Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data

Abstract This study aimed to develop an artificial intelligence (AI) model for the screening of degenerative joint disease (DJD) using temporomandibular joint (TMJ) panoramic radiography and joint noise data. A total of 2631 TMJ panoramic images were collected, resulting in a final dataset of 3908 i...

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Main Authors: Eunhye Choi, Seokwon Shin, Kijin Lee, Taejin An, Richard K. Lee, Sunmin Kim, Youngdoo Son, Seong Teak Kim
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83750-4
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author Eunhye Choi
Seokwon Shin
Kijin Lee
Taejin An
Richard K. Lee
Sunmin Kim
Youngdoo Son
Seong Teak Kim
author_facet Eunhye Choi
Seokwon Shin
Kijin Lee
Taejin An
Richard K. Lee
Sunmin Kim
Youngdoo Son
Seong Teak Kim
author_sort Eunhye Choi
collection DOAJ
description Abstract This study aimed to develop an artificial intelligence (AI) model for the screening of degenerative joint disease (DJD) using temporomandibular joint (TMJ) panoramic radiography and joint noise data. A total of 2631 TMJ panoramic images were collected, resulting in a final dataset of 3908 images (2127 normal (N) and 1781 DJD (D)) after excluding indeterminate cases and errors. AI models using GoogleNet were evaluated with six different combinations of image data, clinician-detected crepitus, and patient-reported joint noise. The model that integrated all joint noise data with imaging demonstrated the highest performance, achieving an F1-score of 0.72. Another model, which incorporated both imaging and crepitus, also achieved the same F1-score but had lower D recall (0.55 vs. 0.67) and N precision (0.71 vs. 0.74). The AI models outperformed orofacial pain specialists when provided with imaging alone or in combination with all joint noise data. These findings suggest that AI-enhanced DJD diagnosis using TMJ panoramic radiography and joint noise data offers a promising approach for early detection and improved patient care. The results underscore AI’s capability to integrate diverse diagnostic factors, providing a comprehensive and accurate assessment that surpasses traditional methods.
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spelling doaj-art-68cb3a9720cf40c991d475c0b0d4a0e82025-08-20T02:24:29ZengNature PortfolioScientific Reports2045-23222025-01-011511710.1038/s41598-024-83750-4Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise dataEunhye Choi0Seokwon Shin1Kijin Lee2Taejin An3Richard K. Lee4Sunmin Kim5Youngdoo Son6Seong Teak Kim7School of Dentistry, Dental Research Institute, Seoul National UniversityDepartment of Industrial and Systems Engineering, Dongguk UniversityDepartment of Industrial and Systems Engineering, Dongguk UniversityDepartment of Industrial and Systems Engineering, Dongguk UniversitySchool of Biomedical Engineering, University of Technology SydneyCollege of Arts and Sciences, Boston UniversityDepartment of Industrial and Systems Engineering, Dongguk UniversityDepartment of Orofacial Pain and Oral Medicine, Yonsei University College of DentistryAbstract This study aimed to develop an artificial intelligence (AI) model for the screening of degenerative joint disease (DJD) using temporomandibular joint (TMJ) panoramic radiography and joint noise data. A total of 2631 TMJ panoramic images were collected, resulting in a final dataset of 3908 images (2127 normal (N) and 1781 DJD (D)) after excluding indeterminate cases and errors. AI models using GoogleNet were evaluated with six different combinations of image data, clinician-detected crepitus, and patient-reported joint noise. The model that integrated all joint noise data with imaging demonstrated the highest performance, achieving an F1-score of 0.72. Another model, which incorporated both imaging and crepitus, also achieved the same F1-score but had lower D recall (0.55 vs. 0.67) and N precision (0.71 vs. 0.74). The AI models outperformed orofacial pain specialists when provided with imaging alone or in combination with all joint noise data. These findings suggest that AI-enhanced DJD diagnosis using TMJ panoramic radiography and joint noise data offers a promising approach for early detection and improved patient care. The results underscore AI’s capability to integrate diverse diagnostic factors, providing a comprehensive and accurate assessment that surpasses traditional methods.https://doi.org/10.1038/s41598-024-83750-4Temporomandibular jointDegenerative joint diseaseArtificial intelligenceTemporomandibular joint panoramic radiographyJoint noise
spellingShingle Eunhye Choi
Seokwon Shin
Kijin Lee
Taejin An
Richard K. Lee
Sunmin Kim
Youngdoo Son
Seong Teak Kim
Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
Scientific Reports
Temporomandibular joint
Degenerative joint disease
Artificial intelligence
Temporomandibular joint panoramic radiography
Joint noise
title Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
title_full Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
title_fullStr Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
title_full_unstemmed Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
title_short Artificial intelligence-enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
title_sort artificial intelligence enhanced diagnosis of degenerative joint disease using temporomandibular joint panoramic radiography and joint noise data
topic Temporomandibular joint
Degenerative joint disease
Artificial intelligence
Temporomandibular joint panoramic radiography
Joint noise
url https://doi.org/10.1038/s41598-024-83750-4
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