fa هوش مصنوعی در تشخیص پوسیدگی دندان: راهکارهایی برای ارتقای سلامت دهان و کاهش هزینه‌ها در نظام سلامت ایران دندانپزشکی dentistry نامه به سردبیر Letter to Editor <span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">پوسیدگی دندان یکی از شایع‌ترین بیماری‌های مزمن در ایران و جهان است. تشخیص دقیق و زودهنگام پوسیدگی به ویژه در سطوح بین‌دندانی (پروگزیمال) با معاینه معمولی ممکن نیست و نیاز به رادیوگرافی دارد. اما تفسیر رادیوگرافی توسط دندانپزشکان می‌تواند دارای خطای تشخیصی باشد</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115">.</span></span></span></span><span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">استفاده از نرم‌افزارهای هوش مصنوعی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"> (AI) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">مبتنی بر یادگیری عمیق</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"> (Deep Learning) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">می‌تواند به عنوان یک ابزار کمکی در کنار دندانپزشک، دقت تشخیص پوسیدگی را افزایش دهد. مقاله حاضر نشان می‌دهد مدل</span></span></span>&nbsp;<b><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115">EfficientNet</span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">با دقت</span></span></span>&nbsp;<b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">۹۴.۷</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span majalla="" sakkal="" style="font-family:"><span style="color:#0f1115">٪</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">، حساسیت</span></span></span>&nbsp;<b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">۹۶.۷</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span majalla="" sakkal="" style="font-family:"><span style="color:#0f1115">٪</span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">و ویژگی</span></span></span>&nbsp;<b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">۹۶.۲</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span majalla="" sakkal="" style="font-family:"><span style="color:#0f1115">٪</span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">عملکرد بسیار خوبی دارد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115">.&nbsp;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">برای استفاده از این فناوری در ایران نیاز به</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115">:</span></span></span></span></span></span></span></span></span> <ul> <li dir="RTL" style="text-align:right"><span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:Symbol"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">تأمین زیرساخت نرم‌افزاری و سخت‌افزاری (سرور، اینترنت، ذخیره‌سازی ابری)</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"></span></span></span></span></span></span></span></span></span></span></li> <li dir="RTL" style="text-align:right"><span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:Symbol"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">آموزش دندانپزشکان برای کار با نرم‌افزار</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"></span></span></span></span></span></span></span></span></span></span></li> <li dir="RTL" style="text-align:right"><span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:Symbol"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">ادغام با سیستم بایگانی تصاویر</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"> (PACS) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">دانشکده‌ها و مراکز درمانی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"></span></span></span></span></span></span></span></span></span></span></li> <li dir="RTL" style="text-align:right"><span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span style="tab-stops:list .5in"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:Symbol"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#0f1115">اعتباربخشی بالینی و دریافت تأییدیه از سازمان‌های نظارتی (مانند سازمان غذا و دارو)</span></span></span><span dir="LTR" style="font-size:12.0pt"><span segoe="" style="font-family:" ui=""><span style="color:#0f1115"></span></span></span></span></span></span></span></span></span></span></li> </ul> <br> &nbsp; <p><strong>Tooth decay is one of the most common chronic diseases in Iran and the world. Accurate and early diagnosis of caries, especially on proximal (interdental) surfaces, is not possible through routine clinical examination and requires radiography. However, the interpretation of radiographs by dentists can be subject to diagnostic error. The use of artificial intelligence (AI) software based on deep learning can serve as an auxiliary tool alongside the dentist to increase the accuracy of caries diagnosis. The present study shows that the EfficientNet model has excellent performance with an accuracy of 94.7%, sensitivity of 96.7%, and specificity of 96.2%. To use this technology in Iran, the following are needed:</strong></p> <ul> <li> <p><strong>Provision of software and hardware infrastructure (servers, internet, cloud storage)</strong></p> </li> <li> <p><strong>Training dentists to work with the software</strong></p> </li> <li> <p><strong>Integration with the Picture Archiving and Communication System (PACS) of dental schools and healthcare centers</strong></p> </li> <li> <p><strong>Clinical validation and obtaining approval from regulatory organizations (such as the Food and Drug Organization)</strong></p> </li> </ul> هوش مصنوعی, تشخیص پوسیدگی, حساسیت و ویژگی, یادگیری عمیق Artificial Intelligence, caries detection, sensitivity and specificity, deep learning 0 0 http://pejouhesh.sbmu.ac.ir/browse.php?a_code=A-10-5122-1&slc_lang=fa&sid=1 Alireza Tabatabaei علیرضا طباطبایی a.tabatabaei@sbmu.ac.ir 100319475328460033482 100319475328460033482 No Shahid Beheshti School of Dentistry دانشکده دندانپزشکی شهید بهشتی Hadi Ghasemi هادی قاسمی ha.ghasemi@sbmu.ac.ir 100319475328460033481 100319475328460033481 Yes Shahid Beheshti School of Dentistry دانشکده دندانپزشکی شهید بهشتی Narges Panahandeh نرگس پناهنده nargespanahandeh@yahoo.com 100319475328460033480 100319475328460033480 No Shahid Beheshti School of Dentistry دانشکده دندانپزشکی شهید بهشتی