Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram

Abstract Orthopantomogram (OPG) is important for primary diagnosis of temporomandibular joint osteoarthritis (TMJOA), because of cost and the radiation associated with computed tomograms (CT). The aims of this study were to develop an artificial intelligence (AI) model and compare its TMJOA diagnost...

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Autores principales: Eunhye Choi, Donghyun Kim, Jeong-Yun Lee, Hee-Kyung Park
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/0ef6c1e8f22646428af26f5ae997cd3d
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spelling oai:doaj.org-article:0ef6c1e8f22646428af26f5ae997cd3d2021-12-02T15:55:18ZArtificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram10.1038/s41598-021-89742-y2045-2322https://doaj.org/article/0ef6c1e8f22646428af26f5ae997cd3d2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89742-yhttps://doaj.org/toc/2045-2322Abstract Orthopantomogram (OPG) is important for primary diagnosis of temporomandibular joint osteoarthritis (TMJOA), because of cost and the radiation associated with computed tomograms (CT). The aims of this study were to develop an artificial intelligence (AI) model and compare its TMJOA diagnostic performance from OPGs with that of an oromaxillofacial radiology (OMFR) expert. An AI model was developed using Karas’ ResNet model and trained to classify images into three categories: normal, indeterminate OA, and OA. This study included 1189 OPG images confirmed by cone-beam CT and evaluated the results by model (accuracy, precision, recall, and F1 score) and diagnostic performance (accuracy, sensitivity, and specificity). The model performance was unsatisfying when AI was developed with 3 categories. After the indeterminate OA images were reclassified as normal, OA, or omission, the AI diagnosed TMJOA in a similar manner to an expert and was in most accord with CBCT when the indeterminate OA category was omitted (accuracy: 0.78, sensitivity: 0.73, and specificity: 0.82). Our deep learning model showed a sensitivity equivalent to that of an expert, with a better balance between sensitivity and specificity, which implies that AI can play an important role in primary diagnosis of TMJOA from OPGs in most general practice clinics where OMFR experts or CT are not available.Eunhye ChoiDonghyun KimJeong-Yun LeeHee-Kyung ParkNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Eunhye Choi
Donghyun Kim
Jeong-Yun Lee
Hee-Kyung Park
Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
description Abstract Orthopantomogram (OPG) is important for primary diagnosis of temporomandibular joint osteoarthritis (TMJOA), because of cost and the radiation associated with computed tomograms (CT). The aims of this study were to develop an artificial intelligence (AI) model and compare its TMJOA diagnostic performance from OPGs with that of an oromaxillofacial radiology (OMFR) expert. An AI model was developed using Karas’ ResNet model and trained to classify images into three categories: normal, indeterminate OA, and OA. This study included 1189 OPG images confirmed by cone-beam CT and evaluated the results by model (accuracy, precision, recall, and F1 score) and diagnostic performance (accuracy, sensitivity, and specificity). The model performance was unsatisfying when AI was developed with 3 categories. After the indeterminate OA images were reclassified as normal, OA, or omission, the AI diagnosed TMJOA in a similar manner to an expert and was in most accord with CBCT when the indeterminate OA category was omitted (accuracy: 0.78, sensitivity: 0.73, and specificity: 0.82). Our deep learning model showed a sensitivity equivalent to that of an expert, with a better balance between sensitivity and specificity, which implies that AI can play an important role in primary diagnosis of TMJOA from OPGs in most general practice clinics where OMFR experts or CT are not available.
format article
author Eunhye Choi
Donghyun Kim
Jeong-Yun Lee
Hee-Kyung Park
author_facet Eunhye Choi
Donghyun Kim
Jeong-Yun Lee
Hee-Kyung Park
author_sort Eunhye Choi
title Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
title_short Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
title_full Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
title_fullStr Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
title_full_unstemmed Artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
title_sort artificial intelligence in detecting temporomandibular joint osteoarthritis on orthopantomogram
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0ef6c1e8f22646428af26f5ae997cd3d
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AT donghyunkim artificialintelligenceindetectingtemporomandibularjointosteoarthritisonorthopantomogram
AT jeongyunlee artificialintelligenceindetectingtemporomandibularjointosteoarthritisonorthopantomogram
AT heekyungpark artificialintelligenceindetectingtemporomandibularjointosteoarthritisonorthopantomogram
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