Evidence map›Paper›PMID 38214946›Full record

ArticleDento maxillo facial radiology2024

Skeletal facial asymmetry: reliability of manual and artificial intelligence-driven analysis.

Natalia Kazimierczak, Wojciech Kazimierczak, Zbigniew Serafin, Paweł Nowicki, Tomasz Jankowski, Agnieszka Jankowska, Joanna Janiszewska-Olszowska

Open access · hybridAbstract read
In one paragraph

Article in Dento maxillo facial radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. An Overview of the Currently Used Congenital Auricular Anomalies (CAA) Classifications for Surgical Reconstruction: A Scoping Review.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
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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

7 authors at 2 institutions in 1 country.

Natalia KazimierczakKazimierczak Private Dental Practice, 85-009 Bydgoszcz, Poland.ORCID 0000-0002-1850-3525
Wojciech KazimierczakKazimierczak Private Dental Practice, 85-009 Bydgoszcz, Poland.ORCID 0000-0002-8372-0550
Zbigniew SerafinDepartment of Radiology and Diagnostic Imaging, Collegium Medicum, Nicolaus Copernicus University in Torun, 85-067 Bydgoszcz, Poland.ORCID 0000-0002-4307-6852
Paweł NowickiKazimierczak Private Dental Practice, 85-009 Bydgoszcz, Poland.
Tomasz JankowskiJankowscy Private Dental Practice, 68-200 Żary, Poland.
Agnieszka JankowskaJankowscy Private Dental Practice, 68-200 Żary, Poland.
Joanna Janiszewska-OlszowskaDepartment of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.ORCID 0000-0003-4374-2568
Nicolaus Copernicus University · PLPomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare artificial intelligence (AI)-driven web-based platform and manual measurements for analysing facial asymmetry in craniofacial CT examinations.

methodsThe study included 95 craniofacial CT scans from patients aged 18-30 years. The degree of asymmetry was measured based on AI platform-predefined anatomical landmarks: sella (S), condylion (Co), anterior nasal spine (ANS), and menton (Me). The concordance between the results of automatic asymmetry reports and manual linear 3D measurements was calculated. The asymmetry rate (AR) indicator was determined for both automatic and manual measurements, and the concordance between them was calculated. The repeatability of manual measurements in 20 randomly selected subjects was assessed. The concordance of measurements of quantitative variables was assessed with interclass correlation coefficient (ICC) according to the Shrout and Fleiss classification.

resultsErroneous AI tracings were found in 16.8% of cases, reducing the analysed cases to 79. The agreement between automatic and manual asymmetry measurements was very low (ICC < 0.3). A lack of agreement between AI and manual AR analysis (ICC type 3 = 0) was found. The repeatability of manual measurements and AR calculations showed excellent correlation (ICC type 2 > 0.947).

conclusionsThe results indicate that the rate of tracing errors and lack of agreement with manual AR analysis make it impossible to use the tested AI platform to assess the degree of facial asymmetry.

Indexed as

Artificial IntelligenceFacial AsymmetryCephalometryHumansImaging, Three-DimensionalReproducibility of ResultsAIautomated diagnosiscraniofacial computed tomographyfacial asymmetryorthodontics

Identifiers

PMID38214946
PMCPMC11003660
OpenAlexW4390781825

What OpenQuestion holds

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LicenceCC BY-NC
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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.