Alam Mohammad Khursheed, Alftaikhah Sultan Abdulkareem Ali, Issrani Rakhi, Ronsivalle Vincenzo, Lo Giudice Antonino, Cicciù Marco, Minervini Giuseppe
Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia.
Department of Dental Research Cell, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Chennai, 600077, India.
Heliyon. 2024 Jan 14;10(3):e24221. doi: 10.1016/j.heliyon.2024.e24221. eCollection 2024 Feb 15.
In the past, dentistry heavily relied on manual image analysis and diagnostic procedures, which could be time-consuming and prone to human error. The advent of artificial intelligence (AI) has brought transformative potential to the field, promising enhanced accuracy and efficiency in various dental imaging tasks. This systematic review and meta-analysis aimed to comprehensively evaluate the applications of AI in dental imaging modalities, focusing on in-vitro studies.
A systematic literature search was conducted, in accordance with the PRISMA guidelines. The following databases were systematically searched: PubMed/MEDLINE, Embase, Web of Science, Scopus, IEEE Xplore, Cochrane Library, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Google Scholar. The meta-analysis employed fixed-effects models to assess AI accuracy, calculating odds ratios (OR) for true positive rate (TPR), true negative rate (TNR), positive predictive value (PPV), and negative predictive value (NPV) with 95 % confidence intervals (CI). Heterogeneity and overall effect tests were applied to ensure the reliability of the findings.
9 studies were selected that encompassed various objectives, such as tooth segmentation and classification, caries detection, maxillofacial bone segmentation, and 3D surface model creation. AI techniques included convolutional neural networks (CNNs), deep learning algorithms, and AI-driven tools. Imaging parameters assessed in these studies were specific to the respective dental tasks. The analysis of combined ORs indicated higher odds of accurate dental image assessments, highlighting the potential for AI to improve TPR, TNR, PPV, and NPV. The studies collectively revealed a statistically significant overall effect in favor of AI in dental imaging applications.
In summary, this systematic review and meta-analysis underscore the transformative impact of AI on dental imaging. AI has the potential to revolutionize the field by enhancing accuracy, efficiency, and time savings in various dental tasks. While further research in clinical settings is needed to validate these findings and address study limitations, the future implications of integrating AI into dental practice hold great promise for advancing patient care and the field of dentistry.
过去,牙科严重依赖人工图像分析和诊断程序,这些方法可能耗时且容易出现人为误差。人工智能(AI)的出现给该领域带来了变革潜力,有望在各种牙科成像任务中提高准确性和效率。本系统评价和荟萃分析旨在全面评估AI在牙科成像模式中的应用,重点关注体外研究。
按照PRISMA指南进行系统的文献检索。对以下数据库进行了系统检索:PubMed/MEDLINE、Embase、科学网、Scopus、IEEE Xplore、Cochrane图书馆、CINAHL(护理及相关健康文献累积索引)和谷歌学术。荟萃分析采用固定效应模型评估AI的准确性,计算真阳性率(TPR)、真阴性率(TNR)、阳性预测值(PPV)和阴性预测值(NPV)的比值比(OR),并给出95%置信区间(CI)。应用异质性和总体效应检验以确保研究结果的可靠性。
选择了9项研究,这些研究涵盖了各种目标,如牙齿分割与分类、龋齿检测、颌面骨分割和三维表面模型创建。AI技术包括卷积神经网络(CNN)、深度学习算法和AI驱动工具。这些研究中评估的成像参数因各自的牙科任务而异。综合OR分析表明,准确的牙科图像评估的可能性更高,突出了AI改善TPR、TNR、PPV和NPV的潜力。这些研究共同显示,在牙科成像应用中,AI总体上具有统计学显著效应。
总之,本系统评价和荟萃分析强调了AI对牙科成像的变革性影响。AI有可能通过提高各种牙科任务的准确性、效率并节省时间来彻底改变该领域。虽然需要在临床环境中进行进一步研究以验证这些发现并解决研究局限性,但将AI整合到牙科实践中的未来意义对于推进患者护理和牙科领域具有巨大潜力。