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Robust Estimation of the Chronological Age of Children and Adolescents Using Tooth Geometry Indicators and POD-GP

2022, Zaborowicz, Katarzyna, Garbowski, Tomasz, Biedziak, Barbara, Zaborowicz, Maciej

Determining the chronological age of children or adolescents is becoming an extremely necessary and important issue. Correct age-assessment methods are especially important in the process of international adoption and in the case of immigrants without valid documents confirming their identity. It is well known that traditional, analog methods widely used in clinical evaluation are burdened with a high error rate and are characterized by low accuracy. On the other hand, new digital approaches appear in medicine more and more often, which allow the increase of the accuracy of these estimates, and thus equip doctors with a tool for reliable estimation of the chronological age of children and adolescents. In this study, the work on a fast and effective metamodel is continued. Metamodels have one great advantage over all other analog and quasidigital methods—if they are well trained, a priori, on a representative set of samples, then in the age-assessment phase, results are obtained in a fraction of a second and with little error (reduced to ±7.5 months). In the here-proposed method, the standard deviation for each estimate is additionally obtained, which allows the assessment of the certainty of each result. In this study, 619 pantomographic photos of 619 patients (296 girls and 323 boys) of different ages were used. In the numerical procedure, on the other hand, a metamodel based on the Proper Orthogonal Decomposition (POD) and Gaussian processes (GP) were utilized. The accuracy of the trained model was up to 95%.

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Deep Learning Neural Modelling as a Precise Method in the Assessment of the Chronological Age of Children and Adolescents Using Tooth and Bone Parameters

2022, Zaborowicz, Maciej, Zaborowicz, Katarzyna, Biedziak, Barbara, Garbowski, Tomasz

Dental age is one of the most reliable methods for determining a patient’s age. The timing of teething, the period of tooth replacement, or the degree of tooth attrition is an important diagnostic factor in the assessment of an individual’s developmental age. It is used in orthodontics, pediatric dentistry, endocrinology, forensic medicine, and pathomorphology, but also in scenarios regarding international adoptions and illegal immigrants. The methods used to date are time-consuming and not very precise. For this reason, artificial intelligence methods are increasingly used to estimate the age of a patient. The present work is a continuation of the work of Zaborowicz et al. In the presented research, a set of 21 original indicators was used to create deep neural network models. The aim of this study was to verify the ability to generate a more accurate deep neural network model compared to models produced previously. The quality parameters of the produced models were as follows. The MAE error of the produced models, depending on the learning set used, was between 2.34 and 4.61 months, while the RMSE error was between 5.58 and 7.49 months. The correlation coefficient R2 ranged from 0.92 to 0.96.