TTNet : Three‐Stages Tooth Segmentation Network Based on Tooth Masks in CBCT Images

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Main Authors: Jianfeng Lu, Yang Hu, Yiyang Hu, Renlin Xin, Chuhua Song, Mahmoud Emam
Format: Artículo Open Access
Published: Wiley 2026
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author Jianfeng Lu
Yang Hu
Yiyang Hu
Renlin Xin
Chuhua Song
Mahmoud Emam
author_facet Jianfeng Lu
Yang Hu
Yiyang Hu
Renlin Xin
Chuhua Song
Mahmoud Emam
Jianfeng Lu
Yang Hu
Yiyang Hu
Renlin Xin
Chuhua Song
Mahmoud Emam
collection Wiley Open Access
contents TTNet : Three‐Stages Tooth Segmentation Network Based on Tooth Masks in CBCT Images Jianfeng Lu Yang Hu Yiyang Hu Renlin Xin Chuhua Song Mahmoud Emam International Journal of Imaging Systems and Technology ABSTRACT Accurate identification and segmentation of teeth in cone‐beam computed tomography (CBCT) images are essential for dental diagnosis and treatment in digital dentistry. However, extracting regions of interest (ROI) from maxillofacial CBCT images remains difficult due to the low pixel ratio of tooth structures, especially in the apical area. Traditional tooth segmentation methods such as threshold‐based, region‐based, and edge‐based methods address limited accuracy under challenging imaging conditions. In this paper, we propose TTNNet, a three‐stage tooth instance segmentation network designed to improve tooth segmentation from CBCT images. The proposed TTNet employs an intersection‐based refinement of the tooth centroid heatmap, retaining only pixels that simultaneously lie within the predicted tooth mask and high‐probability heatmap regions. This intersection operation eliminates noise in the tooth centroid heatmap, such as regions that may have been labeled as teeth incorrectly. Extensive experiments on publicly available CBCT tooth dataset demonstrate that TTNet achieves superior performance compared to recent state‐of‐the‐art methods. 10.1002/ima.70271 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/ima.70271
format Artículo Open Access
id wiley_oa_10_1002_ima_70271
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2026
publisher Wiley
record_format wiley_oa
spellingShingle TTNet : Three‐Stages Tooth Segmentation Network Based on Tooth Masks in CBCT Images
Jianfeng Lu
Yang Hu
Yiyang Hu
Renlin Xin
Chuhua Song
Mahmoud Emam
International Journal of Imaging Systems and Technology
TTNet : Three‐Stages Tooth Segmentation Network Based on Tooth Masks in CBCT Images Jianfeng Lu Yang Hu Yiyang Hu Renlin Xin Chuhua Song Mahmoud Emam International Journal of Imaging Systems and Technology ABSTRACT Accurate identification and segmentation of teeth in cone‐beam computed tomography (CBCT) images are essential for dental diagnosis and treatment in digital dentistry. However, extracting regions of interest (ROI) from maxillofacial CBCT images remains difficult due to the low pixel ratio of tooth structures, especially in the apical area. Traditional tooth segmentation methods such as threshold‐based, region‐based, and edge‐based methods address limited accuracy under challenging imaging conditions. In this paper, we propose TTNNet, a three‐stage tooth instance segmentation network designed to improve tooth segmentation from CBCT images. The proposed TTNet employs an intersection‐based refinement of the tooth centroid heatmap, retaining only pixels that simultaneously lie within the predicted tooth mask and high‐probability heatmap regions. This intersection operation eliminates noise in the tooth centroid heatmap, such as regions that may have been labeled as teeth incorrectly. Extensive experiments on publicly available CBCT tooth dataset demonstrate that TTNet achieves superior performance compared to recent state‐of‐the‐art methods. 10.1002/ima.70271 http://onlinelibrary.wiley.com/termsAndConditions#vor
title TTNet : Three‐Stages Tooth Segmentation Network Based on Tooth Masks in CBCT Images
topic International Journal of Imaging Systems and Technology
url https://onlinelibrary.wiley.com/doi/10.1002/ima.70271