-14T11:48:14Z
publishDate 2021-03-01
publisher BMC
record_format Article
series BMC Oral Health
spelling doaj.art-d071e29b844a4fad83981b75ebeb7dcf2022-12-21T23:02:28ZengBMCBMC Oral Health1472-68312021-03-012111710.1186/s12903-021-01513-3Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individualsWooSang Shin0Han-Gyeol Yeom1Ga Hyung Lee2Jong Pil Yun3Seung Hyun Jeong4Jong Hyun Lee5Hwi Kang Kim6Bong Chul Kim7Safety System Research Group, Korea Institute of Industrial Technology (KITECH)Department of Oral and Maxillofacial Radiology, Daejeon Dental Hospital, Wonkwang University College of DentistryDepartment of Oral and Maxillofacial Surgery, Daejeon Dental Hospital, Wonkwang University College of DentistrySafety System Research Group, Korea Institute of Industrial Technology (KITECH)Safety System Research Group, Korea Institute of Industrial Technology (KITECH)Safety System Research Group, Korea Institute of Industrial Technology (KITECH)Department of Oral and Maxillofacial Surgery, Daejeon Dental Hospital, Wonkwang University College of DentistryDepartment of Oral and Maxillofacial Surgery, Daejeon Dental Hospital, Wonkwang University College of DentistryAbstract Background Posteroanterior and lateral cephalogram have been widely used for evaluating the necessity of orthognathic surgery. The purpose of this study was to develop a deep learning network to automatically predict the need for orthodontic surgery using cephalogram. Methods The cephalograms of 840 patients (Class ll: 244, Class lll: 447, Facial asymmetry: 149) complaining about dentofacial dysmorphosis and/or a malocclusion were included. Patients who did not require orthognathic surgery were classified as Group I (622 patients—Class ll: 221, Class lll: 312, Facial asymmetry: 89). Group II (218 patients—Class ll: 23, Class lll: 135, Facial asymmetry: 60) was set for cases requiring surgery. A dataset was extracted using random sampling and was composed of training, validation, and test sets. The ratio of the sets was 4:1:5. PyTorch was used as the framework for the experiment. Results Subsequently, 394 out of a total of 413 test data were properly classified. The accuracy, sensitivity, and specificity were 0.954, 0.844, and 0.993, respectively. Conclusion It was found that a convolutional neural network can determine the need for orthognathic surgery with relative accuracy when using cephalogram.https://doi.org/10.1186/s12903-021-01513-3CephalogramMachine learningMachine intelligenceOrthognathic surgery
spellingShingle WooSang Shin
Han-Gyeol Yeom
Ga Hyung Lee
Jong Pil Yun
Seung Hyun Jeong
Jong Hyun Lee
Hwi Kang Kim
Bong Chul Kim
Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
BMC Oral Health
Cephalogram
Machine learning
Machine intelligence
Orthognathic surgery
title Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
title_full Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
title_fullStr Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
title_full_unstemmed Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
title_short Deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in Korean individuals
title_sort deep learning based prediction of necessity for orthognathic surgery of skeletal malocclusion using cephalogram in korean individuals
topic Cephalogram
Machine learning
Machine intelligence
Orthognathic surgery
url https://doi.org/10.1186/s12903-021-01513-3
work_keys_str_mv AT woosangshin deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT hangyeolyeom deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT gahyunglee deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT jongpilyun deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT seunghyunjeong deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT jonghyunlee deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT hwikangkim deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals
AT bongchulkim deeplearningbasedpredictionofnecessityfororthognathicsurgeryofskeletalmalocclusionusingcephalograminkoreanindividuals