Evidence map›Paper›PMID 37880375›Full record

ArticleNPJ digital medicine2023

Detection and localization of caries and hypomineralization on dental photographs with a vision transformer model.

Marco Felsch, Ole Meyer, Anne Schlickenrieder, Paula Engels, Jule Schönewolf, Felicitas Zöllner, Roswitha Heinrich-Weltzien, Marc Hesenius, Reinhard Hickel, Volker Gruhn and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
10.0field-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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Which diagnostic tools and criteria to use for diagnosis of HSPM and MIH? A systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
  2. Transformer-based models in dentistry: a systematic review.BMC medical informatics and decision making · 2026
    Pooled it
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  18. Early detection of MIH in children by using artificial intelligence.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024
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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

11 authors at 3 institutions in 1 country.

Marco FelschDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.
Ole MeyerInstitute for Software Engineering, University of Duisburg-Essen, Essen, Germany.
Anne SchlickenriederDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.
Paula EngelsDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.
Jule SchönewolfDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.
Felicitas ZöllnerDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.ORCID http://orcid.org/0009-0007-0449-8458
Roswitha Heinrich-WeltzienDepartment of Orthodontics, Section of Preventive and Paediatric Dentistry, University Hospital Jena, Jena, Germany.
Marc HeseniusInstitute for Software Engineering, University of Duisburg-Essen, Essen, Germany.ORCID http://orcid.org/0000-0002-6826-9212
Reinhard HickelDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany.
Volker GruhnInstitute for Software Engineering, University of Duisburg-Essen, Essen, Germany.
Jan KühnischDepartment of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians University of Munich, Munich, Germany. jkuehn@dent.med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-4063-2291
Ludwig-Maximilians-Universität München · DEUniversity of Duisburg-Essen · DEJena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caries and molar-incisor hypomineralization (MIH) are among the most prevalent diseases worldwide and need to be reliably diagnosed. The use of dental photographs and artificial intelligence (AI) methods may potentially contribute to realizing accurate and automated diagnostic visual examinations in the future. Therefore, the present study aimed to develop an AI-based algorithm that can detect, classify and localize caries and MIH. This study included an image set of 18,179 anonymous photographs. Pixelwise image labeling was achieved by trained and calibrated annotators using the Computer Vision Annotation Tool (CVAT). All annotations were made according to standard methods and were independently checked by an experienced dentist. The entire image set was divided into training (N = 16,679), validation (N = 500) and test sets (N = 1000). The AI-based algorithm was trained and finetuned over 250 epochs by using image augmentation and adapting a vision transformer network (SegFormer-B5). Statistics included the determination of the intersection over union (IoU), average precision (AP) and accuracy (ACC). The overall diagnostic performance in terms of IoU, AP and ACC were 0.959, 0.977 and 0.978 for the finetuned model, respectively. The corresponding data for the most relevant caries classes of non-cavitations (0.630, 0.813 and 0.990) and dentin cavities (0.692, 0.830, and 0.997) were found to be high. MIH-related demarcated opacity (0.672, 0.827, and 0.993) and atypical restoration (0.829, 0.902, and 0.999) showed similar results. Here, we report that the model achieves excellent precision for pixelwise detection and localization of caries and MIH. Nevertheless, the model needs to be further improved and externally validated.

Identifiers

PMID37880375
PMCPMC10600213
OpenAlexW4387949066

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.