Evidence map›Paper›PMID 34935230›Full record

Observational studyJournal of clinical nursing2022

Image diagnosis models for the oral assessment of older people using convolutional neural networks: A retrospective observational study.

Misato Muramatsu, Masumi Muramatsu, Naoto Takahashi, Atsuko Hagiwara, Jyun Hagiwara, Yuichiro Takamatsu, Ryo Morooka, Morio Ochi, Toshiko Kaitani

Abstract readObservational Study
In one paragraph

Observational study in Journal of clinical nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
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.

Misato MuramatsuGraduate School of Nursing, Sapporo City University, Sapporo, Japan.
Masumi MuramatsuGraduate School of Nursing, Sapporo City University, Sapporo, Japan.
Naoto TakahashiAI Laboratory, Sapporo City University, Sapporo, Japan.
Atsuko HagiwaraHagiwara Dental Clinic, Ashibetsu, Japan.
Jyun HagiwaraHagiwara Dental Clinic, Ashibetsu, Japan.
Yuichiro TakamatsuTakamatsu Dental Office, Ishikari, Japan.
Ryo MorookaAkaiwa Ryo Dental Clinic, Otaru, Japan.
Morio OchiDivision of Fixed Prosthodontics and Oral Implantology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido, Ishikari-Tobetsu, Japan.
Toshiko KaitaniGraduate School of Nursing, Sapporo City University, Sapporo, Japan.

Funding

JSPS KAKENHI Grant-in-Aid for Scientific Research B 21H03267
6 · The paper itself

Abstract

aimsThe purpose of this study was to construct a model for oral assessment using deep learning image recognition technology and to verify its accuracy.

backgroundThe effects of oral care on older people are significant, and the Oral Assessment Guide has been used internationally as an effective oral assessment tool in clinical practice. However, additional training, education, development of user manuals and continuous support from a dental hygienist are needed to improve the inter-rater reliability of the Oral Assessment Guide.

designA retrospective observational study.

methodsA total of 3,201 oral images of 114 older people aged >65 years were collected from five dental-related facilities. These images were divided into six categories (lips, tongue, saliva, mucosa, gingiva, and teeth or dentures) that were evaluated by images, out of the total eight items that comprise components of the Oral Assessment Guide. Each item was classified into a rating of 1, 2 or 3. A convolutional neural network, which is a deep learning method used for image recognition, was used to construct the image recognition model. The study methods comply with the STROBE checklist.

resultsWe constructed models with a classification accuracy of 98.8% for lips, 94.3% for tongue, 92.8% for saliva, 78.6% for mucous membranes, 93.0% for gingiva and 93.6% for teeth or dentures.

conclusionsHighly accurate diagnostic imaging models using convolutional neural networks were constructed for six items of the Oral Assessment Guide and validated. In particular, for the five items of lips, tongue, saliva, gingiva, and teeth or dentures, models with a high accuracy of over 90% were obtained. RELEVANCE TO CLINICAL PRACTICE: The model built in this study has the potential to contribute to obtain reproducibility and reliability of the ratings, to shorten the time for assessment, to collaborate with dental professionals and to be used as an educational tool.

Indexed as

ChecklistNeural Networks, ComputerAgedHumansReproducibility of ResultsRetrospective Studiesartificial intelligenceconvolutional neural networkdeep learningdental hygieneimage diagnosisnursingolderoral assessmentoral assessment guideoral care

Identifiers

PMID34935230
PMCPMC9787883

What OpenQuestion holds

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Registered trials

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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.