Evidence map›Paper›PMID 37998607›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Evaluation of a Decision Support System Developed with Deep Learning Approach for Detecting Dental Caries with Cone-Beam Computed Tomography Imaging.

Hakan Amasya, Mustafa Alkhader, Gözde Serindere, Karolina Futyma-Gąbka, Ceren Aktuna Belgin, Maxim Gusarev, Matvey Ezhov, Ingrid Różyło-Kalinowska, Merve Önder, Alex Sanders and 3 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Detection of maxillary sinus pathologies using deep learning algorithms.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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

13 authors.

Hakan AmasyaDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul University-Cerrahpaşa, Istanbul 34320, Türkiye.ORCID 0000-0001-7400-9938
Mustafa AlkhaderDepartment of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, Irbid 22110, Jordan.ORCID 0000-0002-8475-2386
Gözde SerindereDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Mustafa Kemal University, Hatay 31060, Türkiye.
Karolina Futyma-GąbkaDepartment of Dental and Maxillofacial Radiodiagnostics, Medical University of Lublin, 20-093 Lublin, Poland.
Ceren Aktuna BelginDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Mustafa Kemal University, Hatay 31060, Türkiye.ORCID 0000-0001-7780-3395
Maxim GusarevDiagnocat, Inc., San Francisco, CA 94102, USA.ORCID 0000-0003-4426-9012
Matvey EzhovDiagnocat, Inc., San Francisco, CA 94102, USA.
Ingrid Różyło-KalinowskaDepartment of Dental and Maxillofacial Radiodiagnostics, Medical University of Lublin, 20-093 Lublin, Poland.ORCID 0000-0001-5162-1382
Merve ÖnderDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara 0600, Türkiye.
Alex SandersDiagnocat, Inc., San Francisco, CA 94102, USA.
Andre Luiz Ferreira CostaPostgraduate Program in Dentistry, Cruzeiro do Sul University (UNICSUL), São Paulo 08060-070, SP, Brazil.ORCID 0000-0003-4856-5417
Sérgio Lúcio Pereira de Castro LopesScience and Technology Institute, Department of Diagnosis and Surgery, São Paulo State University (UNESP), São José dos Campos 01049-010, SP, Brazil.
Kaan OrhanDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara 0600, Türkiye.ORCID 0000-0001-6768-0176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to investigate the effect of using an artificial intelligence (AI) system (Diagnocat, Inc., San Francisco, CA, USA) for caries detection by comparing cone-beam computed tomography (CBCT) evaluation results with and without the software. 500 CBCT volumes are scored by three dentomaxillofacial radiologists for the presence of caries separately on a five-point confidence scale without and with the aid of the AI system. After visual evaluation, the deep convolutional neural network (CNN) model generated a radiological report and observers scored again using AI interface. The ground truth was determined by a hybrid approach. Intra- and inter-observer agreements are evaluated with sensitivity, specificity, accuracy, and kappa statistics. A total of 6008 surfaces are determined as 'presence of caries' and 13,928 surfaces are determined as 'absence of caries' for ground truth. The area under the ROC curve of observer 1, 2, and 3 are found to be 0.855/0.920, 0.863/0.917, and 0.747/0.903, respectively (unaided/aided). Fleiss Kappa coefficients are changed from 0.325 to 0.468, and the best accuracy (0.939) is achieved with the aided results. The radiographic evaluations performed with aid of the AI system are found to be more compatible and accurate than unaided evaluations in the detection of dental caries with CBCT images.

Indexed as

cone-beam computed tomographydecision support systemsdental cariesmachine learning

Identifiers

PMID37998607
PMCPMC10669958

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.