The combination of a histogram-based clustering algorithm and support vector machine for the diagnosis of

Muthu Subash Kavitha1, Akira Asano, Akira Taguchi

  • 1Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea. ; Graduate School of Engineering, Hiroshima University, Hiroshima, Japan.

Insights

This study introduces a novel histogram-based automatic clustering (HAC) and support vector machine (SVM) approach to analyze dental panoramic radiographs (DPRs) for precise osteoporosis diagnosis in postmenopausal women.

Area of Science:

  • Radiology and Imaging
  • Osteoporosis Research
  • Artificial Intelligence in Medicine

Background:

  • Accurate diagnosis of low bone mineral density (BMD) and osteoporosis in postmenopausal women is crucial for prevention.
  • Current diagnostic methods may require improvement for enhanced precision.

Purpose of the Study:

  • To develop and validate an automated method using histogram-based automatic clustering (HAC) and support vector machine (SVM) for precise osteoporosis diagnosis.
  • To improve the diagnostic accuracy of identifying postmenopausal women with low BMD or osteoporosis through dental panoramic radiographs (DPRs).

Main Methods:

  • Integration of a novel HAC algorithm with a computer-aided diagnosis system utilizing support vector machine (SVM) classifiers.
  • Extraction of moment-based features (mean, variance, skewness, kurtosis) from mandibular cortical width in DPRs.
  • Comparison of SVM model performance against a back propagation (BP) neural network model using data from 100 postmenopausal women.

Main Results:

  • The HAC-SVM model achieved high diagnostic accuracy for low BMD at the lumbar spine (93.0%) and femoral neck (89.0%).
  • High sensitivity (95.8% at lumbar spine, 96.0% at femoral neck) and specificity (86.6% at lumbar spine, 84.0% at femoral neck) were reported.
  • The SVM model demonstrated superior diagnostic efficacy compared to the BP neural network model.

Conclusions:

  • The proposed HAC-SVM model applied to DPRs shows significant potential for assisting dentists in the early diagnosis of osteoporosis.
  • This approach could contribute to reducing morbidity and mortality associated with low BMD and osteoporosis.
  • The study highlights the utility of AI-driven analysis of dental radiographs for systemic health assessment.
Abstract