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Updated: May 9, 2026

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Denver Papillae Protocol for Objective Analysis of Fungiform Papillae
Published on: June 8, 2015
Determination of Fungiform Papilla Number Using Deep Learning Methods
Sümeyye Çelik1, Alican Kuran2, Kerem Kayabay3
1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Kocaeli University, Kocaeli, Türkiye. smyycelik41@gmail.com.
Journal of Imaging Informatics in Medicine
|May 7, 2026
Summary
A new AI method automatically counts fungiform papillae (FP) on the tongue. This deep learning approach offers a fast, accurate, and reproducible alternative to manual counting for health status assessment.
Area of Science:
- Biomedical Imaging
- Artificial Intelligence in Medicine
- Computational Biology
Background:
- Fungiform papillae (FP) density and morphology are potential biomarkers for taste function and systemic diseases.
- Manual counting of FP is subjective and time-consuming, hindering large-scale research and clinical applications.
Purpose of the Study:
- To develop and validate a deep learning-based method for automatic detection and counting of fungiform papillae (FP).
- To provide an objective, reproducible, and efficient AI tool for quantitative FP assessment.
Main Methods:
- A deep learning object detection model (Ultralytics YOLOv11) was trained on 177 annotated tongue images.
- Transfer learning, nested cross-validation, and early stopping were employed for model optimization.
- Performance was evaluated using precision, recall, F1 score, mean absolute error, and root mean square error on an independent test set.
Main Results:
- The YOLOv11 model achieved a balanced detection performance with 0.678 precision, 0.740 recall, and 0.707 F1 score.
- The model demonstrated reliable counting accuracy with a mean absolute error of 37.52 and root mean square error of 43.83.
- The developed AI method showed improved generalization and robustness compared to existing studies.
Conclusions:
- The proposed YOLOv11-based deep learning model offers a fast, accurate, and reproducible alternative to manual fungiform papillae counting.
- This AI approach has the potential to support large-scale clinical and research applications utilizing FP analysis as a health status biomarker.

