Evidence map›Paper›PMID 38114946›Full record

SynthesisBMC oral health2023

Deep learning for classifying the stages of periodontitis on dental images: a systematic review and meta-analysis.

Xin Li, Dan Zhao, Jinxuan Xie, Hao Wen, Chunhua Liu, Yajie Li, Wenbin Li, Songlin Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
–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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Xin Li *School of Public Health, National Institute for Data Science in Health and Medicine, Capital Medical University, Beijing, China.
Dan Zhao *Department of Implant Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
Jinxuan XieSchool of Public Health, National Institute for Data Science in Health and Medicine, Capital Medical University, Beijing, China.
Hao WenCity University of Hong Kong, Hong Kong SAR, China.
Chunhua LiuCity University of Hong Kong, Hong Kong SAR, China.
Yajie LiSchool of Public Health, National Institute for Data Science in Health and Medicine, Capital Medical University, Beijing, China.
Wenbin LiBeijing Tiantan Hospital, Capital Medical University, Beijing, China.
Songlin WangSalivary Gland Disease Center and Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, Beijing Laboratory of Oral Health and Beijing Stomatological Hospital, Capital Medical University, Beijing, 100050, China. slwang@ccmu.edu.cn.

Funding

the Beijing Advanced Innovation Center for Big Data-based Precision Medicine PXM2021_014226_000026the Beijing Municipal Colleges and Universities High Level Talents Introduction and Cultivate Project-Beijing Great Wall Scholar Program CIT&TCD 20180332the Beijing Municipal Education Commission 119207020201the Beijing Municipal Government Beijing Scholar program- PXM2020_014226_000005 and PXM2021_014226_000020the Beijing Municipal Government grant Beijing Laboratory of Oral Health, PXM2021-014226- 000041the Beijing Municipal Science and Technology Commission Z181100001718208the Beijing Stomatological Hospital of Capital Medical University Young Scientist Program No. YSP202011the Chinese Research Unit of Tooth Development and Regeneration, Academy of Medical Sciences 2019-12M-5-031the Innovation Research Team Project of Beijing Stomatological Hospital, Capital Medical University CXTD202201the National Key Research and development Program 2022YFA1104401the National Natural Science Foundation of China 92049201, 82030031, 81991504, and 92149301
6 · The paper itself

Abstract

backgroundThe development of deep learning (DL) algorithms for use in dentistry is an emerging trend. Periodontitis is one of the most prevalent oral diseases, which has a notable impact on the life quality of patients. Therefore, it is crucial to classify periodontitis accurately and efficiently. This systematic review aimed to identify the application of DL for the classification of periodontitis and assess the accuracy of this approach.

methodsA literature search up to November 2023 was implemented through EMBASE, PubMed, Web of Science, Scopus, and Google Scholar databases. Inclusion and exclusion criteria were used to screen eligible studies, and the quality of the studies was evaluated by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology with the QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) tool. Random-effects inverse-variance model was used to perform the meta-analysis of a diagnostic test, with which pooled sensitivity, specificity, positive likelihood ratio (LR), negative LR, and diagnostic odds ratio (DOR) were calculated, and a summary receiver operating characteristic (SROC) plot was constructed.

resultsThirteen studies were included in the meta-analysis. After excluding an outlier, the pooled sensitivity, specificity, positive LR, negative LR and DOR were 0.88 (95%CI 0.82-0.92), 0.82 (95%CI 0.72-0.89), 4.9 (95%CI 3.2-7.5), 0.15 (95%CI 0.10-0.22) and 33 (95%CI 19-59), respectively. The area under the SROC was 0.92 (95%CI 0.89-0.94).

conclusionsThe accuracy of DL-based classification of periodontitis is high, and this approach could be employed in the future to reduce the workload of dental professionals and enhance the consistency of classification.

Indexed as

Deep LearningAlgorithmsHumansOdds RatioROC CurveSensitivity and SpecificityConvolutional neural networksDeep learningDental imagesPeriodontitis

Identifiers

PMID38114946
PMCPMC10729340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.