Skip to main content
Top

Open Access 09-03-2023 | Artificial Intelligence | Original Article

Preciseness of artificial intelligence for lateral cephalometric measurements

Authors: Mostafa El-Dawlatly, B.D.S., M.Sc., PhD., M Orth RCSEd, Khaled Hazem Attia, B.D.S., M.Sc., PhD., Ahmed Yehia Abdelghaffar, B.D.S., M Orth RCSEd, Yehya Ahmed Mostafa, D.D.S., M.Sc., Ph.D., FDS RCSEd, Dr. Mohamed Abd El-Ghafour, B.D.S., M.Sc., PhD, M Orth RCSEd

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Login to get access

Abstract

Background

The aim of the study was to assess the accuracy and efficiency of a new artificial intelligence (AI) method in performing lateral cephalometric radiographic measurements.

Materials and methods

A total of 200 lateral cephalometric radiographs were assessed for quality and included. Three methods were used to perform the cephalometric measurements: (1) the AI method using WebCeph software (AssembleCircle Corp., Gyeonggi-do, Republic of Korea), (2) the modified AI method using WebCeph software after manual modification of the landmarks’ position, and (3) using OnyxCeph software (Image Instruments GmbH, Chemnitz, Germany) by manual landmark identification and digital measurements generation. The results of the measurements produced by the three methods were compared, in addition to comparing the time required for the measurements’ generation required for each method.

Results

Statistically significant differences were detected between the measurements resulting from the three used methods. Fewer differences were detected between the modified AI method and the OnyxCeph method. The AI method produced the measurements the fastest followed by the modified AI method and then the OnyxCeph method.

Conclusions

Considering the used AI software, AI followed by manual tuning of the landmarks’ position might be an accurate method in lateral cephalometric analysis. AI alone is still not fully reliable at locating the different landmarks on the lateral cephalometric radiographs.
Literature
1.
go back to reference Carey CW (1950) Diagnosis in orthodontics. Angle Orthod 20(3):155–161PubMed Carey CW (1950) Diagnosis in orthodontics. Angle Orthod 20(3):155–161PubMed
2.
go back to reference Moyers RE (1988) Handbook of orthodontics. Year Book Medical Moyers RE (1988) Handbook of orthodontics. Year Book Medical
3.
go back to reference Higley LB (1947) Assumptions concerning orthodontic diagnosis and treatment. Am J Orthod 33(11):738–753PubMed Higley LB (1947) Assumptions concerning orthodontic diagnosis and treatment. Am J Orthod 33(11):738–753PubMed
4.
go back to reference Atchison KA (1986) Radiographic examinations of orthodontic educators and practitioners. J Dent Educ 50(11):651–655CrossRefPubMed Atchison KA (1986) Radiographic examinations of orthodontic educators and practitioners. J Dent Educ 50(11):651–655CrossRefPubMed
5.
go back to reference Tarraf NE, Ali DM (2018) Present and the future of digital orthodontics. Semin Orthod 24(4):376–385CrossRef Tarraf NE, Ali DM (2018) Present and the future of digital orthodontics. Semin Orthod 24(4):376–385CrossRef
6.
go back to reference Khanagar SB, Al-Ehaideb A, Vishwanathaiah S et al (2021) Scope and performance of artificial intelligence technology in orthodontic diagnosis, treatment planning, and clinical decision-making—A systematic review. J Dent Sci 16(1):482–492CrossRefPubMed Khanagar SB, Al-Ehaideb A, Vishwanathaiah S et al (2021) Scope and performance of artificial intelligence technology in orthodontic diagnosis, treatment planning, and clinical decision-making—A systematic review. J Dent Sci 16(1):482–492CrossRefPubMed
7.
go back to reference Kök H, Acilar AM, İzgi MS (2019) Usage and comparison of artificial intelligence algorithms for determination of growth and development by cervical vertebrae stages in orthodontics. Prog Orthod 20(1):41CrossRefPubMedPubMedCentral Kök H, Acilar AM, İzgi MS (2019) Usage and comparison of artificial intelligence algorithms for determination of growth and development by cervical vertebrae stages in orthodontics. Prog Orthod 20(1):41CrossRefPubMedPubMedCentral
9.
go back to reference Kunz F, Stellzig-Eisenhauer A, Zeman F, Boldt J (2020) Artificial intelligence in orthodontics : Evaluation of a fully automated cephalometric analysis using a customized convolutional neural network. J Orofac Orthop 81(1):52–68CrossRefPubMed Kunz F, Stellzig-Eisenhauer A, Zeman F, Boldt J (2020) Artificial intelligence in orthodontics : Evaluation of a fully automated cephalometric analysis using a customized convolutional neural network. J Orofac Orthop 81(1):52–68CrossRefPubMed
10.
go back to reference Yu HJ, Cho SR, Kim MJ, Kim WH, Kim JW, Choi J (2020) Automated skeletal classification with lateral cephalometry based on artificial intelligence. J Dent Res 99(3):249–256CrossRefPubMed Yu HJ, Cho SR, Kim MJ, Kim WH, Kim JW, Choi J (2020) Automated skeletal classification with lateral cephalometry based on artificial intelligence. J Dent Res 99(3):249–256CrossRefPubMed
11.
go back to reference İzgi E, Pekiner FN (2019) Comparative evaluation of conventional and OnyxCephTM dental software measurements on cephalometric radiography. Turk J Orthod 32(2):87–95CrossRefPubMedPubMedCentral İzgi E, Pekiner FN (2019) Comparative evaluation of conventional and OnyxCephTM dental software measurements on cephalometric radiography. Turk J Orthod 32(2):87–95CrossRefPubMedPubMedCentral
12.
go back to reference Rakosi T (1982) An atlas and manual of cephalometric radiography. Wolfe Medical, London, pp 55–57 Rakosi T (1982) An atlas and manual of cephalometric radiography. Wolfe Medical, London, pp 55–57
Metadata
Title
Preciseness of artificial intelligence for lateral cephalometric measurements
Authors
Mostafa El-Dawlatly, B.D.S., M.Sc., PhD., M Orth RCSEd
Khaled Hazem Attia, B.D.S., M.Sc., PhD.
Ahmed Yehia Abdelghaffar, B.D.S., M Orth RCSEd
Yehya Ahmed Mostafa, D.D.S., M.Sc., Ph.D., FDS RCSEd
Dr. Mohamed Abd El-Ghafour, B.D.S., M.Sc., PhD, M Orth RCSEd
Publication date
09-03-2023
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-023-00459-1