Automated Tooth Segmentation in Magnetic Resonance Scans Using Deep Learning.

Abstract

The main objective was to develop and evaluate an artificial intelligence (AI) model for tooth segmentation in magnetic resonance (MR) scans. MR scans of 20 patients performed with a commercial 64-channel head coil with a T1-weighted 3D-SPACE (Sampling Perfection with Application Optimized Contrasts using different flip angle Evolution) sequence were included. 16 datasets were used for model training and 4 for accuracy evaluation. Two clinicians segmented and annotated the teeth in each dataset. A segmentation model was trained using the nnU-Net framework.The manual reference tooth segmentation and the inferred tooth segmentation were superimposed and compared by computing precision, sensitivity, and Dice-Sørensen coefficient. Surface meshes were extracted from the segmentations, and the distances between points on each mesh and their closest counterparts on the other mesh were computed, of which the mean (average symmetric surface distance, ASSD) and 95th percentile (Hausdorff distance 95%, HD95) were reported. The model achieved an overall precision of 0.867, a sensitivity of 0.926, a Dice-Sørensen coefficient of 0.895, and a 95% Hausdorff distance of 0.91 mm. The model predictions were less accurate for datasets containing dental restorations due to image artefacts. The current study developed an automated method for tooth segmentation in MR scans with moderate to high effectiveness for scans with respectively without artefacts.