Department of Computer Science, The University of Hong Kong, Hong Kong, China; School of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Department of Computer Science, University College London, London, UK; Department of Computer Science, The University of Hong Kong, Hong Kong, China.
Med Image Anal. 2021 Apr;69:101949. doi: 10.1016/j.media.2020.101949. Epub 2020 Dec 19.
Automatic and accurate segmentation of dental models is a fundamental task in computer-aided dentistry. Previous methods can achieve satisfactory segmentation results on normal dental models; however, they fail to robustly handle challenging clinical cases such as dental models with missing, crowding, or misaligned teeth before orthodontic treatments. In this paper, we propose a novel end-to-end learning-based method, called TSegNet, for robust and efficient tooth segmentation on 3D scanned point cloud data of dental models. Our algorithm detects all the teeth using a distance-aware tooth centroid voting scheme in the first stage, which ensures the accurate localization of tooth objects even with irregular positions on abnormal dental models. Then, a confidence-aware cascade segmentation module in the second stage is designed to segment each individual tooth and resolve ambiguities caused by aforementioned challenging cases. We evaluated our method on a large-scale real-world dataset consisting of dental models scanned before or after orthodontic treatments. Extensive evaluations, ablation studies and comparisons demonstrate that our method can generate accurate tooth labels robustly in various challenging cases and significantly outperforms state-of-the-art approaches by 6.5% of Dice Coefficient, 3.0% of F1 score in term of accuracy, while achieving 20 times speedup of computational time.
自动且准确地分割牙齿模型是计算机辅助牙科中的一项基本任务。以前的方法可以在正常的牙齿模型上实现令人满意的分割结果,但它们无法稳健地处理具有挑战性的临床案例,例如正畸治疗前的牙齿缺失、拥挤或不齐的牙齿模型。在本文中,我们提出了一种新颖的端到端基于学习的方法,称为 TSegNet,用于在牙齿模型的 3D 扫描点云数据上进行稳健和高效的牙齿分割。我们的算法在第一阶段使用距离感知的牙齿质心投票方案来检测所有牙齿,即使在异常牙齿模型上位置不规则的情况下,也能确保牙齿对象的准确定位。然后,在第二阶段设计了一个置信感知级联分割模块,用于分割每个单独的牙齿,并解决上述挑战性情况引起的歧义。我们在一个由正畸治疗前后扫描的牙齿模型组成的大规模真实世界数据集上评估了我们的方法。广泛的评估、消融研究和比较表明,我们的方法可以在各种具有挑战性的情况下稳健地生成准确的牙齿标签,在准确性方面比最先进的方法高出 6.5%的 Dice 系数和 3.0%的 F1 分数,同时实现了计算时间的 20 倍加速。