Enhancing dental caries classification in CBCT images by using image processing and self-supervised learning

Diagnosing dental caries poses a significant challenge in dentistry, necessitating precise and early detection for effective management. This study utilizes Self-Supervised Learning (SSL) tasks to improve the classification of dental caries in Cone Beam Computed Tomography (CBCT) images, employing the International Caries Detection and Assessment System (ICDAS). Faced with the challenge of scarce annotated medical images, our research employs SSL to utilize unlabeled data, thereby improving model performance. We have developed a pipeline incorporating unlabeled data extraction from CBCT exams and subsequent model training using SSL tasks. A distinctive aspect of our approach is the integration of image processing techniques with SSL tasks, along with exploring the necessity for unlabeled data. Our research aims to identify the most effective image processing techniques for data extraction, the most efficient deep learning architectures for caries classification, the impact of unlabeled dataset sizes on model performance, and the comparative effectiveness of different SSL approaches in this domain. Among the tested architectures, ResNet-18, combined with the SimCLR task, demonstrated an average F1-score macro of 88.42%, Precision macro of 90.44%, and Sensitivity macro of 86.67%, reaching a 5.5% increase in F1-score compared to models using only deep learning architecture. These results suggest that SSL can significantly enhance the accuracy and efficiency of caries classification in CBCT images. © 2024 Elsevier Ltd