Evidence map›Paper›PMID 27186991›Full record

ArticleDento maxillo facial radiology

Automatic detection of osteoporosis based on hybrid genetic swarm fuzzy classifier approaches.

Muthu Subash Kavitha, Pugalendhi Ganesh Kumar, Soon-Yong Park, Kyung-Hoe Huh, Min-Suk Heo, Takio Kurita, Akira Asano, Seo-Yong An, Sung-Il Chien

Abstract readComparative Study
In one paragraph

Article in Dento maxillo facial radiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Diagnostic accuracy of artificial intelligence models in detecting osteoporosis using dental images: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Use of fractal analysis in dental images for osteoporosis detection: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Machine Learning in Dentistry: A Scoping Review.Journal of clinical medicine · 2023
    Article
  10. The Use of Artificial Intelligence in Dentistry Practices.The Eurasian journal of medicine · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Muthu Subash Kavitha1 School of Electronics Engineering, Kyungpook National University, Daegu, Korea.
Pugalendhi Ganesh Kumar2 Department of Information Technology, Anna University Regional Campus, Coimbatore, India.
Soon-Yong Park3 School of Computer Science and Engineering, Kyungpook National University, Daegu, Korea.
Kyung-Hoe Huh4 Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University, Seoul, Korea.
Min-Suk Heo4 Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University, Seoul, Korea.
Takio Kurita5 Graduate School of Engineering, Hiroshima University, Hiroshima, Japan.
Akira Asano6 Faculty of Informatics, Kansai University, Osaka, Japan.
Seo-Yong An7 Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu, Korea.
Sung-Il Chien1 School of Electronics Engineering, Kyungpook National University, Daegu, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study proposed a new automated screening system based on a hybrid genetic swarm fuzzy (GSF) classifier using digital dental panoramic radiographs to diagnose females with a low bone mineral density (BMD) or osteoporosis.

methodsThe geometrical attributes of both the mandibular cortical bone and trabecular bone were acquired using previously developed software. Designing an automated system for osteoporosis screening involved partitioning of the input attributes to generate an initial membership function (MF) and a rule set (RS), classification using a fuzzy inference system and optimization of the generated MF and RS using the genetic swarm algorithm. Fivefold cross-validation (5-FCV) was used to estimate the classification accuracy of the hybrid GSF classifier. The performance of the hybrid GSF classifier has been further compared with that of individual genetic algorithm and particle swarm optimization fuzzy classifiers.

resultsProposed hybrid GSF classifier in identifying low BMD or osteoporosis at the lumbar spine and femoral neck BMD was evaluated. The sensitivity, specificity and accuracy of the hybrid GSF with optimized MF and RS in identifying females with a low BMD were 95.3%, 94.7% and 96.01%, respectively, at the lumbar spine and 99.1%, 98.4% and 98.9%, respectively, at the femoral neck BMD. The diagnostic performance of the proposed system with femoral neck BMD was 0.986 with a confidence interval of 0.942-0.998. The highest mean accuracy using 5-FCV was 97.9% with femoral neck BMD.

conclusionsThe combination of high accuracy along with its interpretation ability makes this proposed automatic system using hybrid GSF classifier capable of identifying a large proportion of undetected low BMD or osteoporosis at its early stage.

Indexed as

Fuzzy LogicAgedAged, 80 and overAlgorithmsBone DensityBone Diseases, MetabolicCancellous BoneCortical BoneDiagnosis, Computer-AssistedFemaleFemur NeckFractalsHumansImage Processing, Computer-AssistedLumbar VertebraeMandiblecomputer-assisted image processingosteoporosispanoramic radiograph

Identifiers

PMID27186991
PMCPMC5606255

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.