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Öğe Automatic Segmentation of the Nasolacrimal Canal: Application of the nnU-Net v2 Model in CBCT Imaging(Mdpi, 2025) Haylaz, Emre; Gumussoy, Ismail; Duman, Suayip Burak; Kalabalik, Fahrettin; Eren, Muhammet Can; Demirsoy, Mustafa Sami; Celik, OzerBackground/Objectives: There are various challenges in the segmentation of anatomical structures with artificial intelligence due to the different structural features of the relevant region/tissue. The aim of this study was to detect the nasolacrimal canal (NLC) using the nnU-Net v2 convolutional neural network (CNN) model in cone beam-computed tomography (CBCT) images and to evaluate the successful performance of the model in automatic segmentation. Methods: CBCT images of 100 patients were randomly selected from the data archive. The raw data were transferred to the 3D Slicer imaging software in DICOM format (Version 4.10.2; MIT, Massachusetts, USA). NLC was labeled using the polygonal type of manual method. The dataset was split into training, validation and test sets in a ratio of 8:1:1. nnU-Net v2 architecture was applied to the training and test datasets to predict and generate appropriate algorithm weight factors. The confusion matrix was used to check the accuracy and performance of the model. As a result of the test, the Dice Coefficient (DC), Intersection over Union (IoU), F1-Score and 95% Hausdorff distance (95% HD) metrics were calculated. Results: By testing the model, DC, IoU, F1-Scores and 95% HD metric values were found to be 0.8465, 0.7341, 0.8480 and 0.9460, respectively. According to the data obtained, the receiver-operating characteristic (ROC) curve was drawn and the AUC value under the curve was determined to be 0.96. Conclusions: These results showed that the proposed nnU-Net v2 model achieves NLC segmentation on CBCT images with high precision and accuracy. The automated segmentation of NLC may assist clinicians in determining the surgical technique to be used to remove lesions, especially those affecting the anterior wall of the maxillary sinus.Öğe Comparative Morphometric Study of the Occipital Condyle in Class III and Class I Skeletal Malocclusion Patients(Mdpi, 2024) Gumussoy, Ismail; Duman, Suayip Burak; Miloglu, Ozkan; Demirsoy, Mustafa Sami; Dogan, Ayhan; Abdelkarim, Ahmed Z.; Guller, Mustafa TahaObjectives: Since the formation of skeletal malocclusions is closely linked to general craniofacial development, it is crucial to understand the anatomy and growth patterns of the skull base. This study aimed to assess the morphometry of the occipital condyle (OC) on CBCT scans of Class III skeletal malocclusion subjects and compare the findings with those of skeletal Class I malocclusion subjects. Methods: A retrospective analysis was performed on CBCT images based on predefined inclusion and exclusion criteria. The sample consisted of 76 CBCT images of 38 skeletal Class III patients and 38 skeletal Class I patients. CBCT scans were used to measure mesiodistal width, sagittal length, coronal height, effective height of OC, and sagittal OC angle. Statistical analyses were conducted with RStudio software. Results: Significant differences were found in sagittal OC angle and sagittal length of OC between the study groups (p < 0.001). In other metrics, such as coronal height of OC, effective OC height, and mesiodistal width of OC between the groups, no significant differences were found. Class III malocclusions exhibited significantly reduced sagittal OC angle and sagittal length of OC compared to Class I malocclusions. The left side showed a significantly larger sagittal OC angle than the right side (p = 0.002). Conclusions: This preliminary study identified reduced sagittal angle and sagittal length of OC in patients with Class III skeletal malocclusion. Clinicians should recognize potential differences in OC morphometry in patients with skeletal malocclusions. Future studies involving larger populations are recommended to further investigate the relationship between skeletal malocclusions and posterior cranial base structures, including the OC.











