Warin Kritsasith, Limprasert Wasit, Paipongna Teerawat, Chaowchuen Sitthi, Vicharueang Sothana
Faculty of Dentistry, Thammasat University, Khlong Luang, Pathum Thani, Thailand.
College of Interdisciplinary Studies, Thammasat University, Khlong Luang, Pathum Thani, Thailand.
Sci Rep. 2025 Jul 1;15(1):21672. doi: 10.1038/s41598-025-06318-w.
Oral cancer is a hazardous disease and a major cause of morbidity and mortality worldwide. The purpose of this study was to develop the deep convolutional neural networks (CNN)-based multiclass classification and object detection models for distinguishing and detection of oral carcinoma and sarcoma in contrast-enhanced CT images. This study included 3,259 slices of CT images of oral cancer cases from the cancer hospital and two regional hospitals from 2016 to 2020. Multiclass classification models were constructed using DenseNet-169, ResNet-50, EfficientNet-B0, ConvNeXt-Base, and ViT-Base-Patch16-224 to accurately differentiate between oral carcinoma and sarcoma. Additionally, multiclass object detection models, including Faster R-CNN, YOLOv8, and YOLOv11, were designed to autonomously identify and localize lesions by placing bounding boxes on CT images. Performance evaluation on a test dataset showed that the best classification model achieved an accuracy of 0.97, while the best detection models yielded a mean average precision (mAP) of 0.87. In conclusion, the CNN-based multiclass models have a great promise for accurately determining and distinguishing oral carcinoma and sarcoma in CT imaging, potentially enhancing early detection and informing treatment strategies.
口腔癌是一种危险疾病,也是全球发病和死亡的主要原因。本研究的目的是开发基于深度卷积神经网络(CNN)的多类分类和目标检测模型,用于在增强CT图像中区分和检测口腔癌和肉瘤。本研究纳入了2016年至2020年来自癌症医院和两家地区医院的3259例口腔癌病例的CT图像切片。使用DenseNet-169、ResNet-50、EfficientNet-B0、ConvNeXt-Base和ViT-Base-Patch16-224构建多类分类模型,以准确区分口腔癌和肉瘤。此外,还设计了包括Faster R-CNN、YOLOv8和YOLOv11在内的多类目标检测模型,通过在CT图像上放置边界框来自动识别和定位病变。在测试数据集上的性能评估表明,最佳分类模型的准确率达到0.97,而最佳检测模型的平均精度均值(mAP)为0.87。总之,基于CNN的多类模型在准确确定和区分CT成像中的口腔癌和肉瘤方面具有很大前景,有可能提高早期检测并为治疗策略提供依据。
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