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Reliability of the AI-Assisted Assessment of the Proximity of the Root Apices to Mandibular Canal.
Kazimierczak, Wojciech; Kazimierczak, Natalia; Kedziora, Kamila; Szczesniak, Marta; Serafin, Zbigniew.
Afiliación
  • Kazimierczak W; Department of Radiology and Diagnostic Imaging, Collegium Medicum, Nicolaus Copernicus University in Torun, Jagiellonska 13-15, 85-067 Bydgoszcz, Poland.
  • Kazimierczak N; Kazimierczak Private Medical Practice, Dworcowa 13/u6a, 85-009 Bydgoszcz, Poland.
  • Kedziora K; Department of Radiology and Diagnostic Imaging, Collegium Medicum, Nicolaus Copernicus University in Torun, Jagiellonska 13-15, 85-067 Bydgoszcz, Poland.
  • Szczesniak M; Kazimierczak Private Medical Practice, Dworcowa 13/u6a, 85-009 Bydgoszcz, Poland.
  • Serafin Z; Chair of Practical Clinical Dentistry, Department of Diagnostics, Poznan University of Medical Sciences, Fredry 10, 61-701 Poznan, Poland.
J Clin Med ; 13(12)2024 Jun 20.
Article en En | MEDLINE | ID: mdl-38930132
ABSTRACT

Background:

This study evaluates the diagnostic accuracy of an AI-assisted tool in assessing the proximity of the mandibular canal (MC) to the root apices (RAs) of mandibular teeth using computed tomography (CT).

Methods:

This study involved 57 patients aged 18-30 whose CT scans were analyzed by both AI and human experts. The primary aim was to measure the closest distance between the MC and RAs and to assess the AI tool's diagnostic performance. The results indicated significant variability in RA-MC distances, with third molars showing the smallest mean distances and first molars the greatest. Diagnostic accuracy metrics for the AI tool were assessed at three thresholds (0 mm, 0.5 mm, and 1 mm).

Results:

The AI demonstrated high specificity but generally low diagnostic accuracy, with the highest metrics at the 0.5 mm threshold with 40.91% sensitivity and 97.06% specificity.

Conclusions:

This study underscores the limited potential of tested AI programs in reducing iatrogenic damage to the inferior alveolar nerve (IAN) during dental procedures. Significant differences in RA-MC distances between evaluated teeth were found.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Suiza