Improving Segmentation of the Inferior Alveolar Nerve through Deep Label Propagation

Abstract

Many recent works in dentistry and maxillofacial imagery focused on the Inferior Alveolar Nerve (IAN) canal detection. Unfortunately, the small extent of available 3D maxillofacial datasets has strongly limited the performance of deep learning-based techniques. On the other hand, a huge amount of sparsely annotated data is produced every day from the regular procedures in the maxillofacial practice. Despite the amount of sparsely labeled images being significant, the adoption of those data still raises an open problem. Indeed, the deep learning approach frames the presence of dense annotations as a crucial factor. Recent efforts in literature have hence focused on developing label propagation techniques to expand sparse annotations into dense labels. However, the proposed methods proved only marginally effective for the purpose of segmenting the alveolar nerve in CBCT scans. This paper exploits and publicly releases a new 3D densely annotated dataset, through which we are able to train a deep label propagation model which obtains better results than those available in literature. By combining a segmentation model trained on the 3D annotated data and label propagation, we significantly improve the state of the art in the Inferior Alveolar Nerve segmentation.