Evidence map›Paper›PMID 40394291›Full record

ArticleCommunications medicine2025

Expert-guided StyleGAN2 image generation elevates AI diagnostic accuracy for maxillary sinus lesions.

Peisheng Zeng, Rihui Song, Shijie Chen, Xiaohang Li, Haopeng Li, Yue Chen, Zhuohong Gong, Gengbin Cai, Yixiong Lin, Mengru Shi and 2 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Peisheng Zeng *Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0003-4542-9014
Rihui Song *School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, Guangdong, China.
Shijie Chen *Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China.
Xiaohang LiSchool of Mechanical and Automation Engineering, Wuyi University, Jiangmen, Guangdong, China.
Haopeng LiSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yue ChenSchool of Information Technology, Guangdong Industry Polytechnic University, Foshan, Guangdong, China.
Zhuohong GongHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China.
Gengbin CaiHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China.
Yixiong LinHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China.
Mengru ShiHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China. shimr5@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-4100-3577
Kai HuangSchool of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, Guangdong, China. huangk36@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-3347-204X
Zetao ChenHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University and Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, Guangdong, China. chenzet3@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-1982-8847

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe progress of artificial intelligence (AI) research in dental medicine is hindered by data acquisition challenges and imbalanced distributions. These problems are especially apparent when planning to develop AI-based diagnostic or analytic tools for various lesions, such as maxillary sinus lesions (MSL) including mucosal thickening and polypoid lesions. Traditional unsupervised generative models struggle to simultaneously control the image realism, diversity, and lesion-type specificity. This study establishes an expert-guided framework to overcome these limitations to elevate AI-based diagnostic accuracy.

methodsA StyleGAN2 framework was developed for generating clinically relevant MSL images (such as mucosal thickening and polypoid lesion) under expert control. The generated images were then integrated into training datasets to evaluate their effect on ResNet50's diagnostic performance.

resultsHere we show: 1) Both lesion subtypes achieve satisfactory fidelity metrics, with structural similarity indices (SSIM > 0.996) and maximum mean discrepancy values (MMD < 0.032), and clinical validation scores close to those of real images; 2) Integrating baseline datasets with synthetic images significantly enhances diagnostic accuracy for both internal and external test sets, particularly improving area under the precision-recall curve (AUPRC) by approximately 8% and 14% for mucosal thickening and polypoid lesions in the internal test set, respectively.

conclusionsThe StyleGAN2-based image generation tool effectively addressed data scarcity and imbalance through high-quality MSL image synthesis, consequently boosting diagnostic model performance. This work not only facilitates AI-assisted preoperative assessment for maxillary sinus lift procedures but also establishes a methodological framework for overcoming data limitations in medical image analysis.

Identifiers

PMID40394291
PMCPMC12092618

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.