Dataset Information

3D cephalometric landmark detection by multiple stage deep reinforcement learning.

ABSTRACT: The lengthy time needed for manual landmarking has delayed the widespread adoption of three-dimensional (3D) cephalometry. We here propose an automatic 3D cephalometric annotation system based on multi-stage deep reinforcement learning (DRL) and volume-rendered imaging. This system considers geometrical characteristics of landmarks and simulates the sequential decision process underlying human professional landmarking patterns. It consists mainly of constructing an appropriate two-dimensional cutaway or 3D model view, then implementing single-stage DRL with gradient-based boundary estimation or multi-stage DRL to dictate the 3D coordinates of target landmarks. This system clearly shows sufficient detection accuracy and stability for direct clinical applications, with a low level of detection error and low inter-individual variation (1.96 ± 0.78 mm). Our system, moreover, requires no additional steps of segmentation and 3D mesh-object construction for landmark detection. We believe these system features will enable fast-track cephalometric analysis and planning and expect it to achieve greater accuracy as larger CT datasets become available for training and testing.

SUBMITTER: Kang SH

PROVIDER: S-EPMC8410904 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

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Publications

3D cephalometric landmark detection by multiple stage deep reinforcement learning.

Kang Sung Ho SH Jeon Kiwan K Kang Sang-Hoon SH Lee Sang-Hwy SH

Scientific reports 20210901 1

The lengthy time needed for manual landmarking has delayed the widespread adoption of three-dimensional (3D) cephalometry. We here propose an automatic 3D cephalometric annotation system based on multi-stage deep reinforcement learning (DRL) and volume-rendered imaging. This system considers geometrical characteristics of landmarks and simulates the sequential decision process underlying human professional landmarking patterns. It consists mainly of constructing an appropriate two-dimensional cu ...[more]

PMID: 34471202

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Project description:ObjectivesDeep learning (DL) has been increasingly employed for automated landmark detection, e.g., for cephalometric purposes. We performed a systematic review and meta-analysis to assess the accuracy and underlying evidence for DL for cephalometric landmark detection on 2-D and 3-D radiographs.MethodsDiagnostic accuracy studies published in 2015-2020 in Medline/Embase/IEEE/arXiv and employing DL for cephalometric landmark detection were identified and extracted by two independent reviewers. Random-effects meta-analysis, subgroup, and meta-regression were performed, and study quality was assessed using QUADAS-2. The review was registered (PROSPERO no. 227498).DataFrom 321 identified records, 19 studies (published 2017-2020), all employing convolutional neural networks, mainly on 2-D lateral radiographs (n=15), using data from publicly available datasets (n=12) and testing the detection of a mean of 30 (SD: 25; range.: 7-93) landmarks, were included. The reference test was established by two experts (n=11), 1 expert (n=4), 3 experts (n=3), and a set of annotators (n=1). Risk of bias was high, and applicability concerns were detected for most studies, mainly regarding the data selection and reference test conduct. Landmark prediction error centered around a 2-mm error threshold (mean; 95% confidence interval: (-0.581; 95 CI: -1.264 to 0.102 mm)). The proportion of landmarks detected within this 2-mm threshold was 0.799 (0.770 to 0.824).ConclusionsDL shows relatively high accuracy for detecting landmarks on cephalometric imagery. The overall body of evidence is consistent but suffers from high risk of bias. Demonstrating robustness and generalizability of DL for landmark detection is needed.Clinical significanceExisting DL models show consistent and largely high accuracy for automated detection of cephalometric landmarks. The majority of studies so far focused on 2-D imagery; data on 3-D imagery are sparse, but promising. Future studies should focus on demonstrating generalizability, robustness, and clinical usefulness of DL for this objective.

Project description:Morphometric analysis of wings has been suggested for identifying and controlling isolated populations of tsetse (Glossina spp), vectors of human and animal trypanosomiasis in Africa. Single-wing images were captured from an extensive data set of field-collected tsetse wings of species Glossina pallidipes and G. m. morsitans. Morphometric analysis required locating 11 anatomical landmarks on each wing. The manual location of landmarks is time-consuming, prone to error, and infeasible for large data sets. We developed a two-tier method using deep learning architectures to classify images and make accurate landmark predictions. The first tier used a classification convolutional neural network to remove most wings that were missing landmarks. The second tier provided landmark coordinates for the remaining wings. We compared direct coordinate regression using a convolutional neural network and segmentation using a fully convolutional network for the second tier. For the resulting landmark predictions, we evaluate shape bias using Procrustes analysis. We pay particular attention to consistent labelling to improve model performance. For an image size of 1024 × 1280, data augmentation reduced the mean pixel distance error from 8.3 (95% confidence interval [4.4,10.3]) to 5.34 (95% confidence interval [3.0,7.0]) for the regression model. For the segmentation model, data augmentation did not alter the mean pixel distance error of 3.43 (95% confidence interval [1.9,4.4]). Segmentation had a higher computational complexity and some large outliers. Both models showed minimal shape bias. We deployed the regression model on the complete unannotated data consisting of 14,354 pairs of wing images since this model had a lower computational cost and more stable predictions than the segmentation model. The resulting landmark data set was provided for future morphometric analysis. The methods we have developed could provide a starting point to studying the wings of other insect species. All the code used in this study has been written in Python and open sourced.

Dataset Information

3D cephalometric landmark detection by multiple stage deep reinforcement learning.

Publications

3D cephalometric landmark detection by multiple stage deep reinforcement learning.

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