Periodontal Bone Loss Analysis via Keypoint Detection With Heuristic Post-Processing

Fuente: arXiv
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Autori principali: Banks, Ryan, Thengane, Vishal, Guerrero, María Eugenia, García-Madueño, Nelly Maria, Li, Yunpeng, Tang, Hongying, Chaurasia, Akhilanand
Natura: Preprint
Pubblicazione: 2025
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author Banks, Ryan
Thengane, Vishal
Guerrero, María Eugenia
García-Madueño, Nelly Maria
Li, Yunpeng
Tang, Hongying
Chaurasia, Akhilanand
author_facet Banks, Ryan
Thengane, Vishal
Guerrero, María Eugenia
García-Madueño, Nelly Maria
Li, Yunpeng
Tang, Hongying
Chaurasia, Akhilanand
contents This study proposes a deep learning framework and annotation methodology for the automatic detection of periodontal bone loss landmarks, associated conditions, and staging. 192 periapical radiographs were collected and annotated with a stage agnostic methodology, labelling clinically relevant landmarks regardless of disease presence or extent. We propose a heuristic post-processing module that aligns predicted keypoints to tooth boundaries using an auxiliary instance segmentation model. An evaluation metric, Percentage of Relative Correct Keypoints (PRCK), is proposed to capture keypoint performance in dental imaging domains. Four donor pose estimation models were adapted with fine-tuning for our keypoint problem. Post-processing improved fine-grained localisation, raising average PRCK^{0.05} by +0.028, but reduced coarse performance for PRCK^{0.25} by -0.0523 and PRCK^{0.5} by -0.0345. Orientation estimation shows excellent performance for auxiliary segmentation when filtered with either stage 1 object detection model. Periodontal staging was detected sufficiently, with the best mesial and distal Dice scores of 0.508 and 0.489, while furcation involvement and widened periodontal ligament space tasks remained challenging due to scarce positive samples. Scalability is implied with similar validation and external set performance. The annotation methodology enables stage agnostic training with balanced representation across disease severities for some detection tasks. The PRCK metric provides a domain-specific alternative to generic pose metrics, while the heuristic post-processing module consistently corrected implausible predictions with occasional catastrophic failures. The proposed framework demonstrates the feasibility of clinically interpretable periodontal bone loss assessment, with potential to reduce diagnostic variability and clinician workload.
format Preprint
id arxiv_https___arxiv_org_abs_2503_13477
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Periodontal Bone Loss Analysis via Keypoint Detection With Heuristic Post-Processing
Banks, Ryan
Thengane, Vishal
Guerrero, María Eugenia
García-Madueño, Nelly Maria
Li, Yunpeng
Tang, Hongying
Chaurasia, Akhilanand
Tissues and Organs
Artificial Intelligence
Computer Vision and Pattern Recognition
I.2.1; I.2.10; J.3
This study proposes a deep learning framework and annotation methodology for the automatic detection of periodontal bone loss landmarks, associated conditions, and staging. 192 periapical radiographs were collected and annotated with a stage agnostic methodology, labelling clinically relevant landmarks regardless of disease presence or extent. We propose a heuristic post-processing module that aligns predicted keypoints to tooth boundaries using an auxiliary instance segmentation model. An evaluation metric, Percentage of Relative Correct Keypoints (PRCK), is proposed to capture keypoint performance in dental imaging domains. Four donor pose estimation models were adapted with fine-tuning for our keypoint problem. Post-processing improved fine-grained localisation, raising average PRCK^{0.05} by +0.028, but reduced coarse performance for PRCK^{0.25} by -0.0523 and PRCK^{0.5} by -0.0345. Orientation estimation shows excellent performance for auxiliary segmentation when filtered with either stage 1 object detection model. Periodontal staging was detected sufficiently, with the best mesial and distal Dice scores of 0.508 and 0.489, while furcation involvement and widened periodontal ligament space tasks remained challenging due to scarce positive samples. Scalability is implied with similar validation and external set performance. The annotation methodology enables stage agnostic training with balanced representation across disease severities for some detection tasks. The PRCK metric provides a domain-specific alternative to generic pose metrics, while the heuristic post-processing module consistently corrected implausible predictions with occasional catastrophic failures. The proposed framework demonstrates the feasibility of clinically interpretable periodontal bone loss assessment, with potential to reduce diagnostic variability and clinician workload.
title Periodontal Bone Loss Analysis via Keypoint Detection With Heuristic Post-Processing
topic Tissues and Organs
Artificial Intelligence
Computer Vision and Pattern Recognition
I.2.1; I.2.10; J.3
url https://arxiv.org/abs/2503.13477