Evidence map›Paper›PMID 37641960›Full record

ArticleDento maxillo facial radiology2023

Assessing the reliability of CBCT-based AI-generated STL files in diagnosing osseous changes of the mandibular condyle: a comparative study with ground truth diagnosis.

Kaan Orhan, Alex Sanders, Gürkan Ünsal, Matvey Ezhov, Melis Mısırlı, Maxim Gusarev, Murat İçen, Mamat Shamshiev, Gaye Keser, Filiz Namdar Pekiner and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Dento maxillo facial radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

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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

14 authors at 6 institutions in 3 countries.

Kaan OrhanFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Ankara University, Ankara, Turkey.ORCID 0000-0001-6768-0176
Alex SandersDiagnocat Inc, West Sacramento, California, United States.
Gürkan ÜnsalFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Near East University, Nicosia, Cyprus.ORCID 0000-0001-7832-4249
Matvey EzhovDiagnocat Inc, West Sacramento, California, United States.
Melis MısırlıFaculty of Dentistry, Department of Dentomaxillofacial Radiology, International Final University, Nicosia, Cyprus.
Maxim GusarevDiagnocat Inc, West Sacramento, California, United States.
Murat İçenFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Nevşehir Hacı Bektaş Veli University, Nevsehir, Turkey.
Mamat ShamshievDiagnocat Inc, West Sacramento, California, United States.
Gaye KeserFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Marmara University, Istanbul, Turkey.
Filiz Namdar PekinerFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Marmara University, Istanbul, Turkey.
Maria GolitsynaDiagnocat Inc, West Sacramento, California, United States.
Merve ÖnderFaculty of Dentistry, Department of Dentomaxillofacial Radiology, Ankara University, Ankara, Turkey.
David ManulisDiagnocat Inc, West Sacramento, California, United States.
Cemal AtakanFaculty of Science and Letters, Department of Statistics, Ankara University, Ankara, Turkey.
Diagnologix (United States) · USAnkara University · TRMarmara University · TRFinal International University · CYNear East University · CYNevşehir Hacı Bektaş Veli University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to evaluate the reliability of AI-generated STL files in diagnosing osseous changes of the mandibular condyle and compare them to a ground truth (GT) diagnosis made by six radiologists.

methodsA total of 432 retrospective CBCT images from four universities were evaluated by six dentomaxillofacial radiologists who identified osseous changes such as flattening, erosion, osteophyte formation, bifid condyle formation, and osteosclerosis. All images were evaluated by each radiologist blindly and recorded on a spreadsheet. All evaluations were compared and for the disagreements, a consensus meeting was held online to create a uniform GT diagnosis spreadsheet. A web-based dental AI software was used to generate STL files of the CBCT images, which were then evaluated by two dentomaxillofacial radiologists. The new observer, GT, was compared to this new STL file evaluation, and the interclass correlation (ICC) value was calculated for each pathology.

resultsOut of the 864 condyles assessed, the ground truth diagnosis identified 372 cases of flattening, 185 cases of erosion, 70 cases of osteophyte formation, 117 cases of osteosclerosis, and 15 cases of bifid condyle formation. The ICC values for flattening, erosion, osteophyte formation, osteosclerosis, and bifid condyle formation were 1.000, 0.782, 1.000, 0.000, and 1.000, respectively, when comparing diagnoses made using STL files with the ground truth.

conclusionsAI-generated STL files are reliable in diagnosing bifid condyle formation, osteophyte formation, and flattening of the condyle. However, the diagnosis of osteosclerosis using AI-generated STL files is not reliable, and the accuracy of diagnosis is affected by the erosion grade.

Indexed as

OsteophyteOsteosclerosisSpiral Cone-Beam Computed TomographyCone-Beam Computed TomographyHumansMandibular CondyleReproducibility of ResultsRetrospective StudiesTemporomandibular Jointartificial intelligencecone-beam computed tomographymandibular condylestereolithographytemporomandibular joint

Identifiers

PMID37641960
PMCPMC10552125
OpenAlexW4386254068

What OpenQuestion holds

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LicenceCC BY
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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.