- •This study aimed to develop a deep convolutional neural network (CNN) for automatic classification of pubertal growth spurts using cervical vertebral maturation staging based on the lateral cephalograms of Iranian subpopulation.
- •The study findings confirm the potential of convolutional neural networks as a diagnostic tool for intelligent evaluation of skeletal maturation with high accuracy even with a relatively small number of images.
Material and Methods
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- An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth.Angle Orthod. 2002; 72: 316-323
- Reliability of cervical vertebral maturation compared to hand-wrist for skeletal maturation assessment in growing subjects: a systematic review.J Back Musculoskelet Rehabil. 2021; 34: 925-936
- Is the cervical vertebral maturation (CVM) method effective enough to replace the hand-wrist maturation (HWM) method in determining skeletal maturation? A systematic review.Eur J Radiol. 2018; 102: 125-128
- Reliability of the cervical vertebrae maturation (CVM) method.Bratisl Lek Listy. 2015; 116: 222-226
- Reliability of cervical vertebral maturation staging.Am J Orthod Dentofacial Orthop. 2016; 150: 98-104
- Validity and reliability of a method for assessment of cervical vertebral maturation.Angle Orthod. 2012; 82: 229-234
- Mandibular growth changes and maturation of cervical vertebrae — a longitudinal cephalometric study.Angle Orthod. 1988; 58: 179-184
- Current perspectives in medical image perception.Atten Percept Psychophys. 2010; 72: 1205-1217
- Assessment of skeletal and dental maturity levels for a given chronological age among Indian children.J Contemp Dent Pract. 2012; 13: 310-315
- Deep learning.MIT press, Cambridge2016
- Sex determination from lateral cephalometric radiographs using an automated deep learning convolutional neural network.Imaging Sci Dent. 2022; 52: 239-244
- Deep convolutional neural networks for chest diseases detection.J Healthc Eng. 2018; 20184168538
- Detection and diagnosis of dental caries using a deep learning-based convolutional neural network algorithm.J Dent. 2018; 77: 106-111
- Understanding the mechanisms of deep transfer learning for medical images.in: Carneiro G Mateus D Peter L Deep learning and data labeling for medical applications. Springer International Publishing, New York City2016: 188-196
- Deep convolutional neural networks for image classification: a comprehensive review.Neural Comput. 2017; 29: 2352-2449
- Convolutional neural networks: an overview and application in radiology.Insights Imaging. 2018; 9: 611-629
- Comparisons between cervical vertebrae and hand-wrist maturation for assessment of skeletal maturity.J Clin Pediatr Dent. 1999; 24: 47-52
- Objective evaluation of cervical vertebral bone age’ its reliability in comparison with hand-wrist bone age: by TW3 method.J Contemp Dent Pract. 2013; 14: 806-813
- Cervical vertebral maturation method: reproducibility and efficiency of chronological age estimation.Appl Sci. 2021; 11: 3160
- Bone age assessment with various machine learning techniques: a systematic literature review and meta-analysis.PLoS One. 2019; 14e0220242
- Cervical vertebral maturation assessment on lateral cephalometric radiographs using artificial intelligence: comparison of machine learning classifier models.Dentomaxillofac Radiol. 2020; 4920190441
- New method for evaluation of cervical vertebral maturation based on angular measurements.Saudi Med J. 2013; 34: 388-394
- Determination of growth and development periods in orthodontics with artificial neural network.Orthod Craniofac Res. 2021; 24: 76-83
- Estimating cervical vertebral maturation with a lateral cephalogram using the convolutional neural network.J Clin Med. 2021; 10: 5400
- Attention-guided multi-scale CNN network for cervical vertebral maturation assessment from lateral cephalometric radiography.Phys Sci Forum. 2022; 5: 26
- Deep learning and artificial intelligence for the determination of the cervical vertebra maturation degree from lateral radiography.Entropy. 2019; 21: 1222
Atici S, Pan H, Elnagar MH, et al. Classification of the Cervical Vertebrae Maturation (CVM) stages using the Tripod Network. arXiv. Preprint.
- Development of an artificial intelligence system for the automatic evaluation of cervical vertebral maturation status.Diagnostics (Basel). 2021; 11: 2200
- Deep learning for the classification of cervical maturation degree and pubertal growth spurts: a pilot study.Korean J Orthod. 2022; 52: 112-122
Publication stageIn Press Corrected Proof
Funding: The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests: Authors have completed and submitted the ICMJE Form for Disclosure of potential conflicts of interest. None declared.
Provenance and peer review: Non-commissioned; externally peer reviewed.