Evidence map›Paper›PMID 30835551›Full record

ArticleDento maxillo facial radiology2019

Tooth detection and numbering in panoramic radiographs using convolutional neural networks.

Dmitry V Tuzoff, Lyudmila N Tuzova, Michael M Bornstein, Alexey S Krasnov, Max A Kharchenko, Sergey I Nikolenko, Mikhail M Sveshnikov, Georgiy B Bednenko

Open access · greenAbstract read
In one paragraph

Article in Dento maxillo facial radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 181 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
181citing papers in PubMed, 6 pooled it
42.1field-weighted citation impact, top 1% of its field
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

181 citing papers in PubMed, 6 syntheses or guidelines pooled it, 450 citations in OpenAlex.

  1. Pooled it
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  7. Trial
  8. Enhanced Tooth Region Detection Using Pretrained Deep Learning Models.International journal of environmental research and public health · 2022
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  18. Automated Cephalometric Points Marking System.Diagnostics (Basel, Switzerland) · 2026
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121 more citing papers are in PubMed but not listed here.

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

8 authors at 3 institutions in 2 countries.

Dmitry V Tuzoff1 Steklov Institute of Mathematics , Saint Petersburg , Russia.
Lyudmila N Tuzova2 Denti.AI Technology Inc. , Toronto , Canada.
Michael M Bornstein3 Applied Oral Sciences, Faculty of Dentistry, The University of Hong Kong , Hong Kong , China.
Alexey S Krasnov4 Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology , Moscow , Russia.
Max A Kharchenko2 Denti.AI Technology Inc. , Toronto , Canada.
Sergey I Nikolenko1 Steklov Institute of Mathematics , Saint Petersburg , Russia.
Mikhail M Sveshnikov2 Denti.AI Technology Inc. , Toronto , Canada.
Georgiy B Bednenko5 Reutov Stomatological Clinic , Reutov , Russia.
St. Petersburg Department of Steklov Institute of Mathematics · RUDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnalysis of dental radiographs is an important part of the diagnostic process in daily clinical practice. Interpretation by an expert includes teeth detection and numbering. In this project, a novel solution based on convolutional neural networks (CNNs) is proposed that performs this task automatically for panoramic radiographs.

methodsA data set of 1352 randomly chosen panoramic radiographs of adults was used to train the system. The CNN-based architectures for both teeth detection and numbering tasks were analyzed. The teeth detection module processes the radiograph to define the boundaries of each tooth. It is based on the state-of-the-art Faster R-CNN architecture. The teeth numbering module classifies detected teeth images according to the FDI notation. It utilizes the classical VGG-16 CNN together with the heuristic algorithm to improve results according to the rules for spatial arrangement of teeth. A separate testing set of 222 images was used to evaluate the performance of the system and to compare it to the expert level.

resultsFor the teeth detection task, the system achieves the following performance metrics: a sensitivity of 0.9941 and a precision of 0.9945. For teeth numbering, its sensitivity is 0.9800 and specificity is 0.9994. Experts detect teeth with a sensitivity of 0.9980 and a precision of 0.9998. Their sensitivity for tooth numbering is 0.9893 and specificity is 0.9997. The detailed error analysis showed that the developed software system makes errors caused by similar factors as those for experts.

conclusionsThe performance of the proposed computer-aided diagnosis solution is comparable to the level of experts. Based on these findings, the method has the potential for practical application and further evaluation for automated dental radiograph analysis. Computer-aided teeth detection and numbering simplifies the process of filling out digital dental charts. Automation could help to save time and improve the completeness of electronic dental records.

Indexed as

Neural Networks, ComputerRadiography, PanoramicToothAdultAlgorithmsDiagnosis, Computer-AssistedHumanscomputer-aided diagnosticsconvolutional neural networkspanoramic radiographradiographic image interpretationteeth detection and numbering

Identifiers

PMID30835551
PMCPMC6592580
OpenAlexW2918471352

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.