视觉语言模型在使用不同牙编号系统的全景射线图上检测常见牙疾病的性能
Zekai Liu1, Qi Yong H Ai2, Andy Wai Kan Yeung1
1Oral and Maxillofacial Radiology, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR 999077, China.
Diagnostics (Basel, Switzerland)
|September 27, 2025
概括
在全景放射图上,GPT-4o擅长识别牙科植入物和修复的牙,但在病和骨折方面扎. 在患者层面,诊断准确度更高,在牙编号系统中表现相似.
科学领域:
- 医疗成像中的人工智能
- 牙科放射学 牙科放射学
- 机器学习用于诊断.
背景情况:
- 全景射线图对于诊断常见的牙科疾病至关重要.
- 在牙科诊断中评估AI性能对于临床整合至关重要.
- 在解释复杂的放射性发现方面,GPT-4o的潜力需要进行彻底评估.
研究的目的:
- 评估GPT-4o在全景放射图上识别九种牙疾病的准确性.
- 使用FDI和通用牙编号系统来比较GPT-4o的性能.
- 在患者和牙层面评估诊断性能.
主要方法:
- 用GPT-4o分析了50张各种牙状况的全景放射图.
- GPT-4o使用了与FDI和通用牙编号系统的结构化提示.
- 性能指标包括平衡的准确性,灵敏度,特异性和F1得分与共识标准相比.
主要成果:
- GPT-4o对牙植入物,缺失的牙和受影响的牙具有很高的准确性.
- 在,周周病变和骨折方面,表现较差.
- 患者水平的准确性通常高于牙水平的准确性.
- 在FDI和通用编号系统中观察到类似的表现.
结论:
- GPT-4o在检测植入物和恢复牙方面表现出强项,但在虫和骨折方面存在局限性.
- 患者级别的评估比牙级别的评估提供了更好的诊断准确性.
- 需要对更大的数据集和各种AI模型进行进一步的研究.
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