Implicit Is Not Enough: Explicitly Enforcing Anatomical Priors inside Landmark Localization Models.

The task of localizing distinct anatomical structures in medical image data is an essential prerequisite for several medical applications, such as treatment planning in orthodontics, bone-age estimation, or initialization of segmentation methods in automated image analysis tools. Currently, Anatomical Landmark Localization (ALL) is mainly solved by deep-learning methods, which cannot guarantee robust ALL predictions; there may always be outlier predictions that are far from their ground truth locations due to out-of-distribution inputs. However, these localization outliers are detrimental to the performance of subsequent medical applications that rely on ALL results.

Evaluating a Periapical Lesion Detection CNN on a Clinically Representative CBCT Dataset-A Validation Study.

The aim of this validation study was to comprehensively evaluate the performance and generalization capability of a deep learning-based periapical lesion detection algorithm on a clinically representative cone-beam computed tomography (CBCT) dataset and test for non-inferiority. The evaluation involved 195 CBCT images of adult upper and lower jaws, where sensitivity and specificity metrics were calculated for all teeth, stratified by jaw, and stratified by tooth type. Furthermore, each lesion was assigned a periapical index score based on its size to enable a score-based evaluation.

Automatic Detection of Periapical Osteolytic Lesions on Cone-beam Computed Tomography Using Deep Convolutional Neuronal Networks.

Introduction: Cone-beam computed tomography (CBCT) is an essential diagnostic tool in oral radiology. Radiolucent periapical lesions (PALs) represent the most frequent jaw lesions. However, the description, interpretation, and documentation of radiological findings, especially incidental findings, are time-consuming and resource-intensive, requiring a high degree of expertise.