Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms

Abstract Background Malocclusion, characterized by dental misalignment and improper occlusal relationships, significantly impacts oral health and daily functioning, with a global prevalence of 56%. Lateral cephalogram is a crucial diagnostic tool in orthodontic treatment, providing insights into var...

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Main Authors: Qiao Chang, Yuxing Bai, Shaofeng Wang, Fan Wang, Shuang Liang, Xianju Xie
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:https://doi.org/10.1186/s12938-025-01345-0
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author Qiao Chang
Yuxing Bai
Shaofeng Wang
Fan Wang
Shuang Liang
Xianju Xie
author_facet Qiao Chang
Yuxing Bai
Shaofeng Wang
Fan Wang
Shuang Liang
Xianju Xie
author_sort Qiao Chang
collection DOAJ
description Abstract Background Malocclusion, characterized by dental misalignment and improper occlusal relationships, significantly impacts oral health and daily functioning, with a global prevalence of 56%. Lateral cephalogram is a crucial diagnostic tool in orthodontic treatment, providing insights into various structural characteristics. Methods This study introduces a pre-training approach using multi-center lateral cephalograms for self-supervised learning, aimed at improving model generalization across diverse clinical data domains. Additionally, a multi-attribute classification network is proposed, leveraging attribute correlations to optimize parameters and enhance classification performance. Results Comprehensive evaluation on both public and clinical datasets showcases the superiority of the proposed framework, achieving an impressive average accuracy of 90.02%. The developed Self-supervised Pre-training and Multi-Attribute (SPMA) network achieves a best match ratio (MR) score of 71.38% and a low Hamming loss (HL) of 0.0425%, demonstrating its efficacy in orthodontic diagnosis from lateral cephalograms. Conclusions This work contributes significantly to advancing automated diagnostic tools in orthodontics, addressing the critical need for accurate and efficient malocclusion diagnosis. The outcomes not only improve the efficiency and accuracy of diagnosis, but also have the potential to reduce healthcare costs associated with orthodontic treatments.
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institution Kabale University
issn 1475-925X
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publisher BMC
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spelling doaj-art-33f57ae12af5495f92ac950c861827cd2025-02-09T12:47:36ZengBMCBioMedical Engineering OnLine1475-925X2025-02-0124111610.1186/s12938-025-01345-0Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalogramsQiao Chang0Yuxing Bai1Shaofeng Wang2Fan Wang3Shuang Liang4Xianju Xie5Department of Orthodontics, Beijing Stomatological Hospital, Capital Medical UniversityDepartment of Orthodontics, Beijing Stomatological Hospital, Capital Medical UniversityDepartment of Orthodontics, Beijing Stomatological Hospital, Capital Medical UniversityDepartment of Orthodontics, Beijing Stomatological Hospital, Capital Medical UniversitySchool of Biomedical Engineering, Capital Medical UniversityDepartment of Orthodontics, Beijing Stomatological Hospital, Capital Medical UniversityAbstract Background Malocclusion, characterized by dental misalignment and improper occlusal relationships, significantly impacts oral health and daily functioning, with a global prevalence of 56%. Lateral cephalogram is a crucial diagnostic tool in orthodontic treatment, providing insights into various structural characteristics. Methods This study introduces a pre-training approach using multi-center lateral cephalograms for self-supervised learning, aimed at improving model generalization across diverse clinical data domains. Additionally, a multi-attribute classification network is proposed, leveraging attribute correlations to optimize parameters and enhance classification performance. Results Comprehensive evaluation on both public and clinical datasets showcases the superiority of the proposed framework, achieving an impressive average accuracy of 90.02%. The developed Self-supervised Pre-training and Multi-Attribute (SPMA) network achieves a best match ratio (MR) score of 71.38% and a low Hamming loss (HL) of 0.0425%, demonstrating its efficacy in orthodontic diagnosis from lateral cephalograms. Conclusions This work contributes significantly to advancing automated diagnostic tools in orthodontics, addressing the critical need for accurate and efficient malocclusion diagnosis. The outcomes not only improve the efficiency and accuracy of diagnosis, but also have the potential to reduce healthcare costs associated with orthodontic treatments.https://doi.org/10.1186/s12938-025-01345-0MalocclusionSelf-supervised learningMulti-attribute classificationLateral cephalogramsMedical image analysis
spellingShingle Qiao Chang
Yuxing Bai
Shaofeng Wang
Fan Wang
Shuang Liang
Xianju Xie
Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
BioMedical Engineering OnLine
Malocclusion
Self-supervised learning
Multi-attribute classification
Lateral cephalograms
Medical image analysis
title Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
title_full Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
title_fullStr Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
title_full_unstemmed Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
title_short Automated orthodontic diagnosis via self-supervised learning and multi-attribute classification using lateral cephalograms
title_sort automated orthodontic diagnosis via self supervised learning and multi attribute classification using lateral cephalograms
topic Malocclusion
Self-supervised learning
Multi-attribute classification
Lateral cephalograms
Medical image analysis
url https://doi.org/10.1186/s12938-025-01345-0
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AT shaofengwang automatedorthodonticdiagnosisviaselfsupervisedlearningandmultiattributeclassificationusinglateralcephalograms
AT fanwang automatedorthodonticdiagnosisviaselfsupervisedlearningandmultiattributeclassificationusinglateralcephalograms
AT shuangliang automatedorthodonticdiagnosisviaselfsupervisedlearningandmultiattributeclassificationusinglateralcephalograms
AT xianjuxie automatedorthodonticdiagnosisviaselfsupervisedlearningandmultiattributeclassificationusinglateralcephalograms