Automated Segmentation of Digital Artifacts in Intraoral Photostimulable Phosphor Radiographs

作者：Ceyda Gizem Topal, Osman Yalcin, H. Tetik, Murat Ünal, Necla Bandirmali Erturk, C. Üçok · 发表于：Diagnostics · 年份：2026 · DOI：10.3390/diagnostics16081194 · 研究领域：Medicine

Background/Objectives: Intraoral radiographs acquired using photostimulable phosphor (PSP) plates are inherently susceptible to a wide spectrum of artifacts that can compromise diagnostic reliability and lead to unnecessary repeat exposures. Although structured taxonomies describing these artifacts have been proposed, automated methods capable of detecting and localizing multiple artifact types at the pixel level remain limited, particularly under realistic multi-class conditions. In this study, we address the problem of fine-grained, multi-class PSP artifact segmentation by systematically evaluating a deep learning-based framework and establishing a realistic baseline for this inherently challenging task. Methods: A retrospective, multi-center dataset comprising 1497 intraoral PSP radiographs (bitewing and periapical) collected from three institutions was analyzed. Pixel-level annotations were generated by expert oral and maxillofacial radiologists according to a standardized taxonomy consisting of four major artifact groups and 29 artifact classes, together with a background class. A 2D nnU-Net v2 architecture was employed as a baseline segmentation model. Model development was performed using 5-fold cross-validation, and performance was evaluated on an independent test set using Dice coefficient, Intersection over Union (IoU), Precision, and Recall. Results: Across all classes, the model achieved a mean Dice score of 0.0894 ± 0.0084 in cross-validation and 0.0952 on the in...