Cha Jun-Young, Yoon Hyung-In, Yeo In-Sung, Huh Kyung-Hoe, Han Jung-Suk
Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Daehak-ro 101, Jongro-gu, Seoul 03080, Korea.
Department of Oral and Maxillofacial Radiology, School of Dentistry and Dental Research Institute, Seoul National University, Daehak-ro 101, Jongro-gu, Seoul 03080, Korea.
J Clin Med. 2021 Jun 11;10(12):2577. doi: 10.3390/jcm10122577.
Panoramic radiographs, also known as orthopantomograms, are routinely used in most dental clinics. However, it has been difficult to develop an automated method that detects the various structures present in these radiographs. One of the main reasons for this is that structures of various sizes and shapes are collectively shown in the image. In order to solve this problem, the recently proposed concept of panoptic segmentation, which integrates instance segmentation and semantic segmentation, was applied to panoramic radiographs. A state-of-the-art deep neural network model designed for panoptic segmentation was trained to segment the maxillary sinus, maxilla, mandible, mandibular canal, normal teeth, treated teeth, and dental implants on panoramic radiographs. Unlike conventional semantic segmentation, each object in the tooth and implant classes was individually classified. For evaluation, the panoptic quality, segmentation quality, recognition quality, intersection over union (IoU), and instance-level IoU were calculated. The evaluation and visualization results showed that the deep learning-based artificial intelligence model can perform panoptic segmentation of images, including those of the maxillary sinus and mandibular canal, on panoramic radiographs. This automatic machine learning method might assist dental practitioners to set up treatment plans and diagnose oral and maxillofacial diseases.
全景X线片,也称为曲面体层片,在大多数牙科诊所中经常使用。然而,开发一种能检测这些X线片中各种结构的自动化方法一直很困难。造成这种情况的主要原因之一是图像中共同显示了各种大小和形状的结构。为了解决这个问题,最近提出的将实例分割和语义分割相结合的全景分割概念被应用于全景X线片。一个为全景分割设计的先进深度神经网络模型经过训练,用于在全景X线片上分割上颌窦、上颌骨、下颌骨、下颌管、正常牙齿、治疗过的牙齿和牙种植体。与传统的语义分割不同,牙齿和种植体类别的每个对象都被单独分类。为了进行评估,计算了全景质量、分割质量、识别质量、交并比(IoU)和实例级IoU。评估和可视化结果表明,基于深度学习的人工智能模型可以对全景X线片上的图像进行全景分割,包括上颌窦和下颌管的图像。这种自动机器学习方法可能有助于牙科医生制定治疗计划和诊断口腔颌面疾病。