Inferior alveolar canal segmentation based on cone-beam computed tomography.

Purpose: The shape and position of the inferior alveolar canal (IAC) are analyzed to effectively reduce the risk of iatrogenic injury based on cone-beam computer tomography (CBCT). To assist dental clinicians to make better use of the IAC information, we propose an IAC segmentation method based on CBCT images.

Methods: In this paper, CBCT images are first preprocessed by the Hounsfield unit values clipping and gray normalization. Secondly, based on the multi-plane reconstruction (MPR) and curved surface reconstruction, the curved MPR image sets are generated by the smooth dental arch curve with a sampling distance of 1.00 pixels. Then, the K-means clustering algorithm is used to cluster the texture parameters of the gray level-gradient co-occurrence matrix enhanced by the gradient directions to improve the image contrast of the IAC. Finally, the IAC edges are roughly segmented by the 2D line-tracking method, and smoothed by the fourth-order polynomial to obtain the final segmentation result.

Results: Twenty-one real clinical dental CBCT datasets were used to test the proposed method. The manual segmentation results of two specialized dental clinicians were used as quantitative evaluation criteria. The dice similarity index (DSI), average symmetric surface distance (ASSD), and mean curve distance (MCD) of the left IAC are 0.93 (SD = 0.01), 0.16 mm (SD = 0.05 mm), and 1.59 mm (SD = 0.25 mm), respectively; the DSI, ASSD, and MCD of the right IAC are 0.93 (SD = 0.02), 0.16 mm (SD = 0.05 mm), and 1.60 mm (SD = 0.30 mm), respectively.

Conclusions: The proposed method provides an effective image enhancement and segmentation solution to analyze the shape and position of the IAC. Experimental results show that the relationships between the IAC and other structures can be accurately reflected in the panoramic images without superimposition and geometric distortion, and the smooth edges of the IAC can be segmented.