Evidence map›Paper›PMID 40091067›Full record

ArticleNature communications2025

Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models.

In-Hwan Kim, Jiheon Jeong, Jun-Sik Kim, Jisup Lim, Jin-Hyoung Cho, Mihee Hong, Kyung-Hwa Kang, Minji Kim, Su-Jung Kim, Yoon-Ji Kim and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 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

16 authors.

In-Hwan KimDepartment of Biomedical Engineering, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jiheon JeongDepartment of Biomedical Engineering, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jun-Sik KimDepartment of Biomedical Engineering, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jisup LimDepartment of Convergence Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-8938-233X
Jin-Hyoung ChoDepartment of Orthodontics, Chonnam National University School of Dentistry, Gwangju, Republic of Korea.
Mihee HongDepartment of Orthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
Kyung-Hwa KangDepartment of Orthodontics, School of Dentistry, Wonkwang University, Iksan-si, Republic of Korea.
Minji KimDepartment of Orthodontics, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Su-Jung KimDepartment of Orthodontics, Kyung Hee University School of Dentistry, Seoul, Republic of Korea.
Yoon-Ji KimDepartment of Orthodontics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Sang-Jin SungDepartment of Orthodontics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Young Ho KimDepartment of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon-si, Gyeonggi-do, Republic of Korea.
Sung-Hoon LimDepartment of Orthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea.
Seung-Hak BaekDepartment of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, Republic of Korea.
Jae-Woo ParkDepartment of Convergence Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea. jeuspark@gmail.com.ORCID http://orcid.org/0000-0002-7900-5749
Namkug KimDepartment of Convergence Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea. namkugkim@gmail.com.ORCID http://orcid.org/0000-0002-3438-2217

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthognathic surgery, or corrective jaw surgery, is performed to correct severe dentofacial deformities and is increasingly sought for cosmetic purposes. Accurate prediction of surgical outcomes is essential for selecting the optimal treatment plan and ensuring patient satisfaction. Here, we present GPOSC-Net, a generative prediction model for orthognathic surgery that synthesizes post-operative lateral cephalograms from pre-operative data. GPOSC-Net consists of two key components: a landmark prediction model that estimates post-surgical cephalometric changes and a latent diffusion model that generates realistic synthesizes post-operative lateral cephalograms images based on predicted landmarks and segmented profile lines. We validated our model using diverse patient datasets, a visual Turing test, and a simulation study. Our results demonstrate that GPOSC-Net can accurately predict cephalometric landmark positions and generate high-fidelity synthesized post-operative lateral cephalogram images, providing a valuable tool for surgical planning. By enhancing predictive accuracy and visualization, our model has the potential to improve clinical decision-making and patient communication.

Indexed as

CephalometryNeural Networks, ComputerOrthognathic Surgical ProceduresAdultFemaleGraph Neural NetworksHumansMalePostoperative PeriodTreatment OutcomeYoung Adult

Identifiers

PMID40091067
PMCPMC11911408

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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.