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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Deep learning based hybrid system for automatic detection and classification of nasopalatine canal in cone beam computed tomography images.

Şuheda Erdem, Mehmet Egemen Aydemir, Muammer Türkoğlu

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 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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3 authors.

Şuheda ErdemDentomaxillofacial Radiology, Faculty of Dentistry, Giresun University, Nizamiye, Mumcular Street No.:1, 28200, Giresun, Turkey. suheda.erdem@giresun.edu.tr.ORCID http://orcid.org/0000-0002-3214-7272
Mehmet Egemen AydemirDentomaxillofacial Radiology, Faculty of Dentistry, Burdur Mehmet Akif Ersoy University, Burdur, 15200, Turkey.ORCID http://orcid.org/0000-0002-0632-4861
Muammer TürkoğluDepartment of Software Engineering, Samsun University, Samsun, 55200, Turkey.ORCID http://orcid.org/0000-0002-2377-4979

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6 · The paper itself

Abstract

purposeThe objective of this study was to develop and evaluate a deep learning-based hybrid system for the automatic detection and classification of the nasopalatine canal (NPC) via cone beam computed tomography (CBCT) images.

methodsCBCT images from 135 patients were analysed retrospectively. The proposed system incorporates a YOLO-based object detection model (YOLOv8, YOLOv9, YOLOv10 and YOLOv11) for NPC localization and advanced deep learning classification models, including MobileNetV3Large, ResNet50, and EfficientNetV2B0. Model performance was evaluated via metrics such as precision, recall, F1 score, and accuracy. Training and testing times were also analysed to assess computational efficiency.

resultsThe YOLOv10 algorithm demonstrated the most effective detection performance, achieving 100% recall and 99.5% mAP50. Among the classification models, MobileNetV3Large exhibited the highest accuracy (81.48%), precision (82.60%), and F1 score (81.47%). EfficientNetV2B0 closely followed, achieving an accuracy of 79.26%.

conclusionAutomatic localization and morphological classification of the NPC on CBCT images appears feasible. The proposed framework may assist clinicians in recognizing anatomical variations and selecting cases that require more detailed radiological evaluation before anterior maxillary procedures. Nevertheless, the findings are preliminary, and expert verification and external validation remain necessary.

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ClassificationCone beam computed tomographyDeep learningDetectionNasopalatine canal

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