Deep Learning Techniques for Automatic Lateral X-ray Cephalometric Landmark Detection: Is the Problem Solved?

Localization of the craniofacial landmarks from lateral cephalograms is a fundamental task in cephalometric analysis. The automation of the corresponding tasks has thus been the subject of intense research over the past decades. In this paper, we introduce the "Cephalometric Landmark Detection (CL-Detection)" dataset, which is the largest publicly available and comprehensive dataset for cephalometric landmark detection. This multi-center and multi-vendor dataset includes 600 lateral X-ray images with 38 landmarks acquired with different equipment from three medical centers. The overarching objective of this paper is to measure how far state-of-the-art deep learning methods can go for cephalometric landmark detection. Following the 2023 MICCAI CL-Detection Challenge, we report the results of the top ten research groups using deep learning methods. Results show that the best methods closely approximate the expert analysis, achieving a mean detection rate of 75.719% and a mean radial error of 1.518 mm. While there is room for improvement, these findings undeniably open the door to highly accurate and fully automatic location of craniofacial landmarks. We also identify scenarios for which deep learning methods are still failing. Both the dataset and detailed results are publicly available online, while the platform will remain open for the community to benchmark future algorithm developments at https://cl-detection2023.grand-challenge.org/.

DME-Driver: Integrating Human Decision Logic and 3D Scene Perception in Autonomous Driving

In the field of autonomous driving, two important features of autonomous driving car systems are the explainability of decision logic and the accuracy of environmental perception. This paper introduces DME-Driver, a new autonomous driving system that enhances the performance and reliability of autonomous driving system. DME-Driver utilizes a powerful vision language model as the decision-maker and a planning-oriented perception model as the control signal generator. To ensure explainable and reliable driving decisions, the logical decision-maker is constructed based on a large vision language model. This model follows the logic employed by experienced human drivers and makes decisions in a similar manner. On the other hand, the generation of accurate control signals relies on precise and detailed environmental perception, which is where 3D scene perception models excel. Therefore, a planning oriented perception model is employed as the signal generator. It translates the logical decisions made by the decision-maker into accurate control signals for the self-driving cars. To effectively train the proposed model, a new dataset for autonomous driving was created. This dataset encompasses a diverse range of human driver behaviors and their underlying motivations. By leveraging this dataset, our model achieves high-precision planning accuracy through a logical thinking process.

Multi-Resolution Fusion for Fully Automatic Cephalometric Landmark Detection

Cephalometric landmark detection on lateral skull X-ray images plays a crucial role in the diagnosis of certain dental diseases. Accurate and effective identification of these landmarks presents a significant challenge. Based on extensive data observations and quantitative analyses, we discovered that visual features from different receptive fields affect the detection accuracy of various landmarks differently. As a result, we employed an image pyramid structure, integrating multiple resolutions as input to train a series of models with different receptive fields, aiming to achieve the optimal feature combination for each landmark. Moreover, we applied several data augmentation techniques during training to enhance the model's robustness across various devices and measurement alternatives. We implemented this method in the Cephalometric Landmark Detection in Lateral X-ray Images 2023 Challenge and achieved a Mean Radial Error (MRE) of 1.62 mm and a Success Detection Rate (SDR) 2.0mm of 74.18% in the final testing phase.