Evidence map›Paper›PMID 38910411›Full record

ArticleJournal of dental research2024

Detecting Mandible Fractures in CBCT Scans Using a 3-Stage Neural Network.

N van Nistelrooij, S Schitter, P van Lierop, K El Ghoul, D König, M Hanisch, A Tel, T Xi, D G E Thiem, R Smeets and 5 more

Abstract read
In one paragraph

Article in Journal of dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. [Artificial intelligence in stomatology: Innovations in clinical practice, research, education, and healthcare management].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Review
  7. Article
  8. 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

15 authors.

N van NistelrooijDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
S SchitterDepartment of Oral and Maxillofacial Surgery, Division of Regenerative, Orofacial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
P van LieropDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
K El GhoulDepartment of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
D KönigDepartment of Oral and Maxillofacial Surgery, Division of Regenerative, Orofacial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
M HanischDepartment of Oral and Maxillofacial Surgery, Universitätsklinikum, Münster, Münster, Germany.
A TelClinic of Maxillofacial Surgery, Head-Neck and NeuroScience Department University Hospital of Udine, Udine, Italy.
T XiDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-9142-9253
D G E ThiemDepartment of Oral and Maxillofacial Surgery, Facial Plastic Surgery, University Medical Centre Mainz, Mainz, Germany.ORCID 0000-0002-4081-1487
R SmeetsDepartment of Oral and Maxillofacial Surgery, Division of Regenerative, Orofacial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
L DuboisDepartment of Oral and Maxillofacial Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
T FlüggeCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Oral and Maxillofacial Surgery, Berlin, Germany.
B van GinnekenDiagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, The Netherlands.
S BergéDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
S VinayahalingamDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-2679-3841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After nasal bone fractures, fractures of the mandible are the most frequently encountered injuries of the facial skeleton. Accurate identification of fracture locations is critical for effectively managing these injuries. To address this need, JawFracNet, an innovative artificial intelligence method, has been developed to enable automated detection of mandibular fractures in cone-beam computed tomography (CBCT) scans. JawFracNet employs a 3-stage neural network model that processes 3-dimensional patches from a CBCT scan. Stage 1 predicts a segmentation mask of the mandible in a patch, which is subsequently used in stage 2 to predict a segmentation of the fractures and in stage 3 to classify whether the patch contains any fracture. The final output of JawFracNet is the fracture segmentation of the entire scan, obtained by aggregating and unifying voxel-level and patch-level predictions. A total of 164 CBCT scans without mandibular fractures and 171 CBCT scans with mandibular fractures were included in this study. Evaluation of JawFracNet demonstrated a precision of 0.978 and a sensitivity of 0.956 in detecting mandibular fractures. The current study proposes the first benchmark for mandibular fracture detection in CBCT scans. Straightforward replication is promoted by publicly sharing the code and providing access to JawFracNet on grand-challenge.org.

Indexed as

Cone-Beam Computed TomographyMandibular FracturesNeural Networks, ComputerHumansImaging, Three-DimensionalSensitivity and Specificityartificial intelligencecone-beam computed tomographydeep learningmandibular fracturesmaxillofacial surgeryopen source software

Identifiers

PMID38910411
PMCPMC11633064

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.