Mandible segmentation of dental CBCT scans affected by metal artifacts using coarse-to-fine learning model

B Qiu, H van der Wel, J Kraeima, HH Glas… - Journal of personalized …, 2021 - mdpi.com
B Qiu, H van der Wel, J Kraeima, HH Glas, J Guo, RJH Borra, MJH Witjes, PMA van Ooijen
Journal of personalized medicine, 2021mdpi.com
Accurate segmentation of the mandible from cone-beam computed tomography (CBCT)
scans is an important step for building a personalized 3D digital mandible model for
maxillofacial surgery and orthodontic treatment planning because of the low radiation dose
and short scanning duration. CBCT images, however, exhibit lower contrast and higher
levels of noise and artifacts due to extremely low radiation in comparison with the
conventional computed tomography (CT), which makes automatic mandible segmentation …
Accurate segmentation of the mandible from cone-beam computed tomography (CBCT) scans is an important step for building a personalized 3D digital mandible model for maxillofacial surgery and orthodontic treatment planning because of the low radiation dose and short scanning duration. CBCT images, however, exhibit lower contrast and higher levels of noise and artifacts due to extremely low radiation in comparison with the conventional computed tomography (CT), which makes automatic mandible segmentation from CBCT data challenging. In this work, we propose a novel coarse-to-fine segmentation framework based on 3D convolutional neural network and recurrent SegUnet for mandible segmentation in CBCT scans. Specifically, the mandible segmentation is decomposed into two stages: localization of the mandible-like region by rough segmentation and further accurate segmentation of the mandible details. The method was evaluated using a dental CBCT dataset. In addition, we evaluated the proposed method and compared it with state-of-the-art methods in two CT datasets. The experiments indicate that the proposed algorithm can provide more accurate and robust segmentation results for different imaging techniques in comparison with the state-of-the-art models with respect to these three datasets.
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