ArticleInternational journal of computer assisted radiology and surgery2022
Development of a multi-stage model for intelligent and quantitative appraising of skeletal maturity using cervical vertebras cone-beam CT images of Chinese girls.
Article in International journal of computer assisted radiology and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Performance of artificial intelligence on cervical vertebral maturation assessment: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Accuracy of Artificial Intelligence for Cervical Vertebral Maturation Assessment-A Systematic Review.Journal of clinical medicine · 2024Review
- Determination of cervical vertebral maturation using machine learning in lateral cephalograms.Journal of dental research, dental clinics, dental prospects · 2024Article
- Prediction of Fishman's skeletal maturity indicators using artificial intelligence.Scientific reports · 2023Article
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7 authors at 3 institutions in 1 country.
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Abstract
purposeNowadays, the integration of Artificial intelligence algorithms and quantified radiographic imaging-based diagnostic procedures is hailing amplified deliberation particularly in assessment of skeletal maturity. So we intend to formulate a logistic regression model for intelligent and quantitative estimation of Fishman skeletal maturation index (SMI) based on the parameters attained from the cervical vertebrae CBCT images of Chinese girls.
methodsFrom 709 hand wrist radiographs and CBCT images, 447 samples were randomly selected (called as G1) to build a logistic regression model. The reliability and reproducibility were assessed by the intraclass correlation coefficient (ICC) and weighted Cohen's kappa, followed by Spearman's rank correlation coefficient to identify the parameters significantly associated with the SMI. Two hundred and sixty-two other subjects (named G2) were recruited for external examination of the models by direct visual comparison and the receiver operating characteristic (ROC) curve. In cases of confusion and mispredictions, the model was modified to improve the consistency.
resultsFive significant parameters (Chronological age, C3 height (H3)[Formula: see text], C4 upper width (UW4), C4 lower width (LW4), and the ratio of posterior height to lower width of C4 ([Formula: see text]) were administered into logistic regression model. Despite total agreement percentage which was 84% (total AUC = 0.92), unsatisfactory performance was noticed for the 6th and 8th stages which were confused with their neighboring stages. After adjustments of the models, the total agreement percentage and AUC were upgraded to 88% and 0.96, respectively.
conclusionConsistency and fitness evaluation of our models demonstrated adequate prediction percentage and reliability for automated classification of skeletal maturation. The presented constructed logistic regression model has the potential to serve as a maturity evaluation index in clinical craniofacial orthopedics in Chinese girls. The proposed model in this study showed promising strength for being expended in the event of other clinical multi-stage conditions.
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