Evidence map›Paper›PMID 41299513›Full record

ArticleBMC oral health2025

Comparison of 2D, 2.5D, and 3D landmark localization networks for 3D cephalometry in CT images.

Soo-Min Kim, Min-Hyuk Choi, Seung-Hee Han, Min-Jin Kim, Jo-Eun Kim, Kyung-Hoe Huh, Sam-Sun Lee, Min-Suk Heo, Won-Jin Yi

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Soo-Min Kim *Department of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea.
Min-Hyuk Choi *Department of Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Korea.
Seung-Hee HanDepartment of Orthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea.
Min-Jin KimSchool of Dentistry, Kyung Hee University, Seoul, Korea.
Jo-Eun KimDepartment of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea.
Kyung-Hoe HuhDepartment of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea.
Sam-Sun LeeDepartment of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea.
Min-Suk HeoDepartment of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea.
Won-Jin YiDepartment of Oral and Maxillofacial Radiology and Dental Research Institute, Seoul National University, Seoul, Korea. wjyi@snu.ac.kr.

Funding

Ministry of Trade, Industry and Energy RS-2025-14322975National Research Foundation of Korea RS-2023-NR077088
6 · The paper itself

Abstract

backgroundAccurate landmark localization is important for three-dimensional (3D) cephalometric analysis. Although deep learning has shown promising performance for 3D landmark localization, the high computational burden of processing volumetric data remains a challenge. The 2.5D networks have emerged to provide the good performance while mitigating computational and memory requirements in the medical domain. Therefore, we compared the performance of 2D, 2.5D and 3D network-based landmark localization.

methodsWe collected landmark datasets from the volumetric computed tomography (CT) scans of 40 patients. We implemented the 2D, 2.5D and 3D networks for 3D landmark localization. Additionally, we designed a global-to-local loss to mitigate foreground-background imbalance, and employed both soft and hard voting in a network ensemble to improve the robustness. We evaluated each network's performance in terms of accuracy and computational load.

resultsThe 2.5D network-based landmark localization achieved a mean radial error (MRE) of 1.19[Formula: see text]0.65 mm and a successful detection rate (SDR) of 86.46% at 2mm, with a favorable computational load. These results outperformed those of the 2D and 3D networks. Furthermore, using the global-to-local loss led to higher performance compared to using the global loss alone. Soft voting proved the most robust performance among voting methods for landmark localization.

conclusionsComprehensive experiments demonstrate that the 2.5D network offers an optimal trade-off between computational load and accuracy. These findings highlight the potential for more efficient and reliable 3D cephalometry under limited computational resources.

Indexed as

Anatomic LandmarksCephalometryImaging, Three-DimensionalTomography, X-Ray ComputedDeep LearningHumans2.5D network3D cephalometryDeep learningSoft voting

Identifiers

PMID41299513
PMCPMC12659582

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LicenceCC BY
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