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A High-Accuracy Detection System: Based on Transfer Learning for Apical Lesions on Periapical Radiograph
Yueh Chuo1, Wen-Ming Lin1, Tsung-Yi Chen2
1Department of General Dentistry, Chang Gung Memorial Hospital, Taoyuan City 33305, Taiwan.
Bioengineering (Basel, Switzerland)
|December 23, 2022
Summary
This study introduces a convolutional neural network (CNN) model for automatic detection of apical lesions in periapical radiographs. The CNN model achieves high accuracy, reducing dentists' workload and improving diagnostic efficiency in endodontic treatment.
Area of Science:
- Dentistry
- Medical Imaging
- Artificial Intelligence
Background:
- Apical lesions are common oral diseases often detected via periapical radiographs (PA).
- Manual marking of apical lesions in PAs is time-consuming for dentists during endodontic treatment.
- There is a need for automated tools to assist in the diagnosis of apical lesions.
Purpose of the Study:
- To develop and evaluate a convolutional neural network (CNN)-based model for automated detection of apical lesions in periapical radiographs.
- To improve the efficiency and accuracy of apical lesion diagnosis in endodontic practice.
- To reduce the manual workload for dentists in identifying apical lesions.
Main Methods:
- Development of a CNN-based regional analysis model for apical lesion detection.
- Implementation of an adaptive threshold preprocessing technique for image segmentation (accuracy >96%).
- Introduction of an enhanced technique for apical lesion symptom visualization.
Main Results:
- The proposed CNN model achieved a high detection accuracy of 96.21% for apical lesions.
- The model demonstrated a significant improvement of over 5% in accuracy compared to existing technologies.
- The adaptive threshold preprocessing technique achieved over 96% accuracy in image segmentation.
Conclusions:
- The developed CNN model effectively automates the diagnosis of apical lesions from periapical radiographs.
- This automation allows dentists to dedicate more time to critical aspects of patient care, such as treatment planning and communication.
- The study provides a valuable tool for enhancing diagnostic efficiency in endodontic procedures.

