Evidence map›Paper›PMID 39538183›Full record

ArticleBMC oral health2024

A two-stage deep-learning model for determination of the contact of mandibular third molars with the mandibular canal on panoramic radiographs.

Parisa Soltani, Fatemeh Sohrabniya, Hossein Mohammad-Rahimi, Mojdeh Mehdizadeh, Seyed Mohammadreza Mousavi, Amirhossein Moaddabi, Seyed Mohammadmahdi Mousavi, Gianrico Spagnuolo, Amirmohammad Yavari, Falk Schwendicke

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline 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

10 authors.

Parisa SoltaniDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Fatemeh SohrabniyaTopic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Federal Republic of Germany.
Hossein Mohammad-RahimiTopic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Federal Republic of Germany.
Mojdeh MehdizadehDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Seyed Mohammadreza MousaviStudents Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Amirhossein MoaddabiDepartment of Oral and Maxillofacial Surgery, Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran. a.moaddabi@mazums.ac.ir.
Seyed Mohammadmahdi MousaviSchool of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Gianrico SpagnuoloDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy.
Amirmohammad YavariStudents Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Falk SchwendickeClinic for Conservative Dentistry and Periodontology, University Hospital of the Ludwig-Maximilians- University Munich, Munich, Germany.

Funding

Isfahan University of Medical Sciences 340260
6 · The paper itself

Abstract

objectivesThis study aimed to assess the accuracy of a two-stage deep learning (DL) model for (1) detecting mandibular third molars (MTMs) and the mandibular canal (MC), and (2) classifying the anatomical relationship between these structures (contact/no contact) on panoramic radiographs.

methodMTMs and MCs were labeled on panoramic radiographs by a calibrated examiner using bounding boxes. Each bounding box contained MTM and MC on one side. The relationship of MTMs with the MC was assessed on CBCT scans by two independent examiners without the knowledge of the condition of MTM and MC on the corresponding panoramic image, and dichotomized as contact/no contact. Data were split into training, validation, and testing sets with a ratio of 80:10:10. Faster R-CNN was used for detecting MTMs and MCs and ResNeXt for classifying their relationship. AP50 and AP75 were used as outcomes for detecting MTMs and MCs, and accuracy, precision, recall, F1-score, and the area-under-the-receiver-operating-characteristics curve (AUROC) were used to assess classification performance. The training and validation of the models were conducted using the Python programming language with the PyTorch framework.

resultsThree hundred eighty-seven panoramic radiographs were evaluated. MTMs were present bilaterally on 232 and unilaterally on 155 radiographs. In total, 619 images were collected which included MTMs and MCs. AP50 and AP75 indicating accuracy for detecting MTMs and MCs were 0.99 and 0.90 respectively. Classification accuracy, recall, specificity, F1-score, precision, and AUROC values were 0.85, 0.85, 0.93, 0.84, 0.86, and 0.91, respectively.

conclusionDL can detect MTMs and MCs and accurately assess their anatomical relationship on panoramic radiographs.

Indexed as

Deep LearningMandibleMolar, ThirdRadiography, PanoramicAdultCone-Beam Computed TomographyFemaleHumansMaleMandibular NerveArtificial IntelligenceDeep learningMandibular canalMolar, Third

Identifiers

PMID39538183
PMCPMC11562527

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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.