Intra-oral scan segmentation using deep learning

© 2023. BioMed Central Ltd., part of Springer Nature..

OBJECTIVE: Intra-oral scans and gypsum cast scans (OS) are widely used in orthodontics, prosthetics, implantology, and orthognathic surgery to plan patient-specific treatments, which require teeth segmentations with high accuracy and resolution. Manual teeth segmentation, the gold standard up until now, is time-consuming, tedious, and observer-dependent. This study aims to develop an automated teeth segmentation and labeling system using deep learning.

MATERIAL AND METHODS: As a reference, 1750 OS were manually segmented and labeled. A deep-learning approach based on PointCNN and 3D U-net in combination with a rule-based heuristic algorithm and a combinatorial search algorithm was trained and validated on 1400 OS. Subsequently, the trained algorithm was applied to a test set consisting of 350 OS. The intersection over union (IoU), as a measure of accuracy, was calculated to quantify the degree of similarity between the annotated ground truth and the model predictions.

RESULTS: The model achieved accurate teeth segmentations with a mean IoU score of 0.915. The FDI labels of the teeth were predicted with a mean accuracy of 0.894. The optical inspection showed excellent position agreements between the automatically and manually segmented teeth components. Minor flaws were mostly seen at the edges.

CONCLUSION: The proposed method forms a promising foundation for time-effective and observer-independent teeth segmentation and labeling on intra-oral scans.

CLINICAL SIGNIFICANCE: Deep learning may assist clinicians in virtual treatment planning in orthodontics, prosthetics, implantology, and orthognathic surgery. The impact of using such models in clinical practice should be explored.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

BMC oral health - 23(2023), 1 vom: 05. Sept., Seite 643

Sprache:

Englisch

Beteiligte Personen:

Vinayahalingam, Shankeeth [VerfasserIn]
Kempers, Steven [VerfasserIn]
Schoep, Julian [VerfasserIn]
Hsu, Tzu-Ming Harry [VerfasserIn]
Moin, David Anssari [VerfasserIn]
van Ginneken, Bram [VerfasserIn]
Flügge, Tabea [VerfasserIn]
Hanisch, Marcel [VerfasserIn]
Xi, Tong [VerfasserIn]

Links:

Volltext

Themen:

Artificial intelligence
Calcium Sulfate
Computer-assisted planning
Deep learning
Digital imaging
Intra-oral scan
Journal Article
Research Support, Non-U.S. Gov't
WAT0DDB505

Anmerkungen:

Date Completed 07.09.2023

Date Revised 21.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12903-023-03362-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361679548