Evidence map›Paper›PMID 39285427›Full record

ArticleBMC oral health2024

Diagnostic accuracy of artificial intelligence-assisted caries detection: a clinical evaluation.

Jing-Wen Zhang, Jie Fan, Fang-Bing Zhao, Bing'er Ma, Xiao-Qing Shen, Yuan-Ming Geng

Abstract read
In one paragraph

Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Jing-Wen Zhang *Department of Stomatology, Zhujiang Hospital, Southern Medical University, 253 Gongyedadao Road, Guangzhou, 510282, China.
Jie Fan *School of Civil and Transportation Engineering, Guangdong University of Technology, Guangzhou, China.
Fang-Bing ZhaoDepartment of Stomatology, Zhujiang Hospital, Southern Medical University, 253 Gongyedadao Road, Guangzhou, 510282, China.
Bing'er MaDepartment of Stomatology, Zhujiang Hospital, Southern Medical University, 253 Gongyedadao Road, Guangzhou, 510282, China.
Xiao-Qing ShenDepartment of Stomatology, Zhujiang Hospital, Southern Medical University, 253 Gongyedadao Road, Guangzhou, 510282, China. 1061787412@qq.com.
Yuan-Ming GengDepartment of Stomatology, Zhujiang Hospital, Southern Medical University, 253 Gongyedadao Road, Guangzhou, 510282, China. gym@smu.edu.cn.

Funding

Guangdong Medical Research Foundation A2023123Natural Science Foundation of Jiangxi Province 20212BAB206084President Foundation of ZhuJiang Hospital, Southern Medical University YZJJ2022MS20
6 · The paper itself

Abstract

objectiveThis clinical study aimed to evaluate the practical value of integrating an AI diagnostic model into clinical practice for caries detection using intraoral images.

methodsIn this prospective study, 4,361 teeth from 191 consecutive patients visiting an endodontics clinic were examined using an intraoral camera. The AI model, combining MobileNet-v3 and U-net architectures, was used for caries detection. The diagnostic performance of the AI model was assessed using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy, with the clinical diagnosis by endodontic specialists as the reference standard.

resultsThe overall accuracy of the AI-assisted caries detection was 93.40%. The sensitivity and specificity were 81.31% (95% CI 78.22%-84.06%) and 95.65% (95% CI 94.94%-96.26%), respectively. The NPV and PPV were 96.49% (95% CI 95.84%-97.04%) and 77.68% (95% CI 74.49%-80.58%), respectively. The diagnostic accuracy varied depending on tooth position and caries type, with the highest accuracy in anterior teeth (96.04%) and the lowest sensitivity for interproximal caries in anterior teeth and buccal caries in premolars (approximately 10%).

conclusionThe AI-assisted caries detection tool demonstrated potential for clinical application, with high overall accuracy and specificity. However, the sensitivity varied considerably depending on tooth position and caries type, suggesting the need for further improvement. Integration of multimodal data and development of more advanced AI models may enhance the performance of AI-assisted caries detection in clinical practice.

Indexed as

Artificial IntelligenceDental CariesSensitivity and SpecificityAdolescentAdultAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesYoung AdultArtificial intelligenceDental cariesDiagnostic testIntraoral camera

Identifiers

PMID39285427
PMCPMC11406783

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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.