Evidence map›Paper›PMID 41817050›Full record

ArticleOrthodontics & craniofacial research2026

Evaluation of a Facial Dysmorphology Analysis Algorithm (Face2Gene) in Identifying Treacher Collins Syndrome Amongst Diverse Population.

Jie Han Timothy Sng, Jonas Jun Jie Hue, Josep Rubio-Palau

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Article in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jie Han Timothy SngDiscipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University Centre for Oral Health, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0003-4069-5153
Jonas Jun Jie HueDepartment of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-5688-6160
Josep Rubio-PalauDepartment of Maxillofacial Surgery, Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain.ORCID https://orcid.org/0000-0003-2642-930X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreacher Collins Syndrome (TCS) is an uncommon congenital disease of the craniofacial complex. While there are 'classic' facial manifestations of TCS, they present with a wide range of variability. Face2Gene (F2G) is a deep-learning algorithm that can provide differential diagnoses of syndromes via analysis of 2-dimensional facial images. This may aid early recognition of TCS, thus improving early multidisciplinary management. Our primary aim is to evaluate and compare the performance of F2G in TCS patients of various races. The secondary aim will be to correlate the pathognomonic facial features of these TCS patients with the diagnostic stratification by F2G.

methodsPublicly available images of TCS patients of White (n = 81), Chinese (n = 23), and Indian (n = 23) race were sourced for and screened prior to inclusion for documentation of facial dysmorphological features and F2G evaluation. The diagnostic sensitivity of F2G and computed gestalt score of TCS for each image were then derived. Statistical analysis for correlation between clinical features and F2G-derived gestalt scores for the TCS patients was performed.

resultsA total of 127 images of TCS patients were analysed by F2G. A high diagnostic accuracy of 93.7% was obtained. However, F2G was less confident when diagnosing Asians with TCS than White individuals (p < 0.05). Malar hypoplasia was less prevalent in Indian TCS patients (p < 0.001). However, multidimensionality reduction showed no significant differences across the racial groups. Certain facial features were associated with higher model certainty in TCS diagnosis.

conclusionF2G is a useful diagnostic adjunct for TCS. Nonetheless, further training on non-White datasets may help improve model certainty in diagnosis.

Indexed as

Deep LearningFaceMandibulofacial DysostosisAsian PeopleChildDiagnosis, DifferentialFemaleHumansMaleSensitivity and SpecificityWhite Peopledeep learningdetection algorithmsfacial recognitionmandibulofacial dysostosisTreacher Collins syndrome

Identifiers

PMID41817050
PMCPMC13485199

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