본문 바로가기
KERD
논문KCI 등재

심층학습 알고리즘을 활용한 인접면 우식 탐지

Detection of Proximal Caries Lesions with Deep Learning Algorithm

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류치의학

초록

이번 연구는 소아의 인접면 우식을 진단하는데 있어 사용하고 있는 구내방사선 사진에서 심층학습(deep learning) 알고리즘을 활용하여 치아우식을 진단하는 모델의 성능을 평가하고자 하였다. 제1유구치와 제2유구치 사이의 인접면이 포함된 500개의 구내방사선 사진을 대상으로 연구를 시행하였다. 치아우식을 진단하는 모델의 학습에는 Resnet50 기반의 인공신경망 모델을 사용하였다. 평가자료군에서 진단모델의 정확도, 민감도, 특이도를 구하고, ROC 곡선을 얻어 AUC 값을 바탕으로 분류 모델의 성능을 평가하였다. 학습 모델의 정확도는 0.84, 민감도는 0.74, 특이도는 0.94로 나타났으며 AUC는 0.86으로 나타났다. 인공신경망을 기반으로 하는 소아의 구내방사선 사진에서의 인접면 우식의 진단 모델은 비교적 높은 정확도를 보여주었다. 심층학습 모델은 구내방사선 사진상에서 인접면 우식을 진단하는데 있어 향후 치과의사를 보조하는 진단 도구로서 활용될 수 있을 것이다.

Abstract

This study aimed to evaluate the effectiveness of deep convolutional neural networks (CNNs) for diagnosis of interproximal caries in pediatric intraoral radiographs. A total of 500 intraoral radiographic images of first and second primary molars were used for the study. A CNN model (Resnet 50) was applied for the detection of proximal caries. The diagnostic accuracy, sensitivity, specificity, receiver operating characteristic (ROC) curve, and area under ROC curve (AUC) were calculated on the test dataset. The diagnostic accuracy was 0.84, sensitivity was 0.74, and specificity was 0.94. The trained CNN algorithm achieved AUC of 0.86. The diagnostic CNN model for pediatric intraoral radiographs showed good performance with high accuracy. Deep learning can assist dentists in diagnosis of proximal caries lesions in pediatric intraoral radiographs.

참고문헌 (26)

  1. Pitts NB, "Dental caries", Nat Rev Dis Primers, 3, pp.17030~ (2017)
  2. Featherstone JD, "The science and practice of caries prevention", J Am Dent Assoc, 131, pp.887~899 (2000)
  3. Sheiham A, "Dental caries affects body weight, growth and quality of life in pre-school children", Br Dent J, 201, pp.625~626 (2006)
  4. Selwitz RH, "Dental caries", Lancet, 369, pp.51~59 (2007)
  5. Eli I, "Interpretation of bitewing radiographs. Part 1. Evaluation of the presence of approximal lesions", J Dent, 24, pp.379~383 (1996)
  6. Weiss EI, "Interpretation of bitewing radiographs. Part 2. Evaluation of the size of approximal lesions and need for treatment", J Dent, 24, pp.385~388 (1996)
  7. Akkaya N, "Comparing the accuracy of panoramic and intraoral radiography in the diagnosis of proximal caries", Dentomaxillofac Radiol, 35, pp.170~174 (2006)
  8. Schwendicke F, "Radiographic caries detection : A systematic review and meta-analysis", J Dent, 43, pp.924~933 (2015)
  9. Chan HP, "Computer-aided diagnosis in the era of deep learning", Med Phys, 47, pp.218~227 (2020)
  10. Russel S, "Artificial intelligence: a modern approach", pp.1~5 (2021), Pearson
  11. LeCun Y, "Deep learning", Nature, 521, pp.436~444 (2015)
  12. Rusk N, "Deep learning", Nature Methods, 13, pp.35~35 (2016)
  13. Albawi S, "Understanding of a convolutional neural network", 2017 International Conference on Engineering and Technology (ICET), 2017, pp.21~23 (2017)
  14. Zaremba W, "Recurrent neural network regularization", ArXiv , abs:1409.2329, ~ (2014)
  15. Howard J, "Fastai : A Layered API for Deep Learning", Information, 11, pp.108~ (2020)
  16. Paszke A, "Pytorch : An imperative style, high-performance deep learning library", Adv Neural Inf Process Syst, 32, pp.8026~8037 (2019)
  17. Schneiderman A, "Assessment of dental caries with Digital Imaging Fiber-Optic Translllumination(DIFOTI) : in vitro study", Caries Res, 31, pp.103~110 (1997)
  18. Lussi A, "DIAGNOdent : An optical method for caries detection", J Dent Res, 83, pp.80~83 (2004)
  19. Çalışkan Yanıkoğlu F, "Detection of natural white spot caries lesions by an ultrasonic system", Caries Res, 34, pp.225~232 (2000)
  20. Lee JH, "Detection and diagnosis of dental caries using a deep learning-based convolutional neural network algorithm", J Dent, 77, pp.106~111 (2018)
  21. Cantu AG, "Detecting caries lesions of different radiographic extension on bitewings using deep learning", J Dent, 100, pp.103425~ (2020)
  22. Bayraktar Y, "Diagnosis of interproximal caries lesions with deep convolutional neural network in digital bitewing radiographs", Clin Oral Investig, 26, pp.623~632 (2022)
  23. Lee S, "Deep learning for early dental caries detection in bitewing radiographs", Sci Rep, 11, pp.16807~ (2021)
  24. Kamburoglu K, "Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography", Dentomaxillofac Radiol, 41, pp.450~459 (2012)
  25. Muller MP, "Can routine laboratory tests discriminate between severe acute respiratory syndrome and other causes of community-acquired pneumonia?", Clin Infect Dis, 40, pp.1079~1086 (2005)
  26. Krois J, "Generalizability of deep learning models for dental image analysis", Sci Rep, 11, pp.6102~ (2021)

관련 논문AI추천

이 간행물의 다른 논문 (11건)