Artificial Intelligence (AI) Assessment of Pediatric Dental Panoramic Radiographs (DPRs): A Clinical Study.

IF 1.4 Q3 PEDIATRICS
Natalia Turosz, Kamila Chęcińska, Maciej Chęciński, Karolina Lubecka, Filip Bliźniak, Maciej Sikora
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Abstract

This clinical study aimed to evaluate the sensitivity, specificity, accuracy, and precision of artificial intelligence (AI) in assessing permanent teeth in pediatric patients. Over one thousand consecutive DPRs taken in Kielce, Poland, with the Carestream CS9600 device were screened. In the study material, 35 dental panoramic radiographs (DPRs) of patients of developmental age were identified and included. They were automatically evaluated with an AI algorithm. The DPRs were then analyzed by researchers. The status of the following dichotomous variables was assessed: (1) decay, (2) missing tooth, (3) filled tooth, (4) root canal filling, and (5) endodontic lesion. The results showed high specificity and accuracy (all above 85%) in detecting caries, dental fillings, and missing teeth but low precision. This study provided a detailed assessment of AI performance in a previously neglected age group. In conclusion, the overall accuracy of AI algorithms for evaluating permanent dentition in dental panoramic radiographs is lower for pediatric patients than adults or the entire population. Hence, identifying primary teeth should be implemented in AI-driven software, at least so as to ignore them when assessing mixed dentition (ClinicalTrials.gov registration number: NCT06258798).

人工智能(AI)评估儿童牙科全景X光片(DPR):临床研究。
这项临床研究旨在评估人工智能(AI)在评估儿童患者恒牙时的灵敏度、特异性、准确性和精确性。研究人员在波兰凯尔采使用 Carestream CS9600 设备连续拍摄了一千多张 DPR 照片。在研究材料中,确定并纳入了 35 张发育年龄患者的牙科全景照片 (DPR)。这些照片通过人工智能算法进行了自动评估。随后,研究人员对 DPR 进行了分析。对以下二分变量的状态进行了评估:(1) 龋齿;(2) 缺牙;(3) 充填牙;(4) 根管充填;(5) 根管病变。结果显示,在检测龋齿、补牙和缺失牙方面,特异性和准确性都很高(均高于 85%),但精确度较低。这项研究详细评估了人工智能在以往被忽视的年龄组中的表现。总之,人工智能算法评估牙科全景X光片中恒牙的总体准确性在儿科患者中低于成人或整个人群。因此,人工智能驱动的软件应该识别基牙,至少在评估混合牙列时忽略基牙(ClinicalTrials.gov 注册号:NCT06258798)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Reports
Pediatric Reports PEDIATRICS-
CiteScore
2.10
自引率
0.00%
发文量
55
审稿时长
11 weeks
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