1.Dental age estimation using a convolutional neural network algorithm on panoramic radiographs: A pilot study in Indonesia
Arofi KURNIAWAN ; Michael SAELUNG ; Beta Novia RIZKY ; An’nisaa CHUSIDA ; Beshlina Fitri Widayanti Roosyanto PRAKOESWA ; Giselle NEFERTARI ; Ariana Fragmin PRADUE ; Mieke Sylvia MARGARETHA ; Aspalilah ALIAS ; Anand MARYA
Imaging Science in Dentistry 2025;55(1):28-36
Purpose:
This study employed a convolutional neural network (CNN) algorithm to develop an automated dental age estimation method based on the London Atlas of Tooth Development and Eruption. The primary objectives were to create and validate CNN models trained on panoramic radiographs to achieve accurate dental age predictions using a standardized approach.
Materials and Methods:
A dataset of 801 panoramic radiographs from outpatients aged 5 to 15 years was used. A CNN model for dental age estimation was developed using a 16-layer CNN architecture implemented in Python with TensorFlow and Scikit-learn, guided by the London Atlas of Tooth Development. The model included 6 convolutional layers for feature extraction, each followed by a pooling layer to reduce the spatial dimensions of the feature maps. A confusion matrix was used to evaluate key performance metrics, including accuracy, precision, recall, and F1 score.
Results:
The proposed model achieved an overall accuracy, precision, recall, and F1 score of 74% on the validation set. The highest F1 scores were observed in the 10-year and 12-year age groups, indicating superior performancein these categories. In contrast, the 6-year age group demonstrated the highest misclassification rate, highlightingpotential challenges in accurately estimating age in younger individuals.
Conclusion:
Integrating a CNN algorithm for dental age estimation represents a significant advancement in forensic odontology. The application of AI improves both the precision and efficiency of age estimation processes, providing
results
that are more reliable and objective than those obtained via traditional methods.
2.Dental age estimation using a convolutional neural network algorithm on panoramic radiographs: A pilot study in Indonesia
Arofi KURNIAWAN ; Michael SAELUNG ; Beta Novia RIZKY ; An’nisaa CHUSIDA ; Beshlina Fitri Widayanti Roosyanto PRAKOESWA ; Giselle NEFERTARI ; Ariana Fragmin PRADUE ; Mieke Sylvia MARGARETHA ; Aspalilah ALIAS ; Anand MARYA
Imaging Science in Dentistry 2025;55(1):28-36
Purpose:
This study employed a convolutional neural network (CNN) algorithm to develop an automated dental age estimation method based on the London Atlas of Tooth Development and Eruption. The primary objectives were to create and validate CNN models trained on panoramic radiographs to achieve accurate dental age predictions using a standardized approach.
Materials and Methods:
A dataset of 801 panoramic radiographs from outpatients aged 5 to 15 years was used. A CNN model for dental age estimation was developed using a 16-layer CNN architecture implemented in Python with TensorFlow and Scikit-learn, guided by the London Atlas of Tooth Development. The model included 6 convolutional layers for feature extraction, each followed by a pooling layer to reduce the spatial dimensions of the feature maps. A confusion matrix was used to evaluate key performance metrics, including accuracy, precision, recall, and F1 score.
Results:
The proposed model achieved an overall accuracy, precision, recall, and F1 score of 74% on the validation set. The highest F1 scores were observed in the 10-year and 12-year age groups, indicating superior performancein these categories. In contrast, the 6-year age group demonstrated the highest misclassification rate, highlightingpotential challenges in accurately estimating age in younger individuals.
Conclusion:
Integrating a CNN algorithm for dental age estimation represents a significant advancement in forensic odontology. The application of AI improves both the precision and efficiency of age estimation processes, providing
results
that are more reliable and objective than those obtained via traditional methods.
3.Dental age estimation using a convolutional neural network algorithm on panoramic radiographs: A pilot study in Indonesia
Arofi KURNIAWAN ; Michael SAELUNG ; Beta Novia RIZKY ; An’nisaa CHUSIDA ; Beshlina Fitri Widayanti Roosyanto PRAKOESWA ; Giselle NEFERTARI ; Ariana Fragmin PRADUE ; Mieke Sylvia MARGARETHA ; Aspalilah ALIAS ; Anand MARYA
Imaging Science in Dentistry 2025;55(1):28-36
Purpose:
This study employed a convolutional neural network (CNN) algorithm to develop an automated dental age estimation method based on the London Atlas of Tooth Development and Eruption. The primary objectives were to create and validate CNN models trained on panoramic radiographs to achieve accurate dental age predictions using a standardized approach.
Materials and Methods:
A dataset of 801 panoramic radiographs from outpatients aged 5 to 15 years was used. A CNN model for dental age estimation was developed using a 16-layer CNN architecture implemented in Python with TensorFlow and Scikit-learn, guided by the London Atlas of Tooth Development. The model included 6 convolutional layers for feature extraction, each followed by a pooling layer to reduce the spatial dimensions of the feature maps. A confusion matrix was used to evaluate key performance metrics, including accuracy, precision, recall, and F1 score.
Results:
The proposed model achieved an overall accuracy, precision, recall, and F1 score of 74% on the validation set. The highest F1 scores were observed in the 10-year and 12-year age groups, indicating superior performancein these categories. In contrast, the 6-year age group demonstrated the highest misclassification rate, highlightingpotential challenges in accurately estimating age in younger individuals.
Conclusion:
Integrating a CNN algorithm for dental age estimation represents a significant advancement in forensic odontology. The application of AI improves both the precision and efficiency of age estimation processes, providing
results
that are more reliable and objective than those obtained via traditional methods.
4.Enhancing Ergonomics: Assessing the Effect of Vibrating Insole Prototype on Female School Teachers' Muscle Activity
Ayuni Nabilah Alias ; Karmegam Karuppiah
Malaysian Journal of Medicine and Health Sciences 2025;21(No. 1):27-33
Introduction: Throughout the school day, teachers often endure extended periods of standing, resulting in frequent
experiences of pain and muscle fatigue by day's end. The purpose of this study was to identify the effectiveness of a
prototype of vibrating insole on muscular activity on teachers. Materials and methods: A total of 124 female school
teachers participated in this study. During a one-hour classroom teaching session, school teachers were randomly
assigned to either the experimental group or the control group. Throughout the hour-long session, wireless surface
electromyography (sEMG) sensors were used to continually monitor the muscles in the right and left legs. Results:
During the one-hour prototype testing, compared to control group, participants in the experimental group showed
a reduction in muscle activity exertion ranging from 13% to 16% in both the tibialis anterior and peroneus longus
muscles of the right and left legs. Moreover, there were significant changes of muscle activity exertion among school
teachers, X2
(15) = 289.94, p<0.001 within testing period. Conclusion: The study revealed a significant decrease
in muscle activities, especially the feet, demonstrating a gradual adaptation to the vibration effects from the insole
prototype. This contributed significantly to lower leg comfort during teaching sessions. As a result, the vibrating insole prototype was well-received by school teachers and had a positive impact on their feet comfort throughout the
experimental testing session.
6.APLIKASI TEKNOLOGI CRISPR/CAS9 DAN PENYUNTINGAN PERDANA DALAM KAJIAN BIOLOGI MOLEKUL DAN KEFUNGSIAN GEN
Nurul Nadia Mohamad Zamberi ; Mohd Raziff Alias ; M. Aiman Mohtar ; Saiful Effendi Syafruddin
Malaysian Journal of Health Sciences 2025;23(No.2):67-79
Kemunculan teknologi penyuntingan genom, terutamanya CRISPR/Cas9, telah mengubah dan merevolusikan
landskap bidang genetik dan biologi molekul dengan begitu drastik. Sistem CRISPR/Cas9 diadaptasi daripada
sistem adaptasi imuniti bakteria, menggunakan enzim Cas9 yang dipandu oleh sgRNA untuk penyingkiran gen atau
penyuntingan genom secara jitu. Walau bagaimanapun, cabaran seperti kesan luar sasaran (off-target effects)
telah mendorong pembangunan beberapa varian Cas9 seperti dCas9. dCas9 diubah suai untuk tidak memiliki
sebarang aktiviti endonuklease dan kini dCas9 telah digunakan untuk pelbagai aplikasi yang melangkaui fungsi
tradisional CRISPR/Cas9 sebagai kaedah pengeditan genom. Selain itu, teknologi terkini penyuntingan perdana
(prime editing) telah menggabungkan enzim Cas9 yang diubahsuai bersama enzim transkriptase berbalik (reverse
transcriptase) untuk meningkatkan lagi tahap keberkesanan penyuntingan genom secara jitu. Walaupun wujud
kerisauan terhadap pertimbangan etika dan kebimbangan terkait keselamatan, namun teknologi ini menjanjikan
dampak yang besar di dalam menangani penyakit genetik serta aplikasi dalam bidang perubatan jitu (precision
medicine). Memahami dan mengoptimumkan potensi CRISPR/Cas9 dan teknologi penyuntingan perdana
menandakan bermula era baharu dalam bidang penyelidikan berkaitan biologi dan perubatan, dan seterusnya
menyediakan satu platform untuk penyuntingan genom yang tepat dan pengawalseliaan proses transkripsi gen.
7.Two-Dimensional Geometric Morphometric Method on Frontal Sinus for Race Estimation: A Lateral Skull Radiograph Study
Nur Damia Iwani Zulkiflee ; Mansharan Kaur Chainchel Singh ; Aspalilah Alias ; Helmi Hadi ; Eric Chung ; Choy Ker Woon
Malaysian Journal of Medicine and Health Sciences 2024;20(No.1):134-142
Introduction: Race estimation of unknown individual is essential in forensic investigation. The resiliency of frontal
sinus makes it a potential tool for biological profiling, particularly in cases where fragmented skeleton persists. Geometric morphometrics is an efficient way to characterise shape. However, the use of frontal sinus to identify race of
Malaysians is yet to be investigated. This research employed a two-dimensional (2D) geometric morphometric to
examine the morphological differences of the frontal sinus among the major races in Malaysia. Methods: Lateral skull
radiographs which comprising of 453 adult Malaysian (151 Malays, Chinese and Indian respectively) were used. The
2D landmarks of eight were placed on the digitalized radiographs and 2D geometric morphometric analysis was
performed using MorphoJ software. Results: Procrustes ANOVA revealed a significantly different frontal sinus shape
(p-value < 0.05) between races. Canonical variate analysis showed significantly different frontal sinus morphology
(p-value < 0.05) between Malay and Indian as well as Chinese and Indian. Discriminant function analysis with
cross-validation demonstrated a 57.4% accuracy rate. Conclusion: This population-specific study based on frontal
sinus of Malaysians using the 2D geometric morphometric, though less reliable, sheds new light on the potential
applicability of this method for race estimation purpose.
8.Optimization of forensic identification through 3-dimensional imaging analysis of labial tooth surface using open-source software
Arofi KURNIAWAN ; Aspalilah ALIAS ; Mohd Yusmiaidil Putera Mohd YUSOF ; Anand MARYA
Imaging Science in Dentistry 2024;54(1):63-69
Purpose:
The objective of this study was to determine the minimum number of teeth in the anterior dental arch that would yield accurate results for individual identification in forensic contexts.
Materials and Methods:
The study involved the analysis of 28 sets of 3-dimensional (3D) point cloud data, focused on the labial surface of the anterior teeth. These datasets were superimposed within each group in both genuine and imposter pairs. Group A incorporated data from the right to the left central incisor, group B from the right to the left lateral incisor, and group C from the right to the left canine. A comprehensive analysis was conducted, including the evaluation of root mean square error (RMSE) values and the distances resulting from the superimposition of dental arch segments. All analyses were conducted using CloudCompare version 2.12.4 (Telecom ParisTech and R&D, Kyiv, Ukraine).
Results:
The distances between genuine pairs in groups A, B, and C displayed an average range of 0.153 to 0.184 mm. In contrast, distances for imposter pairs ranged from 0.338 to 0.522 mm. RMSE values for genuine pairs showed an average range of 0.166 to 0.177, whereas those for imposter pairs ranged from 0.424 to 0.638. A statistically significant difference was observed between the distances of genuine and imposter pairs (P<0.05).
Conclusion
The exceptional performance observed for the labial surfaces of anterior teeth underscores their potential as a dependable criterion for accurate 3D dental identification. This was achieved by assessing a minimum of 4 teeth.
9.Profiling Bartonella infection and its associated risk factors in shelter cats in Malaysia
Nurul Najwa Ainaa ALIAS ; Sharina OMAR ; Nur Indah AHMAD ; Malaika WATANABE ; Sun Tee TAY ; Nor Azlina AZIZ ; Farina MUSTAFFA-KAMAL
Journal of Veterinary Science 2023;24(3):e38-
Background:
Poor disease management and irregular vector control could predispose sheltered animals to disease such as feline Bartonella infection, a vector-borne zoonotic disease primarily caused by Bartonella henselae.
Objectives:
This study investigated the status of Bartonella infection in cats from eight (n = 8) shelters by molecular and serological approaches, profiling the CD4:CD8 ratio and the risk factors associated with Bartonella infection in shelter cats.
Methods:
Bartonella deoxyribonucleic acid (DNA) was detected through polymerase chain reaction (PCR) targeting 16S-23S rRNA internal transcribed spacer gene, followed by DNA sequencing. Bartonella IgM and IgG antibody titre, CD4 and CD8 profiles were detected using indirect immunofluorescence assay and flow cytometric analysis, respectively.
Results:
B. henselae was detected through PCR and sequencing in 1.0% (1/101) oral swab and 2.0% (1/50) cat fleas, while another 3/50 cat fleas carried B. clarridgeiae. Only 18/101 cats were seronegative against B. henselae, whereas 30.7% (31/101) cats were positive for both IgM and IgG, 8% (18/101) cats had IgM, and 33.7% (34/101) cats had IgG antibody only. None of the eight shelters sampled had Bartonella antibody-free cats. Although abnormal CD4:CD8 ratio was observed in 48/83 seropositive cats, flea infestation was the only significant risk factor observed in this study.
Conclusions
The present study provides the first comparison on the Bartonella spp. antigen, antibody status and CD4:CD8 ratio among shelter cats. The high B. henselae seropositivity among shelter cats presumably due to significant flea infestation triggers an alarm of whether the infection could go undetectable and its potential transmission to humans.
10.A review of current trends of antibacterial Schiff base complexes: Lower and higher transition metal complexes
Aziza Sarwar ; Hadariah Bahron ; Bibi Sherino ; Anila Ali ; Sajjad Bhangwar ; Yatimah Alias
Malaysian Journal of Microbiology 2023;19(no.3):333-347
The development of metal complexes has inspired researchers to progress in this domain due to their extensive applications in the biological field. Regarding the application, binuclear metal complexes are less explored than their mononuclear counterparts. Recent development in transition metal Schiff base complexes was outlined and presented in detail with their respective vast applications, especially antibacterial. The relationship of their structure, functions, properties, and key elements that affected antibacterial activities was demonstrated. This review was aimed to present the latest advancement of numerous lower and higher transition metal complexes, especially mononuclear ones. Moreover, their various properties are highlighted for future work related to binuclear Schiff base metal complexes and to persuade future research in this exciting field.


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