AI-Generated vs. Traditional STL Models in CBCT Imaging: A Pilot Study on Measurements Accuracy and Reliability.

The aim of this study is to assess the reliability of linear measurements obtained from STL models and three-dimensional hard-tissue models of the maxilla and mandible, both derived from CBCT images. The STL models are generated using both a software program and a web-based AI diagnostic tool, and t...

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Publicado en:Journal of Imaging Informatics in Medicine Vol. 39; no. 1; pp. 151 - 161
Autores principales: Ersalıcı, İsmet, Aksoy, Secil, Kamiloglu, Beste, Orhan, Kaan
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
      vid: 39
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-025-01502-w
        191694176
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        atl: AI-Generated vs. Traditional STL Models in CBCT Imaging: A Pilot Study on Measurements Accuracy and Reliability.
      aug:
        au:
          Ersalıcı, İsmet
          Aksoy, Secil
          Kamiloglu, Beste
          Orhan, Kaan
        affil: https://ror.org/02x8svs93 Department of Orthodontics, Faculty of Dentistry, Near East University, Nicosia, Cyprus
      sug:
        subj:
          Maxilla Radiography
          Mandible Radiography
          Tomography, X-Ray Computed Methods
          Radiography, Dental, Digital
          Computer-Aided Design
          Imaging, Three-Dimensional
          Image Processing, Computer Assisted
          Artificial Intelligence
          Models, Anatomic
          Sensitivity and Specificity Evaluation
          Human
          Turkiye
          Academic Medical Centers
          Retrospective Design
          Record Review
          Comparative Studies
          Descriptive Statistics
          Data Analysis Software
          Intraclass Correlation Coefficient
          Intrarater Reliability
          Repeated Measures
          Analysis of Variance
          Post Hoc Analysis
          Pearson's Correlation Coefficient
          Deep Learning
          Algorithms
          Radiographic Image Interpretation, Computer-Assisted
          Pilot Studies
      ab: The aim of this study is to assess the reliability of linear measurements obtained from STL models and three-dimensional hard-tissue models of the maxilla and mandible, both derived from CBCT images. The STL models are generated using both a software program and a web-based AI diagnostic tool, and these measurements are compared to those from the hard tissue models. One hundred CBCT scans were included in this study. DICOM files were imported into Maxilim® software to create hard-tissue models. An AI algorithm and Mimics software were also used to generate STL images. Five mandibular and three maxillary measurements were taken. Pairwise comparisons were made by performing the Tukey test, and absolute agreement among the three programs was assessed by using the intraclass correlation coefficient (ICC). The repeated measurements demonstrated high reliability for mandibular measurements (ICC: 0.902–0.999), while maxillary measurements showed more variability (ICC: 0.456–0.997), with poor reliability in DFPM using Mimics-STL (p = 0.071). ICC and Pearson correlation values were moderate for DIM, while others were good to excellent. Maxillary distances were less reliable, particularly for DFPM (Mimics-STL vs. Maxilim) and DSN (Mimics-STL vs. AI-STL). ANOVA revealed significant differences in DCP, DSN, DFI, DMF, and DFPM, with Maxilim yielding the highest mean values, except for DMF. 3D hard-tissue models provided higher measurement values than STL models. The significant variability observed in STL maxillary measurements suggests that anatomical complexity and segmentation algorithms influence measurement consistency. These findings highlight the importance of carefully selecting segmentation methodologies in clinical and research settings.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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