Automatic multi-anatomical skull structure segmentation of cone-beam computed tomography scans using 3D UNETR

PLoS One. 2022 Oct 12;17(10):e0275033. doi: 10.1371/journal.pone.0275033. eCollection 2022.

Abstract

The segmentation of medical and dental images is a fundamental step in automated clinical decision support systems. It supports the entire clinical workflow from diagnosis, therapy planning, intervention, and follow-up. In this paper, we propose a novel tool to accurately process a full-face segmentation in about 5 minutes that would otherwise require an average of 7h of manual work by experienced clinicians. This work focuses on the integration of the state-of-the-art UNEt TRansformers (UNETR) of the Medical Open Network for Artificial Intelligence (MONAI) framework. We trained and tested our models using 618 de-identified Cone-Beam Computed Tomography (CBCT) volumetric images of the head acquired with several parameters from different centers for a generalized clinical application. Our results on a 5-fold cross-validation showed high accuracy and robustness with a Dice score up to 0.962±0.02. Our code is available on our public GitHub repository.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Artificial Intelligence*
  • Cone-Beam Computed Tomography* / methods
  • Head
  • Image Processing, Computer-Assisted / methods
  • Radionuclide Imaging
  • Skull / diagnostic imaging