Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning

Abstract Patients with abnormal relative position of the upper and lower jaws (the main part of the facial bones) require orthognathic surgery to improve the occlusal relationship and facial appearance. However, in addition to the retraction and protrusion of the maxillomandibular advancement, these...

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Main Authors: Haomin Tang, Shu Liu, Yongxin Shi, Jin Wei, Juxiang Peng, Hongchao Feng
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-93317-6
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author Haomin Tang
Shu Liu
Yongxin Shi
Jin Wei
Juxiang Peng
Hongchao Feng
author_facet Haomin Tang
Shu Liu
Yongxin Shi
Jin Wei
Juxiang Peng
Hongchao Feng
author_sort Haomin Tang
collection DOAJ
description Abstract Patients with abnormal relative position of the upper and lower jaws (the main part of the facial bones) require orthognathic surgery to improve the occlusal relationship and facial appearance. However, in addition to the retraction and protrusion of the maxillomandibular advancement, these patients may also develop asymmetry. This study aims to use a semi-supervised learning method to demonstrate the maxillary and mandible retraction, protrudation and asymmetry of patients before orthognathic surgery through automatic segmentation of 3D cone beam computed tomography (CBCT) images and landmark detection, so as to provide help for the preoperative planning of orthognathic surgery. Among them, the dice of the semi-supervised algorithm adopted in this study reached 93.41 and 96.89% in maxillary and mandibular segmentation tasks, and the average error of landmark detection tasks reached 1.908 ± 1.166 mm, both of which were superior to the full-supervised algorithm with the same data volume annotation. Therefore, we propose that the method can be applied in a clinical setting to assist surgeons in preoperative planning for orthognathic surgery.
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spelling doaj-art-2377dfe4132a4eae9dd02a7a8ee1ccb12025-08-20T03:01:37ZengNature PortfolioScientific Reports2045-23222025-03-0115111510.1038/s41598-025-93317-6Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planningHaomin Tang0Shu Liu1Yongxin Shi2Jin Wei3Juxiang Peng4Hongchao Feng5College of Medicine, Guizhou UniversityDepartment of Orthodontics, Guiyang Hospital of StomatologySchool of Stomatology, Zunyi Medical UniversityDepartment of Oral and Maxillofacial Surgery, Guiyang Hospital of StomatologyDepartment of Orthodontics, Guiyang Hospital of StomatologyDepartment of Oral and Maxillofacial Surgery, Guiyang Hospital of StomatologyAbstract Patients with abnormal relative position of the upper and lower jaws (the main part of the facial bones) require orthognathic surgery to improve the occlusal relationship and facial appearance. However, in addition to the retraction and protrusion of the maxillomandibular advancement, these patients may also develop asymmetry. This study aims to use a semi-supervised learning method to demonstrate the maxillary and mandible retraction, protrudation and asymmetry of patients before orthognathic surgery through automatic segmentation of 3D cone beam computed tomography (CBCT) images and landmark detection, so as to provide help for the preoperative planning of orthognathic surgery. Among them, the dice of the semi-supervised algorithm adopted in this study reached 93.41 and 96.89% in maxillary and mandibular segmentation tasks, and the average error of landmark detection tasks reached 1.908 ± 1.166 mm, both of which were superior to the full-supervised algorithm with the same data volume annotation. Therefore, we propose that the method can be applied in a clinical setting to assist surgeons in preoperative planning for orthognathic surgery.https://doi.org/10.1038/s41598-025-93317-6Upper and lower jawsOrthognathic surgerySemi-supervised learningAutomatic segmentationAutomatic landmark detection3D CBCT
spellingShingle Haomin Tang
Shu Liu
Yongxin Shi
Jin Wei
Juxiang Peng
Hongchao Feng
Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
Scientific Reports
Upper and lower jaws
Orthognathic surgery
Semi-supervised learning
Automatic segmentation
Automatic landmark detection
3D CBCT
title Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
title_full Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
title_fullStr Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
title_full_unstemmed Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
title_short Automatic segmentation and landmark detection of 3D CBCT images using semi supervised learning for assisting orthognathic surgery planning
title_sort automatic segmentation and landmark detection of 3d cbct images using semi supervised learning for assisting orthognathic surgery planning
topic Upper and lower jaws
Orthognathic surgery
Semi-supervised learning
Automatic segmentation
Automatic landmark detection
3D CBCT
url https://doi.org/10.1038/s41598-025-93317-6
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