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Diagnostic Performance of Ai vs Junior Dentists
Comparison of Artificial Intelligence vs. Junior Dentists Diagnostic Performance for Radiographic Caries & Periapical Lesion Detection
OBJECTIVES
- Compare diagnosis of Periapical lesions & Proximal caries by AI and junior dentists
- Evaluate Validity of a deep learning based convolutional neural network (CNN) for detecting proximal caries lesions, periapical lesions compared to junior dentists.
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
Statement of problem Current evidence supports the use of AI as a valuable diagnostic platform adjunct for detecting periapical lesions. However, well-designed, high-quality randomized clinical trials are required to assess the potential implementation of AI in the routine practice of periapical lesion diagnosis. In addition, most studies were done on OPG and CBCT not on periapical radiographs. Evidence suggests that AI-assisted systems are effective in detecting large, distinct periapical lesions. However, their performance drops in more complex cases, such as with root-filled teeth and in small periodical lesions The performance of AI in caries detection remains moderate, and its periapical status assessment is insufficient due to high false-positive rates
Research Questions
- Does Trained AI outperform junior dentists in basic diagnostic tasks, specifically in detecting tooth caries and periapical lesions through radiographic interpretation?
- Does AI increase the accuracy of lesion detection?
- Is AI more accurate than junior dentists in detecting carious lesions or periapical lesions?
- Is there a difference between diagnosis of Caries vs Periapical lesions through AI tools compared to junior dentists?
Studietype
Inschrijving (Geschat)
Contacten en locaties
Studiecontact
- Naam: Susan Hattar, PhD
- Telefoonnummer: +962795642613
- E-mail: s.hattar@ju.edu.jo
Studie Locaties
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Amman, Jordanië, 11181
- The university of Jordan
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Patients over 18 years of age that were clear and displayed the full anatomical crown and root apex.
Beschrijving
Inclusion Criteria:
- Bitewings obtained from patients treated at Jordan University Hospital. Only bitewings of permanent maxillary and mandibular teeth, with the crowns of both dental arch being detectable. Coronal part of the tooth had to be in toto visible on the radiograph and that no structure is projected on the examined tooth, teeth with overlap free projection selected
- Periapical Radiographs: patients over 18 years of age that were clear and displayed the full anatomical crown and root apex.
Exclusion Criteria:
- Radiographs of deciduous teeth or mixed dentition, those with severe noise or haziness, radiographs of partially edentulous areas, teeth exhibiting abnormal crown or root anatomy, and any radiographs that were difficult to assess.
- Overlapping images, radiographs with distortions, noise and shadows, and low quality radiographs
- Radiographs excluded if at least 2-3 examiners did not agree.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Observatiemodellen: COHORT
- Tijdsperspectieven: CROSS_SECTIONAL
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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(ROCAUC)
Tijdsspanne: 12 months
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Receiver-Operating-Characteristics curve |
12 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Diagnostic test parameters
Tijdsspanne: 12 months
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Sensitivity, Specificity, PPV, NPV |
12 months
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie directeur: Susan Hattar, PhD, University of Jordan
Publicaties en nuttige links
Algemene publicaties
- Mertens S, Krois J, Cantu AG, Arsiwala LT, Schwendicke F. Artificial intelligence for caries detection: Randomized trial. J Dent. 2021 Dec;115:103849. doi: 10.1016/j.jdent.2021.103849. Epub 2021 Oct 14.
- Schwendicke F, Tzschoppe M, Paris S. Radiographic caries detection: A systematic review and meta-analysis. J Dent. 2015 Aug;43(8):924-33. doi: 10.1016/j.jdent.2015.02.009. Epub 2015 Feb 24.
- Cantu AG, Gehrung S, Krois J, Chaurasia A, Rossi JG, Gaudin R, Elhennawy K, Schwendicke F. Detecting caries lesions of different radiographic extension on bitewings using deep learning. J Dent. 2020 Sep;100:103425. doi: 10.1016/j.jdent.2020.103425. Epub 2020 Jul 4.
- Putra RH, Doi C, Yoda N, Astuti ER, Sasaki K. Current applications and development of artificial intelligence for digital dental radiography. Dentomaxillofac Radiol. 2022 Jan 1;51(1):20210197. doi: 10.1259/dmfr.20210197. Epub 2021 Jul 8.
- Kuhnisch J, Meyer O, Hesenius M, Hickel R, Gruhn V. Caries Detection on Intraoral Images Using Artificial Intelligence. J Dent Res. 2022 Feb;101(2):158-165. doi: 10.1177/00220345211032524. Epub 2021 Aug 20.
Studie record data
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Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
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Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- ToothVision
- IRB (Andere identificatie: IRB Jordan University Hospital)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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