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Record W4412547968 · doi:10.1111/jopr.70008

Trueness of artificial intelligence‐based, manual, and global thresholding segmentation protocols for human mandibles

2025· article· en· W4412547968 on OpenAlex
Vinícius Dutra, Tien‐Min Gabriel Chu, Chao‐Chieh Yang, Wei‐Shao Lin

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueJournal of Prosthodontics · 2025
Typearticle
Languageen
FieldDentistry
TopicDental Radiography and Imaging
Canadian institutionsnot available
Fundersnot available
KeywordsThresholdingSegmentationArtificial intelligenceScannerCone beam computed tomographyComputer scienceDICOMStandard deviationSoftwareComputer visionComputed tomographyMathematicsMedicineStatisticsImage (mathematics)Radiology

Abstract

fetched live from OpenAlex

PURPOSE: To compare the trueness of artificial intelligence (AI)-based, manual, and global segmentation protocols by superimposing the resulting segmented 3D models onto reference gold standard surface scan models. MATERIALS AND METHODS: Twelve dry human mandibles were used. A cone beam computed tomography (CBCT) scanner was used to scan the mandibles, and the acquired digital imaging and communications in medicine (DICOM) files were segmented using three protocols: global thresholding, manual, and AI-based segmentation (Diagnocat; Diagnocat, San Francisco, CA). The segmented files were exported as study 3D models. A structured light surface scanner (GoSCAN Spark; Creaform 3D, Levis, Canada) was used to scan all mandibles, and the resulting reference 3D models were exported. The study 3D models were compared with the respective reference 3D models by using a mesh comparison software (Geomagic Design X; 3D Systems Inc, Rock Hill, SC). Root mean square (RMS) error values were recorded to measure the magnitude of deviation (trueness), and color maps were obtained to visualize the differences. Comparisons of the trueness of three segmentation methods for differences in RMS were made using repeated measures analysis of variance (ANOVA). A two-sided 5% significance level was used for all tests in the software program. RESULTS: AI-based segmentations had significantly higher RMS values than manual segmentations for the entire mandible (p < 0.001), alveolar process (p < 0.001), and body of the mandible (p < 0.001). AI-based segmentations had significantly lower RMS values than manual segmentations for the condyles (p = 0.018) and ramus (p = 0.013). No significant differences were found between the AI-based and manual segmentations for the coronoid process (p = 0.275), symphysis (p = 0.346), and angle of the mandible (p = 0.344). Global thresholding had significantly higher RMS values than manual segmentations for the alveolus (p < 0.001), angle of the mandible (p < 0.001), body of the mandible (p < 0.001), condyles (p < 0.001), coronoid (p = 0.002), entire mandible (p < 0.001), ramus (p < 0.001), and symphysis (p < 0.001). Global thresholding had significantly higher RMS values than AI-based segmentation for the alveolar process (p = 0.002), angle of the mandible (p < 0.001), body of the mandible (p < 0.001), condyles (p < 0.001), coronoid (p = 0.017), mandible (p < 0.001), ramus (p < 0.001), and symphysis (p < 0.001). CONCLUSION: AI-based segmentations produced lower RMS values, indicating truer 3D models, compared to global thresholding, and showed no significant differences in some areas compared to manual segmentation. Thus, AI-based segmentation offers a level of segmentation trueness acceptable for use as an alternative to manual or global thresholding segmentation protocols.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.617
Threshold uncertainty score0.418

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.068
GPT teacher head0.426
Teacher spread0.357 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it