Artificial Intelligence for Detecting Cephalometric Landmarks: A Systematic Review and Meta-analysis.

Autor: de Queiroz Tavares Borges Mesquita G; Postgraduate Program in Dentistry, School of Dentistry, São Leopoldo Mandic, Campinas, São Paulo, Brazil., Vieira WA; Department of Restorative Dentistry, Endodontics Division, School of Dentistry of Piracicaba, State University of Campinas, Piracicaba, São Paulo, Brazil., Vidigal MTC; School of Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil., Travençolo BAN; School of Computing, Federal University of Uberlândia, Uberlândia, Brazil., Beaini TL; Department of Preventive and Community Dentistry, School of Dentistry, Federal University of Uberlândia, Campus Umuarama Av. Pará, 1720, Bloco 2G, sala 1, 38405-320, Uberlândia, Minas Gerais, Brazil., Spin-Neto R; Department of Dentistry and Oral Health, Section for Oral Radiology, Aarhus University, Aarhus C, Denmark., Paranhos LR; Department of Preventive and Community Dentistry, School of Dentistry, Federal University of Uberlândia, Campus Umuarama Av. Pará, 1720, Bloco 2G, sala 1, 38405-320, Uberlândia, Minas Gerais, Brazil. paranhos.lrp@gmail.com., de Brito Júnior RB; Postgraduate Program in Dentistry, School of Dentistry, São Leopoldo Mandic, Campinas, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of digital imaging [J Digit Imaging] 2023 Jun; Vol. 36 (3), pp. 1158-1179. Date of Electronic Publication: 2023 Jan 05.
DOI: 10.1007/s10278-022-00766-w
Abstrakt: Using computer vision through artificial intelligence (AI) is one of the main technological advances in dentistry. However, the existing literature on the practical application of AI for detecting cephalometric landmarks of orthodontic interest in digital images is heterogeneous, and there is no consensus regarding accuracy and precision. Thus, this review evaluated the use of artificial intelligence for detecting cephalometric landmarks in digital imaging examinations and compared it to manual annotation of landmarks. An electronic search was performed in nine databases to find studies that analyzed the detection of cephalometric landmarks in digital imaging examinations with AI and manual landmarking. Two reviewers selected the studies, extracted the data, and assessed the risk of bias using QUADAS-2. Random-effects meta-analyses determined the agreement and precision of AI compared to manual detection at a 95% confidence interval. The electronic search located 7410 studies, of which 40 were included. Only three studies presented a low risk of bias for all domains evaluated. The meta-analysis showed AI agreement rates of 79% (95% CI: 76-82%, I 2  = 99%) and 90% (95% CI: 87-92%, I 2  = 99%) for the thresholds of 2 and 3 mm, respectively, with a mean divergence of 2.05 (95% CI: 1.41-2.69, I 2  = 10%) compared to manual landmarking. The menton cephalometric landmark showed the lowest divergence between both methods (SMD, 1.17; 95% CI, 0.82; 1.53; I 2  = 0%). Based on very low certainty of evidence, the application of AI was promising for automatically detecting cephalometric landmarks, but further studies should focus on testing its strength and validity in different samples.
(© 2022. The Author(s) under exclusive licence to Society for Imaging Informatics in Medicine.)
Databáze: MEDLINE
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