Periodontal bone loss detection based on hybrid deep learning and machine learning models with a user-friendly application

Abstract

As artificial intelligence in medical imaging is used to diagnose many diseases, it can also be employed to diagnose whether a person has periodontal bone loss or not. Accurate and early diagnosis performs a vital task in the treatment of the patient’s dental disorder. Therefore, such medical images are known to be an important clinical adjunct. In this manuscript, whether the patient has periodontal bone loss or non-periodontal bone loss is diagnosed employing hybrid artificial intelligence-based systems. Herein, after tagging a total of 1432 images by an expert, we extract 1000 deep image features for each image using AlexNet and SqueezeNet deep learning architectures. On the other hand, we classify these images directly without extracting the image features using the EfficientNetB5 deep learning architecture. First, we categorize AlexNet-based deep image features using the Coarse Tree, Weighted K-Nearest Neighbor (KNN), Gaussian Naïve Bayes, RUSBoosted Trees Ensemble, and Linear Support Vector Machine (SVM) classifiers. Afterward, we classify SqueezeNet-based deep image features using Medium Tree, Gaussian Naïve Bayes, Boosted Trees Ensemble, Coarse KNN, and Medium Gaussian SVM classifiers. With the help of the ten classifiers employed in this study, we also design a user-friendly Graphical User Interface (GUI) application. Thanks to this application, we aim to reduce the workload of experts, save time and help to diagnose dental disorders early. The results show that the best classifiers for AlexNet-based, SqueezeNet-based, and Direct-Convolutional Neural Network (CNN) are Linear SVM, Medium Gaussian SVM, and EfficientNetB5, respectively. Among these classifiers, the best classifier is Linear SVM, and its accuracy, error, sensitivity, specificity, precision, and F1 score values are 81.49%, 18.51%, 84.57%, 79.14%, 75.68%, and 79.88%, respectively.