Auconi Pietro, Scazzocchio Marco, Caldarelli Guido, Nieri Michele, McNamara James A, Franchi Lorenzo
Private Practice of Orthodontics.
Orthodontic Computer Scientist, Rome.
Eur J Orthod. 2017 Aug 1;39(4):395-401. doi: 10.1093/ejo/cjw084.
The aim of the present study was to apply a computational method commonly used in data mining discipline, classification trees (CTs), to evaluate the growth features in untreated Class III subjects.
CT was applied to data from 91 untreated Class III subjects (48 females and 43 males) and compared with the results of discriminant analysis (DA). For all subjects, lateral cephalograms were available at T1 (mean age 10.4 ± 2.0 years) and at T2 (mean age 15.4 ± 1.9 years). A cephalometric analysis comprising 11 variables was performed. The subjects were divided into two subgroups, unfavourable ('Bad') and favourable ('Good') growers, according to the quality of the skeletal growth rate in comparison with the normal craniofacial growth.
CTs showed that the most informative attribute for the prediction of favourable/unfavourable skeletal growth was the SNA angle. Subjects with SNA values lower than 79.1 degrees showed a risk of 94 per cent of growing unfavourably. DA was able to select palatal plane to mandibular plane angle as predictors. DA, however, showed a statistically significant higher rate of misclassification when compared with CTs (40.7 per cent versus 12.1 per cent, binomial exact test: odds ratio = 6.20; P < 0.0001).
CTs provided a valid measure of elucidating the effective contribution of craniofacial characteristics in predicting favourable/unfavourable growth in untreated Class III subjects.
本研究旨在应用数据挖掘学科中常用的一种计算方法——分类树(CTs),来评估未经治疗的III类患者的生长特征。
将CT应用于91名未经治疗的III类患者(48名女性和43名男性)的数据,并与判别分析(DA)的结果进行比较。所有患者在T1(平均年龄10.4±2.0岁)和T2(平均年龄15.4±1.9岁)时均有头颅侧位片。进行了一项包含11个变量的头影测量分析。根据与正常颅面生长相比的骨骼生长速率质量,将患者分为两个亚组,即生长不利(“差”)和生长有利(“好”)的患者。
CT显示,预测有利/不利骨骼生长的最具信息性的属性是SNA角。SNA值低于79.1度的患者生长不利的风险为94%。DA能够选择腭平面至下颌平面角作为预测指标。然而,与CT相比,DA的误分类率在统计学上显著更高(40.7%对12.1%,二项式精确检验:优势比=6.20;P<0.0001)。
CT为阐明颅面特征在预测未经治疗的III类患者有利/不利生长中的有效作用提供了一种有效的测量方法。