โก Quick Summary
A recent systematic review and meta-analysis evaluated the diagnostic accuracy of Artificial Intelligence (AI) for detecting approximal caries on bitewing radiographs. The findings revealed a pooled sensitivity of 0.94 and specificity of 0.91, indicating that AI can significantly assist in caries detection.
๐ Key Details
- ๐ Dataset: 2,442 studies screened, 21 included in the analysis
- ๐งฉ Focus: Approximal carious lesions on bitewing radiographs
- โ๏ธ Methodology: Systematic review and meta-analysis
- ๐ Key Metrics: Sensitivity 0.94, Specificity 0.91, PPV 0.15-0.87, NPV 0.79-1.00
๐ Key Takeaways
- ๐ค AI models show clinically acceptable diagnostic accuracy for approximal caries.
- ๐ High sensitivity (0.94) indicates AI’s effectiveness in identifying true positives.
- ๐ Specificity (0.91) suggests a strong ability to correctly identify healthy teeth.
- ๐ก Positive predictive value varies, indicating a moderate capacity for identifying decayed teeth.
- ๐ Negative predictive value is high, demonstrating AI’s reliability in excluding healthy surfaces.
- ๐ก๏ธ Expert verification is essential to confirm AI findings and prevent unnecessary treatments.
- ๐ Study conducted with data updated as of August 2024.
- ๐งช QUADAS-2 tool was used to assess the risk of bias in included studies.
๐ Background
The detection of approximal caries is crucial in dental practice, as early identification can lead to timely interventions and better patient outcomes. Traditional methods often rely on the expertise of dental professionals, which can be subjective. The integration of Artificial Intelligence into diagnostic processes offers a promising avenue for enhancing accuracy and efficiency in caries detection.
๐๏ธ Study
This systematic review and meta-analysis aimed to assess the diagnostic accuracy of AI in identifying approximal carious lesions on bitewing radiographs. The researchers conducted a comprehensive search across multiple databases, including PubMed, Cochrane, and Embase, to identify relevant studies. The analysis included both randomized and non-randomized controlled trials, ensuring a robust evaluation of AI’s capabilities.
๐ Results
The analysis revealed a pooled sensitivity of 0.94 (confidence interval: ยฑ 0.78-0.99) and a specificity of 0.91 (confidence interval: ยฑ 0.84-0.95). The positive predictive value ranged from 0.15 to 0.87, while the negative predictive value ranged from 0.79 to 1.00. These metrics indicate that AI models are highly effective in detecting carious lesions while also being reliable in ruling out healthy teeth.
๐ Impact and Implications
The findings of this study have significant implications for dental practice. By incorporating AI into the diagnostic process, dentists can enhance their ability to detect approximal caries, potentially leading to improved patient care. However, it is essential to emphasize that while AI can serve as a valuable tool for preliminary screening, the expertise of dental professionals remains crucial in confirming diagnoses and determining appropriate treatment plans.
๐ฎ Conclusion
This systematic review highlights the promising role of AI in the detection of approximal caries on bitewing radiographs. With high sensitivity and specificity, AI can assist dental professionals in making more informed decisions. As technology continues to evolve, further research and development in this area will be vital to fully harness the potential of AI in dentistry.
๐ฌ Your comments
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Diagnostic Accuracy of Artificial Intelligence for Approximal Caries on Bitewing Radiographs: A Systematic Review and Meta-analysis.
Abstract
OBJECTIVES: This systematic review and meta-analysis aimed to investigate the diagnostic accuracy of Artificial Intelligence (AI) for approximal carious lesions on bitewing radiographs.
METHODS: This study included randomized controlled trials (RCTs) and non-randomized controlled trials (non-RCTs) reporting on the diagnostic accuracy of AI for approximal carious lesions on bitewing radiographs. The risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool. A systematic search was conducted on November 4, 2023, in PubMed, Cochrane, and Embase databases and an updated search was performed on August 28, 2024. The primary outcomes assessed were sensitivity, specificity, and overall accuracy. Sensitivity and specificity were pooled using a bivariate model.
RESULTS: Of the 2,442 studies identified, 21 met the inclusion criteria. The pooled sensitivity and specificity of AI were 0.94 (confidence interval (CI): ยฑ 0.78-0.99) and 0.91 (CI: ยฑ 0.84-0.95), respectively. The positive predictive value (PPV) ranged from 0.15 to 0.87, indicating a moderate capacity for identifying true positives among decayed teeth. The negative predictive value (NPV) ranged from 0.79 to 1.00, demonstrating a high ability to exclude healthy teeth. The diagnostic odds ratio was high, indicating strong overall diagnostic performance.
CONCLUSIONS: AI models demonstrate clinically acceptable diagnostic accuracy for approximal caries on bitewing radiographs. Although AI can be valuable for preliminary screening, positive findings should be verified by dental experts to prevent unnecessary treatments and ensure timely diagnosis. AI models are highly reliable in excluding healthy approximal surfaces.
CLINICAL SIGNIFICANCE: AI can assist dentists in detecting approximal caries on bitewing radiographs. However, expert supervision is required to prevent iatrogenic damage and ensure timely diagnosis.
Author: [‘Carvalho BKG’, ‘Nolden EL’, ‘Wenning AS’, ‘Kiss-Dala S’, ‘Agรณcs G’, ‘Rรณth I’, ‘Kerรฉmi B’, ‘Gรฉczi Z’, ‘Hegyi P’, ‘Kivovics M’]
Journal: J Dent
Citation: Carvalho BKG, et al. Diagnostic Accuracy of Artificial Intelligence for Approximal Caries on Bitewing Radiographs: A Systematic Review and Meta-analysis. Diagnostic Accuracy of Artificial Intelligence for Approximal Caries on Bitewing Radiographs: A Systematic Review and Meta-analysis. 2024; (unknown volume):105388. doi: 10.1016/j.jdent.2024.105388