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Super-resolution of periapical and bitewing digital radiographs using convolutional neural network
Hossein Pourahmadiyan-Nadiki1, Nafiseh Alemohammad2, Mahshid Mohammadi-Bassir3
1Shahrbabak Copper Complex, National Iranian Copper Industries Company (NICICO), Kerman, Iran.
BMC Medical Imaging
|June 19, 2026
Summary
A deep learning model significantly improved the resolution of dental radiographs (Rg). The down sampled skip-connection/Multi-scale (DSC/MS) approach enhanced image quality more effectively than traditional methods.
Area of Science:
- Dentistry
- Medical Imaging
- Artificial Intelligence
Background:
- Insufficient data and rapid advancements in machine learning (ML) necessitate novel approaches for dental radiograph enhancement.
- Super Resolution (SR) theory offers a promising avenue for improving the diagnostic quality of dental images.
Purpose of the Study:
- To investigate a deep learning approach for enhancing the resolution of dental Bite-wing (BW) and Peri-Apical (PA) radiographs (Rg).
- To evaluate the effectiveness of different deep learning-based SR methods for dental imaging.
Main Methods:
- Collected 1000 dental radiographs (BW and PA), with 750 for training and 250 for testing.
- Downscaled High Resolution (HR) images to create Low Resolution (LR) images using 4*4 average pooling.
- Selected and trained the most efficient deep learning SR model: down sampled skip-connection/Multi-scale (DSC/MS).
Main Results:
- The DSC/MS model achieved superior performance across six evaluation metrics (R², RSME, MSE, MAE, SSIM, PSNR) compared to conventional methods.
- Key metrics included R² of 0.90 ± 0.0006, RSME of 0.039 ± 0.001, and SSIM of 0.85 ± 0.003.
- The model demonstrated high accuracy and reliability in super-resolving dental radiographs.
Conclusions:
- The developed Super Resolution (SR) model demonstrated significant effectiveness in enhancing dental radiograph resolution.
- The DSC/MS deep learning approach yielded noticeably superior results compared to linear, cubic, or nearest neighbor interpolations.
- This deep learning technique holds potential for improving diagnostic accuracy in digital dentistry.
