Evidence map›Paper›PMID 39570431›Full record

ArticleClinical oral investigations2024

AI-driven segmentation of the pulp cavity system in mandibular molars on CBCT images using convolutional neural networks.

Marie Louise Slim, Reinhilde Jacobs, Renata Maíra de Souza Leal, Rocharles Cavalcante Fontenele

Abstract read
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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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

4 authors.

Marie Louise SlimOMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium.
Reinhilde JacobsOMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium. reinhilde.jacobs@ki.se.
Renata Maíra de Souza LealOMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium.
Rocharles Cavalcante FonteneleOMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven, Kapucijnenvoer 7, Leuven, 3000, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and validate an artificial intelligence (AI)-driven tool for automated segmentation of the pulp cavity system of mandibular molars on cone-beam computed tomography (CBCT) images. MATERIALS AND

methodsAfter ethical approval, 66 CBCT scans were retrieved from a hospital database and divided into training (n = 26, 86 molars), validation (n = 7, 20 molars), and testing (n = 33, 60 molars) sets. After automated segmentation, an expert evaluated the quality of the AI-driven segmentations. The expert then refined any under- or over-segmentation to produce refined-AI (R-AI) segmentations. The AI and R-AI 3D models were compared to assess the accuracy. 30% of the testing sample was randomly selected to assess accuracy metrics and conduct time analysis.

resultsThe AI-driven tool achieved high accuracy, with a Dice similarity coefficient (DSC) of 88% ± 7% for first molars and 90% ± 6% for second molars (p > .05). The 95% Hausdorff distance (HD) was lower for AI-driven segmentation (0.13 ± 0.07) compared to manual segmentation (0.21 ± 0.08) (p < .05). Regarding time efficiency, AI-driven (4.3 ± 2 s) and R-AI segmentation (139 ± 93 s) methods were the fastest, compared to manual segmentation (2349 ± 444 s) (p < .05).

conclusionThe AI-driven segmentation proved to be accurate and time-efficient in segmenting the pulp cavity system in mandibular molars. CLINICAL RELEVANCE: Automated segmentation of the pulp cavity system may result in a fast and accurate 3D model, facilitating minimal-invasive endodontics and leading to higher efficiency of the endodontic workflow, enabling anticipation of complications.

Indexed as

Artificial IntelligenceCone-Beam Computed TomographyDental Pulp CavityMandibleMolarNeural Networks, ComputerHumansImaging, Three-DimensionalArtificial intelligenceCone-beam computed tomographyConvolutional neural networkDental pulpMandibular molars

Identifiers

PMID39570431
PMCPMC11582138

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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.