Objectives: Palatal shape contains a lot of information that is of clinical interest. Moreover, palatal shape analysis can be used to guide or evaluate orthodontic treatments. A statistical shape model (SSM) is a tool that, by means of dimensionality reduction, aims at compactly modeling the variance of complex shapes for efficient analysis. In this report, we evaluate several competing approaches to constructing SSMs for the human palate. Setting and Sample Population:This study used a sample comprising digitized 3D maxillary dental casts from 1,324 individuals. Materials and methods: Principal component analysis (PCA) and autoencoders (AE)are popular approaches to construct SSMs. PCA is a dimension reduction technique that provides a compact description of shapes by uncorrelated variables. AEs are situated in the field of deep learning and provide a non-linear framework for dimension reduction. This work introduces the singular autoencoder (SAE), a hybrid approach that combines the most important properties of PCA and AEs. We assess the performance of the SAE using standard evaluation tools for SSMs, including accuracy, generalization, and specificity.
Objectives: To develop and evaluate a geometric deep-learning network to automatically place seven palatal landmarks on digitized maxillary dental casts. Settings and Sample Population:The sample comprised individuals with permanent dentition of various ethnicities. The network was trained from manual landmark annotations on 732 dental casts and evaluated on 104 dental casts. Materials and Methods:A geometric deep-learning network was developed to hierarchically learn features from point-clouds representing the 3D surface of each cast.These features predict the locations of seven palatal landmarks.Results: Repeat-measurement reliability was <0.3 mm for all landmarks on all casts.Accuracy is promising. The proportion of test subjects with errors less than 2 mm was between 0.93 and 0.68, depending on the landmark. Unusually shaped and large palates generate the highest errors. There was no evidence for a difference in mean palatal shape estimated from manual compared to the automatic landmarking. The automatic landmarking reduces sample variation around the mean and reduces measurements of palatal size.
Registration is an essential tool in image analysis. Deep learning based alternatives have recently become popular, achieving competitive performance at a faster speed. However, many contemporary techniques are limited to volumetric representations, despite increased popularity of 3D surface and shape data in medical image analysis. We propose a one-step registration model for 3D surfaces that internalises a lower dimensional probabilistic deformation model (PDM) using conditional variational autoencoders (CVAE). The deformations are constrained to be diffeomorphic using an exponentiation layer. The one-step registration model is benchmarked against iterative techniques, trading in a slightly lower performance in terms of shape fit for a higher compactness. We experiment with two distance metrics, Chamfer distance (CD) and Sinkhorn divergence (SD), as specific distance functions for surface data in real-world registration scenarios. The internalised deformation model is benchmarked against linear principal component analysis (PCA) achieving competitive results and improved generalisability from lower dimensions.
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