<p>Automatic tooth segmentation has improved the accuracy and efficiency of clinical diagnosis. It also provides a technical basis for patient-specific treatment planning. Although great progress has been made in this field, existing methods still have difficulty in accurately segmenting tooth structures in dental CBCT images with metal artifacts and blurred boundaries. To address these challenges, this paper proposes RFFA-Net, a unified encoder-decoder network for 3D tooth segmentation in dental CBCT images. First, a Dense Mamba (DM) module is introduced into the encoder. It combines recursive filtering with dense connections to enhance feature extraction and reduce the interference of metal artifacts. Second, a Dynamic Multi-scale Feature Fusion (DMFF) module is designed at the network bottleneck. It adaptively aggregates multi-scale features from the encoder to better capture the irregular shapes of teeth. Finally, an Interleaved Channel-Spatial Attention (ICSA) module is introduced to address blurred tooth boundaries. It uses a gating mechanism to dynamically adjust the weights of channel and spatial attention, which helps fuse global semantic information with local details. Experiments were conducted on two commonly used dental CBCT datasets. The results show that RFFA-Net outperforms existing state-of-the-art methods in overall segmentation performance, demonstrating its effectiveness and robustness. It also achieves more stable and accurate segmentation results in CBCT images with metal artifacts and blurred boundaries.</p>

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RFFA-Net: Recursive filtering and feature aggregation driven network for tooth segmentation in CBCT image

  • Yu Ao,
  • Hongze Han,
  • Yuqin Li,
  • Yu Miao,
  • Weili Shi

摘要

Automatic tooth segmentation has improved the accuracy and efficiency of clinical diagnosis. It also provides a technical basis for patient-specific treatment planning. Although great progress has been made in this field, existing methods still have difficulty in accurately segmenting tooth structures in dental CBCT images with metal artifacts and blurred boundaries. To address these challenges, this paper proposes RFFA-Net, a unified encoder-decoder network for 3D tooth segmentation in dental CBCT images. First, a Dense Mamba (DM) module is introduced into the encoder. It combines recursive filtering with dense connections to enhance feature extraction and reduce the interference of metal artifacts. Second, a Dynamic Multi-scale Feature Fusion (DMFF) module is designed at the network bottleneck. It adaptively aggregates multi-scale features from the encoder to better capture the irregular shapes of teeth. Finally, an Interleaved Channel-Spatial Attention (ICSA) module is introduced to address blurred tooth boundaries. It uses a gating mechanism to dynamically adjust the weights of channel and spatial attention, which helps fuse global semantic information with local details. Experiments were conducted on two commonly used dental CBCT datasets. The results show that RFFA-Net outperforms existing state-of-the-art methods in overall segmentation performance, demonstrating its effectiveness and robustness. It also achieves more stable and accurate segmentation results in CBCT images with metal artifacts and blurred boundaries.