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Updated: May 20, 2026

Reliability of Artificial Intelligence-Based Cone Beam Computed Tomography Integration with Digital Dental Images
Published on: February 23, 2024
Evaluation of a Convolutional Neural Network-Based Artifact Reduction Algorithm for Zirconia Single Crown Artifacts
Xieer Ma1, Shouwei Zhao1, Shuai Hu1
1Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji Research Institute of Stomatology, and Department of Prosthodontics, Stomatological Hospital and Dental School, Tongji University, Shanghai, 200072, China.
A new algorithm, CARNet, effectively reduces artifacts from zirconia restorations in dental cone-beam computed tomography (CBCT) scans. This convolutional neural network approach improves image quality and aids clinical diagnosis by preserving crown details.
Area of Science:
- Dental Imaging
- Artificial Intelligence in Medicine
- Biomedical Engineering
Background:
- Zirconia restorations in dentistry often cause artifacts in cone-beam computed tomography (CBCT) images.
- These artifacts degrade image quality and hinder accurate clinical diagnosis.
Purpose of the Study:
- To develop and evaluate CARNet, a novel convolutional neural network-based algorithm for reducing zirconia-induced artifacts in CBCT.
- To specifically address artifacts caused by zirconia single crowns.
Main Methods:
- CARNet utilizes a UNet backbone with a ResASPP module for multi-scale feature extraction.
- A dataset was created by simulating zirconia artifacts from the Zenodo repository.
- Performance was evaluated using objective metrics (NMAE, SSIM, PSNR) and subjective Likert scale assessments, compared against ADN, CycleGAN, and Linear Interpolation.
Main Results:
- CARNet significantly outperformed other methods in reducing zirconia artifacts, achieving NMAE of 0.013±0.001, SSIM of 0.959±0.007, and PSNR of 40.39±0.77 dB.
- Subjective evaluations confirmed CARNet's superior artifact suppression while preserving crucial crown details and marginal integrity.
Conclusions:
- CARNet is an effective and reliable method for mitigating zirconia restoration artifacts in CBCT imaging.
- The algorithm demonstrates satisfactory performance in restoring image quality affected by zirconia single crowns.
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