Implant Thread Shape Classification by Placement Site from Dental Panoramic Images Using Deep Neural Networks
	    		
		   		
		   			
		   		
	    	
    	 
    	10.32542/implantology.2024003
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Sujin YANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Youngjin CHOI
			        		
			        		;
		        		
		        		
		        		
			        		Jaeyeon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Ui-Won JUNG
			        		
			        		;
		        		
		        		
		        		
			        		Wonse PARK
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Clinical Professor, Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:
	            		
	            			Journal of implantology and applied sciences
	            		
	            		 2024;28(1):18-31
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	 Purpose:In this study, we aimed to classify an implant system by comparing the types of implant  thread  shapes  shown  on  radiographs  using  various  Convolutional  Neural  Networks  (CNNs),  particularly Xception, InceptionV3, ResNet50V2, and ResNet101V2. The accuracy of the CNN  based on the implant site was compared. 
				        	
				        
				        	Materials and Methods:A total of 1000 radiographic images, consisting of eight types of implants,  were preprocessed by resizing and CLAHE filtering, and then augmented. CNNs were trained and  validated for implant thread shape prediction. Grad-CAM was used to visualize class activation  maps (CAM) on the implant threads shown within the radiographic image. 
				        	
				        
				        	Results:Averaged over 10 validation folds, each model achieved an AUC of over 0.96: AUC of  0.961 (95% CI 0.952–0.970) with Xception, 0.973 (95% CI 0.966-0.980) with InceptionV3, 0.980  (95%  CI  0.974-0.988)  with  ResNet50V2,  and  0.983  (95%  CI  0.975-0.992)  with  ResNet101V2.  Accuracy was higher in the posterior region than in the anterior area in all four models. Most CAMs  highlighted the implant surface where the threads were present; however, some showed responses  in other areas. 
				        	
				        
				        	Conclusion: The  CNN  models  accurately  classified  implants  in  all  areas  of  the  oral  cavity  according to the thread shape, using radiographic images.