Enhanced Masked Image Modeling for Analysis of Dental Panoramic Radiographs

The computer-assisted radiologic informative report has received increasing research attention to facilitate diagnosis and treatment planning for dental care providers. However, manual interpretation of dental images is limited, expensive, and time-consuming. Another barrier in dental imaging is the limited number of available images for training, which is a challenge in the era of deep learning. This study proposes a novel self-distillation (SD) enhanced self-supervised learning on top of the masked image modeling (SimMIM) Transformer, called SD-SimMIM, to improve the outcome with a limited number of dental radiographs. In addition to the prediction loss on masked patches, SD-SimMIM computes the self-distillation loss on the visible patches. We apply SD-SimMIM on dental panoramic X-rays for teeth numbering, detection of dental restorations and orthodontic appliances, and instance segmentation tasks. Our results show that SD-SimMIM outperforms other self-supervised learning methods. Furthermore, we augment and improve the annotation of an existing dataset of panoramic X-rays.

Self-Supervised Learning with Masked Image Modeling for Teeth Numbering, Detection of Dental Restorations, and Instance Segmentation in Dental Panoramic Radiographs

The computer-assisted radiologic informative report is currently emerging in dental practice to facilitate dental care and reduce time consumption in manual panoramic radiographic interpretation. However, the amount of dental radiographs for training is very limited, particularly from the point of view of deep learning. This study aims to utilize recent self-supervised learning methods like SimMIM and UM-MAE to increase the model efficiency and understanding of the limited number of dental radiographs. We use the Swin Transformer for teeth numbering, detection of dental restorations, and instance segmentation tasks. To the best of our knowledge, this is the first study that applied self-supervised learning methods to Swin Transformer on dental panoramic radiographs. Our results show that the SimMIM method obtained the highest performance of 90.4% and 88.9% on detecting teeth and dental restorations and instance segmentation, respectively, increasing the average precision by 13.4 and 12.8 over the random initialization baseline. Moreover, we augment and correct the existing dataset of panoramic radiographs. The code and the dataset are available at https://github.com/AmaniHAlmalki/DentalMIM.