CBCT image based radiomic analysis for condylar resorption after orthognathic surgery.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Investigations Pub Date : 2025-02-22 DOI:10.1007/s00784-025-06227-2
Ruo-Han Ma, Ji-Ling Feng, Jia-Yang Chen, Yu-Xuan Yang, Ju-Peng Li, Gang Li
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Abstract

Objectives: To select and discover features which are highly correlated with condylar resorption (CR) after orthognathic surgery (OS) by a new method.

Materials and methods: The cone beam computed tomography (CBCT) images were collected from orthognathic patients taken at T1(baseline time point) and T2(within 3-36 months postoperatively). The subjects were divided into the CR group and the control group by using a 2-level scale after registering T1 and T2 images. The condyles were segmented by MVEL-Net network model and were analyzed by Pyradiomics. The D-value equaled to the absolute difference-value (D-value) between the feature values of T1 and T2. The correlation between features with statistically significant differences in T1 and D-values would be analyzed to find the specific features related to CR after OS.

Results: A total of 145 subjects were included (27 males and 118 females), which had 44 subjects in the CR group, 101 subjects in the control group. For all samples, a total of 82 features were extracted (F1), which were with statistical differences at T1 time point between CR and control groups. By using the D-value, the number of features was reduced to 32 features (Fd). Among Fd, only 3 were not included in F1.

Conclusions: The D-value was proposed for selecting specific features of CR after OS and it can be observed that the D-value serves the purpose of feature specification compared to T1 values. By using the D-values, several features were found to change significantly during the process of CR after OS.

Clinical relevance: The features selected by D-value can be used for the establishment of a prediction model for CR after OS.

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基于CBCT图像的正颌手术后髁突吸收放射学分析。
目的:用一种新的方法筛选和发现与正颌手术(OS)后髁突吸收(CR)高度相关的特征。材料和方法:收集正颌患者在T1(基线时间点)和T2(术后3-36个月内)采集的锥束ct (CBCT)图像。T1和T2图像配准后,采用2级量表将受试者分为CR组和对照组。采用MVEL-Net网络模型对髁突进行分割,并用放射组学对髁突进行分析。d值等于T1与T2特征值的绝对差值(d值)。分析T1和d值有统计学差异的特征之间的相关性,找出OS后与CR相关的具体特征。结果:共纳入受试者145例(男27例,女118例),其中CR组44例,对照组101例。对于所有样本,共提取了82个特征(F1), CR组与对照组在T1时间点具有统计学差异。通过使用d值,将特征数量减少到32个特征(Fd)。Fd中只有3个未被纳入F1。结论:提出d值用于选择OS后CR的具体特征,与T1值相比,d值起到了特征规范的作用。通过使用d值,我们发现在OS后CR过程中有几个特征发生了显著变化。临床相关性:d值选择的特征可用于建立OS后CR的预测模型。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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