Evidence map›Paper›PMID 42343342›Full record

ArticleBMC oral health2026

Evaluation of an AI-based segmentation model for mandibular fracture segmentation on CBCT using volumetric and 2D slice-based validation approaches.

Ilgın Arı, Ersagun Kara, Arzum Yılmaz, Ecem Usman, Alper Aktaş

Abstract readValidation Study
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Article in BMC oral health, 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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ilgın ArıDepartment of Oral and Maxillofacial Surgery, DDS, Karadeniz Ereğli Oral and Dental Health Center, Zonguldak, Türkiye. ariilgin@gmail.com.ORCID 0009-0009-4506-9996
Ersagun KaraFaculty of Dentistry, Department of Oral and Maxillofacial Surgery, DDS, Hacettepe University, Ankara, Türkiye.ORCID 0009-0004-3287-4789
Arzum YılmazDDS, Private Clinic, Ankara, Türkiye.ORCID 0000-0002-5850-1591
Ecem UsmanFaculty of Dentistry, Department of Oral and Maxillofacial Surgery, DDS, Hacettepe University, Ankara, Türkiye.ORCID 0000-0003-0536-042X
Alper AktaşFaculty of Dentistry, Department of Oral and Maxillofacial Surgery, DDS, Hacettepe University, Ankara, Türkiye.ORCID 0000-0002-1977-4431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the diagnostic performance of an artificial intelligence (AI)-based segmentation model for mandibular fracture segmentation on cone-beam computed tomography (CBCT) scans using both volumetric (3D) and 2D slice-based validation approaches. MATERIALS AND

methodsCBCT data from 92 patients, comprising 142 mandibular fracture sites, were retrospectively collected. Ground truth annotations were established through manual segmentation by two oral and maxillofacial surgeons. The AI model was developed using the nnU-Net v2 architecture in 3D full-resolution mode. The dataset was divided into training (90%) and test (10%) subsets. Model performance was evaluated by comparing AI-generated segmentations with expert annotations using accuracy, Dice similarity coefficient (DICE), Jaccard index, precision, recall, average surface distance (ASD), and the 95% Hausdorff distance. These metrics were calculated for both volumetric (3D) and 2D slice-based validation approaches.

resultsVolumetric (3D) evaluation yielded a DICE of 0.605, a Jaccard index of 0.446, a precision of 0.61, and a recall of 0.663. In contrast, 2D slice-based validation resulted in a DICE of 0.492, a Jaccard index of 0.350, a precision of 0.60, and a recall of 0.484. The average surface distance was 4.88 mm for the 3D model and 7.85 mm for the 2D model, while the 95% Hausdorff distance was 16.48 mm and 22.04 mm, respectively.

conclusionThe AI-based segmentation model demonstrated a moderate level of performance in segmenting mandibular fracture regions on CBCT scans. Although overall segmentation accuracy was limited, the volumetric (3D) validation approach consistently outperformed the 2D slice-based method. These findings suggest that volumetric evaluation provides a more comprehensive and reliable framework for assessing AI-assisted mandibular fracture segmentation on CBCT images.

Indexed as

Artificial IntelligenceCone-Beam Computed TomographyMandibular FracturesHumansImaging, Three-DimensionalRetrospective Studies2D slice-based validationArtificial intelligenceDeep learningMandibular fractureSegmentation volumetric analysis

Identifiers

PMID42343342
PMCPMC13499960

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