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Enterprise AI Analysis: Semi-automatic detection of anteriorly displaced temporomandibular joint discs in magnetic resonance images using machine learning

Enterprise AI Analysis

Semi-automatic detection of anteriorly displaced temporomandibular joint discs in magnetic resonance images using machine learning

This study employed machine learning (ML) to automatically detect anteriorly displaced TMJ discs in magnetic resonance images (MRI), demonstrating superior performance in both training and validation cohorts.

Executive Impact

This machine learning model for TMJ disc displacement detection can significantly enhance diagnostic accuracy and efficiency, leading to more personalized treatment strategies and improved patient outcomes.

Diagnostic Accuracy (AUC)
Reduced Interpretation Time
Precision Improvement

Deep Analysis & Enterprise Applications

Select a topic to dive deeper, then explore the specific findings from the research, rebuilt as interactive, enterprise-focused modules.

Radiomics offers distinct advantages in quantifying explicit and biologically interpretable features, such as texture heterogeneity and morphological dynamics across different jaw positions. This provides targeted insights into disc displacement mechanisms that end-to-end DL models may learn only implicitly through latent representations.

Five machine learning models—decision tree (DT), K-nearest neighbors (KNN), support vector machine (SVM), random forest (RF), and logistic regression (LR)—were utilized. The fusion radiomics model consistently outperformed single-phase analyses, achieving robust performance with AUCs of 0.889 (training) and 0.874 (validation) for normal vs. abnormal TMJ discrimination.

SHAP analysis revealed non-linear feature contributions to model outputs. The global importance plot identified feature6 (original_gldm_DependenceNonUniformity_RO) as the top contributor, followed by wavelet-derived features18 and feature45. This provides transparency into model decisions.

Key Finding Spotlight

0.889 Peak AUC for Normal vs. Abnormal TMJ Discrimination

Radiomics Analysis Workflow

Image Acquisition
ROI Segmentation
Feature Extraction
Feature Selection
Model Training & Validation

Fusion Model vs. Single-Phase Models

Feature Fusion Model Single-Phase Models
Diagnostic Performance
  • Superior AUCs (0.801-0.874)
  • Lower AUCs (0.774-0.829)
Information Integration
  • Combines open & closed phase data
  • Uses only one phase
Clinical Relevance
  • More comprehensive TMJD assessment
  • Limited view of dynamic changes

Enhancing TMJ Diagnosis with ML

Challenge: Traditional TMJ diagnosis relies on subjective interpretation of MRI scans, leading to variability and potential delays, especially for complex conditions like anterior disc displacement with and without reduction (ADDwR/ADDwoR). Accurate differentiation is crucial for treatment planning.

Solution: A machine learning approach integrating multi-phase radiomic features from 3D segmented TMJ disc and condyle structures was developed. Five ML classifiers were trained on a dataset of 382 TMJs to distinguish normal from abnormal joints, and further differentiate between ADDwR and ADDwoR.

Outcome: The fusion radiomics model achieved a peak AUC of 0.889 for normal vs. abnormal TMJ discrimination. It consistently outperformed single-phase models and provided better differentiation between ADDwR and ADDwoR, enabling more precise and personalized treatment strategies. SHAP analysis provided interpretability of feature contributions.

Estimate Your AI Impact

Calculate the potential efficiency gains and cost savings for your enterprise by implementing AI-powered medical image analysis.

Annual Cost Savings
Annual Hours Reclaimed

Your AI Implementation Roadmap

A typical journey to integrate enterprise AI for enhanced diagnostics.

Phase 1: Discovery & Strategy

Assess current workflows, identify AI opportunities, define project scope and success metrics. Data readiness assessment.

Phase 2: Pilot & Proof-of-Concept

Develop and test a pilot AI model with a subset of your data. Validate diagnostic accuracy and preliminary ROI.

Phase 3: Integration & Training

Integrate the AI solution into existing PACS/RIS. Train radiology staff on new AI-assisted workflows and interpretation.

Phase 4: Scaling & Optimization

Expand AI deployment across departments, continuously monitor performance, and refine models for ongoing optimization and further efficiency gains.

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