Model-based vision system for automatic recognition of structures in dental radiographs

摘要

Abstract: X-ray diagnosis of destructive periodontal disease requires assessing serial radiographs by an expert to determine the change in the distance between cemento-enamel junction (CEJ) and the bone crest. To achieve this without the subjectivity of a human expert, a knowledge based system is proposed to automatically locate the two landmarks which are the CEJ and the level of alveolar crest at its junction with the periodontal ligament space. This work is a part of an ongoing project to automatically measure the distance between CEJ and the bone crest along a line parallel to the axis of the tooth. The approach presented in this paper is based on identifying a prominent feature such as the tooth boundary using local edge detection and edge thresholding to establish a reference and then using model knowledge to process sub-regions in locating the landmarks. Segmentation techniques invoked around these regions consists of a neural-network like hierarchical refinement scheme together with local gradient extraction, multilevel thresholding and ridge tracking. Recognition accuracy is further improved by first locating the easily identifiable parts of the bone surface and the interface between the enamel and the dentine and then extending these boundaries towards the periodontal ligament space and the tooth boundary respectively. The system is realized as a collection of tools (or knowledge sources) for pre-processing, segmentation, primary and secondary feature detection and a control structure based on the blackboard model to coordinate the activities of these tools.!