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Aug 17

Automatic Tooth Arrangement with Joint Features of Point and Mesh Representations via Diffusion Probabilistic Models

Tooth arrangement is a crucial step in orthodontics treatment, in which aligning teeth could improve overall well-being, enhance facial aesthetics, and boost self-confidence. To improve the efficiency of tooth arrangement and minimize errors associated with unreasonable designs by inexperienced practitioners, some deep learning-based tooth arrangement methods have been proposed. Currently, most existing approaches employ MLPs to model the nonlinear relationship between tooth features and transformation matrices to achieve tooth arrangement automatically. However, the limited datasets (which to our knowledge, have not been made public) collected from clinical practice constrain the applicability of existing methods, making them inadequate for addressing diverse malocclusion issues. To address this challenge, we propose a general tooth arrangement neural network based on the diffusion probabilistic model. Conditioned on the features extracted from the dental model, the diffusion probabilistic model can learn the distribution of teeth transformation matrices from malocclusion to normal occlusion by gradually denoising from a random variable, thus more adeptly managing real orthodontic data. To take full advantage of effective features, we exploit both mesh and point cloud representations by designing different encoding networks to extract the tooth (local) and jaw (global) features, respectively. In addition to traditional metrics ADD, PA-ADD, CSA, and ME_{rot}, we propose a new evaluation metric based on dental arch curves to judge whether the generated teeth meet the individual normal occlusion. Experimental results demonstrate that our proposed method achieves state-of-the-art tooth alignment results and satisfactory occlusal relationships between dental arches. We will publish the code and dataset.

  • 7 authors
·
Dec 22, 2023

On Occlusions in Video Action Detection: Benchmark Datasets And Training Recipes

This paper explores the impact of occlusions in video action detection. We facilitate this study by introducing five new benchmark datasets namely O-UCF and O-JHMDB consisting of synthetically controlled static/dynamic occlusions, OVIS-UCF and OVIS-JHMDB consisting of occlusions with realistic motions and Real-OUCF for occlusions in realistic-world scenarios. We formally confirm an intuitive expectation: existing models suffer a lot as occlusion severity is increased and exhibit different behaviours when occluders are static vs when they are moving. We discover several intriguing phenomenon emerging in neural nets: 1) transformers can naturally outperform CNN models which might have even used occlusion as a form of data augmentation during training 2) incorporating symbolic-components like capsules to such backbones allows them to bind to occluders never even seen during training and 3) Islands of agreement can emerge in realistic images/videos without instance-level supervision, distillation or contrastive-based objectives2(eg. video-textual training). Such emergent properties allow us to derive simple yet effective training recipes which lead to robust occlusion models inductively satisfying the first two stages of the binding mechanism (grouping/segregation). Models leveraging these recipes outperform existing video action-detectors under occlusion by 32.3% on O-UCF, 32.7% on O-JHMDB & 2.6% on Real-OUCF in terms of the vMAP metric. The code for this work has been released at https://github.com/rajatmodi62/OccludedActionBenchmark.

  • 3 authors
·
Oct 25, 2024

UniviewVLA: A Unified Multiview Vision-Language-Action Model with World Modeling

Occluded tasks remain a bottleneck in robot manipulation. Existing solutions either deploy additional physical cameras requiring training-inference camera parity, or rely on explicit 3D reconstruction with high computational cost. Moreover, both approaches rely on standard agent-view and wrist-view observations, while failing to capture occlusion information and future scene evolution. To this end, we propose UniviewVLA, a unified multiview Vision-Language-Action model with world modeling, which infers multiview scene evolution for action prediction from only standard two-camera observations. We demonstrate that by leveraging generated multiview future views from the world model, UniviewVLA reveals occluded cues and models future scene evolution, improving action prediction and removing the need for extra hardware or explicit reconstruction. Besides, to accelerate inference while preserving prediction accuracy, UniviewVLA develops Motion-Informative Token Compression, which compresses each generated view from 625 to 16 tokens and reduces per-view latency from 6-7s to 0.2-0.3s. UniviewVLA also proposes training-free Action-Entropy View Selection, which dynamically identifies the most action-informative view at different inference stages. Extensive experiments show that UniviewVLA achieves 95.8% on LIBERO and 4.60 on CALVIN ABCD to D, both standard occlusion-free benchmarks. On customized occlusion-focused tasks, it improves success rate from 40.0% to 73.3%, and average real-robot success rate by 33.4 points, demonstrating stronger occlusion-focused performance without sacrificing standard occlusion-free benchmarks.

  • 10 authors
·
Jun 18

TLNM: Externally Validated Tooth Detection, Numbering and Segmentation from Smartphone Photographs Using Mask R-CNN

Oral health issues affect billions globally, but the cost and limited access to professional dental care hinder preventive oral healthcare. Research relies on clinical-grade radiographs or intraoral camera images, unavailable for public self-screening. This study introduces a tooth localisation and numbering model for smartphone photographs. We developed a customised Mask Region-based Convolutional Neural Network (Mask R-CNN) pipeline trained on 1,272 annotated smartphone images. To address variability in patient-generated health data, the pipeline incorporates two domain-informed mechanisms: a masked gray-world white-balancing algorithm to mitigate artificial colour casts and an anatomically constrained detection layer to enforce structural validity and suppress false positives. Evaluation comprised four stages: internal held-out testing, independent external testing, a descriptive ablation study, and fold-based training stability analysis using the same internal test set. On the internal test set, the model achieved an instance-mask AP@50 of 0.818, class-aware PQ of 0.780, and operational F1 of 0.884. Training stability showed limited between-model variation: across ten runs, instance-mask AP@50 had a standard deviation of 0.009. On the external dataset, the model achieved an instance-mask AP@50 of 0.901, class-aware PQ of 0.832, and operational F1 of 0.928 despite differences in population, sensors, and acquisition protocols. The inference pipeline is available as an open-source, containerised API. These results demonstrate that consumer-grade smartphone imagery can support automated tooth-level anatomical mapping, offering a scalable, potentially low-cost foundation for remote screening and tele-dentistry in resource-constrained environments.

  • 5 authors
·
Aug 5

PostoMETRO: Pose Token Enhanced Mesh Transformer for Robust 3D Human Mesh Recovery

With the recent advancements in single-image-based human mesh recovery, there is a growing interest in enhancing its performance in certain extreme scenarios, such as occlusion, while maintaining overall model accuracy. Although obtaining accurately annotated 3D human poses under occlusion is challenging, there is still a wealth of rich and precise 2D pose annotations that can be leveraged. However, existing works mostly focus on directly leveraging 2D pose coordinates to estimate 3D pose and mesh. In this paper, we present PostoMETRO(Pose token enhanced MEsh TRansfOrmer), which integrates occlusion-resilient 2D pose representation into transformers in a token-wise manner. Utilizing a specialized pose tokenizer, we efficiently condense 2D pose data to a compact sequence of pose tokens and feed them to the transformer together with the image tokens. This process not only ensures a rich depiction of texture from the image but also fosters a robust integration of pose and image information. Subsequently, these combined tokens are queried by vertex and joint tokens to decode 3D coordinates of mesh vertices and human joints. Facilitated by the robust pose token representation and the effective combination, we are able to produce more precise 3D coordinates, even under extreme scenarios like occlusion. Experiments on both standard and occlusion-specific benchmarks demonstrate the effectiveness of PostoMETRO. Qualitative results further illustrate the clarity of how 2D pose can help 3D reconstruction. Code will be made available.

  • 4 authors
·
Mar 19, 2024

Diffusion-Based Hierarchical Multi-Label Object Detection to Analyze Panoramic Dental X-rays

Due to the necessity for precise treatment planning, the use of panoramic X-rays to identify different dental diseases has tremendously increased. Although numerous ML models have been developed for the interpretation of panoramic X-rays, there has not been an end-to-end model developed that can identify problematic teeth with dental enumeration and associated diagnoses at the same time. To develop such a model, we structure the three distinct types of annotated data hierarchically following the FDI system, the first labeled with only quadrant, the second labeled with quadrant-enumeration, and the third fully labeled with quadrant-enumeration-diagnosis. To learn from all three hierarchies jointly, we introduce a novel diffusion-based hierarchical multi-label object detection framework by adapting a diffusion-based method that formulates object detection as a denoising diffusion process from noisy boxes to object boxes. Specifically, to take advantage of the hierarchically annotated data, our method utilizes a novel noisy box manipulation technique by adapting the denoising process in the diffusion network with the inference from the previously trained model in hierarchical order. We also utilize a multi-label object detection method to learn efficiently from partial annotations and to give all the needed information about each abnormal tooth for treatment planning. Experimental results show that our method significantly outperforms state-of-the-art object detection methods, including RetinaNet, Faster R-CNN, DETR, and DiffusionDet for the analysis of panoramic X-rays, demonstrating the great potential of our method for hierarchically and partially annotated datasets. The code and the data are available at: https://github.com/ibrahimethemhamamci/HierarchicalDet.

  • 8 authors
·
Mar 11, 2023

STS MICCAI 2023 Challenge: Grand challenge on 2D and 3D semi-supervised tooth segmentation

Computer-aided design (CAD) tools are increasingly popular in modern dental practice, particularly for treatment planning or comprehensive prognosis evaluation. In particular, the 2D panoramic X-ray image efficiently detects invisible caries, impacted teeth and supernumerary teeth in children, while the 3D dental cone beam computed tomography (CBCT) is widely used in orthodontics and endodontics due to its low radiation dose. However, there is no open-access 2D public dataset for children's teeth and no open 3D dental CBCT dataset, which limits the development of automatic algorithms for segmenting teeth and analyzing diseases. The Semi-supervised Teeth Segmentation (STS) Challenge, a pioneering event in tooth segmentation, was held as a part of the MICCAI 2023 ToothFairy Workshop on the Alibaba Tianchi platform. This challenge aims to investigate effective semi-supervised tooth segmentation algorithms to advance the field of dentistry. In this challenge, we provide two modalities including the 2D panoramic X-ray images and the 3D CBCT tooth volumes. In Task 1, the goal was to segment tooth regions in panoramic X-ray images of both adult and pediatric teeth. Task 2 involved segmenting tooth sections using CBCT volumes. Limited labelled images with mostly unlabelled ones were provided in this challenge prompt using semi-supervised algorithms for training. In the preliminary round, the challenge received registration and result submission by 434 teams, with 64 advancing to the final round. This paper summarizes the diverse methods employed by the top-ranking teams in the STS MICCAI 2023 Challenge.

  • 27 authors
·
Jul 17, 2024

OdontoAI: A human-in-the-loop labeled data set and an online platform to boost research on dental panoramic radiographs

Deep learning has remarkably advanced in the last few years, supported by large labeled data sets. These data sets are precious yet scarce because of the time-consuming labeling procedures, discouraging researchers from producing them. This scarcity is especially true in dentistry, where deep learning applications are still in an embryonic stage. Motivated by this background, we address in this study the construction of a public data set of dental panoramic radiographs. Our objects of interest are the teeth, which are segmented and numbered, as they are the primary targets for dentists when screening a panoramic radiograph. We benefited from the human-in-the-loop (HITL) concept to expedite the labeling procedure, using predictions from deep neural networks as provisional labels, later verified by human annotators. All the gathering and labeling procedures of this novel data set is thoroughly analyzed. The results were consistent and behaved as expected: At each HITL iteration, the model predictions improved. Our results demonstrated a 51% labeling time reduction using HITL, saving us more than 390 continuous working hours. In a novel online platform, called OdontoAI, created to work as task central for this novel data set, we released 4,000 images, from which 2,000 have their labels publicly available for model fitting. The labels of the other 2,000 images are private and used for model evaluation considering instance and semantic segmentation and numbering. To the best of our knowledge, this is the largest-scale publicly available data set for panoramic radiographs, and the OdontoAI is the first platform of its kind in dentistry.

  • 9 authors
·
Mar 28, 2022

VOccl3D: A Video Benchmark Dataset for 3D Human Pose and Shape Estimation under real Occlusions

Human pose and shape (HPS) estimation methods have been extensively studied, with many demonstrating high zero-shot performance on in-the-wild images and videos. However, these methods often struggle in challenging scenarios involving complex human poses or significant occlusions. Although some studies address 3D human pose estimation under occlusion, they typically evaluate performance on datasets that lack realistic or substantial occlusions, e.g., most existing datasets introduce occlusions with random patches over the human or clipart-style overlays, which may not reflect real-world challenges. To bridge this gap in realistic occlusion datasets, we introduce a novel benchmark dataset, VOccl3D, a Video-based human Occlusion dataset with 3D body pose and shape annotations. Inspired by works such as AGORA and BEDLAM, we constructed this dataset using advanced computer graphics rendering techniques, incorporating diverse real-world occlusion scenarios, clothing textures, and human motions. Additionally, we fine-tuned recent HPS methods, CLIFF and BEDLAM-CLIFF, on our dataset, demonstrating significant qualitative and quantitative improvements across multiple public datasets, as well as on the test split of our dataset, while comparing its performance with other state-of-the-art methods. Furthermore, we leveraged our dataset to enhance human detection performance under occlusion by fine-tuning an existing object detector, YOLO11, thus leading to a robust end-to-end HPS estimation system under occlusions. Overall, this dataset serves as a valuable resource for future research aimed at benchmarking methods designed to handle occlusions, offering a more realistic alternative to existing occlusion datasets. See the Project page for code and dataset:https://yashgarg98.github.io/VOccl3D-dataset/

  • 8 authors
·
Aug 8, 2025

Self-Supervised Robustifying Guidance for Monocular 3D Face Reconstruction

Despite the recent developments in 3D Face Reconstruction from occluded and noisy face images, the performance is still unsatisfactory. Moreover, most existing methods rely on additional dependencies, posing numerous constraints over the training procedure. Therefore, we propose a Self-Supervised RObustifying GUidancE (ROGUE) framework to obtain robustness against occlusions and noise in the face images. The proposed network contains 1) the Guidance Pipeline to obtain the 3D face coefficients for the clean faces and 2) the Robustification Pipeline to acquire the consistency between the estimated coefficients for occluded or noisy images and the clean counterpart. The proposed image- and feature-level loss functions aid the ROGUE learning process without posing additional dependencies. To facilitate model evaluation, we propose two challenging occlusion face datasets, ReaChOcc and SynChOcc, containing real-world and synthetic occlusion-based face images for robustness evaluation. Also, a noisy variant of the test dataset of CelebA is produced for evaluation. Our method outperforms the current state-of-the-art method by large margins (e.g., for the perceptual errors, a reduction of 23.8% for real-world occlusions, 26.4% for synthetic occlusions, and 22.7% for noisy images), demonstrating the effectiveness of the proposed approach. The occlusion datasets and the corresponding evaluation code are released publicly at https://github.com/ArcTrinity9/Datasets-ReaChOcc-and-SynChOcc.

  • 8 authors
·
Dec 28, 2021

Observation-Centric SORT: Rethinking SORT for Robust Multi-Object Tracking

Kalman filter (KF) based methods for multi-object tracking (MOT) make an assumption that objects move linearly. While this assumption is acceptable for very short periods of occlusion, linear estimates of motion for prolonged time can be highly inaccurate. Moreover, when there is no measurement available to update Kalman filter parameters, the standard convention is to trust the priori state estimations for posteriori update. This leads to the accumulation of errors during a period of occlusion. The error causes significant motion direction variance in practice. In this work, we show that a basic Kalman filter can still obtain state-of-the-art tracking performance if proper care is taken to fix the noise accumulated during occlusion. Instead of relying only on the linear state estimate (i.e., estimation-centric approach), we use object observations (i.e., the measurements by object detector) to compute a virtual trajectory over the occlusion period to fix the error accumulation of filter parameters during the occlusion period. This allows more time steps to correct errors accumulated during occlusion. We name our method Observation-Centric SORT (OC-SORT). It remains Simple, Online, and Real-Time but improves robustness during occlusion and non-linear motion. Given off-the-shelf detections as input, OC-SORT runs at 700+ FPS on a single CPU. It achieves state-of-the-art on multiple datasets, including MOT17, MOT20, KITTI, head tracking, and especially DanceTrack where the object motion is highly non-linear. The code and models are available at https://github.com/noahcao/OC_SORT.

  • 5 authors
·
Mar 27, 2022

Neural feels with neural fields: Visuo-tactile perception for in-hand manipulation

To achieve human-level dexterity, robots must infer spatial awareness from multimodal sensing to reason over contact interactions. During in-hand manipulation of novel objects, such spatial awareness involves estimating the object's pose and shape. The status quo for in-hand perception primarily employs vision, and restricts to tracking a priori known objects. Moreover, visual occlusion of objects in-hand is imminent during manipulation, preventing current systems to push beyond tasks without occlusion. We combine vision and touch sensing on a multi-fingered hand to estimate an object's pose and shape during in-hand manipulation. Our method, NeuralFeels, encodes object geometry by learning a neural field online and jointly tracks it by optimizing a pose graph problem. We study multimodal in-hand perception in simulation and the real-world, interacting with different objects via a proprioception-driven policy. Our experiments show final reconstruction F-scores of 81% and average pose drifts of 4.7,mm, further reduced to 2.3,mm with known CAD models. Additionally, we observe that under heavy visual occlusion we can achieve up to 94% improvements in tracking compared to vision-only methods. Our results demonstrate that touch, at the very least, refines and, at the very best, disambiguates visual estimates during in-hand manipulation. We release our evaluation dataset of 70 experiments, FeelSight, as a step towards benchmarking in this domain. Our neural representation driven by multimodal sensing can serve as a perception backbone towards advancing robot dexterity. Videos can be found on our project website https://suddhu.github.io/neural-feels/

  • 12 authors
·
Dec 20, 2023 1

CAPTURe: Evaluating Spatial Reasoning in Vision Language Models via Occluded Object Counting

Recognizing and reasoning about occluded (partially or fully hidden) objects is vital to understanding visual scenes, as occlusions frequently occur in real-world environments and act as obstacles for spatial comprehension. To test models' ability to reason about multiple occluded objects, we introduce a novel task, Counting Amodally for Patterns Through Unseen REgions (CAPTURe), which requires a model to count objects arranged in a pattern by inferring how the pattern continues behind an occluder (an object which blocks parts of the scene). CAPTURe requires both recognizing visual patterns and reasoning, making it a useful testbed for evaluating vision-language models (VLMs) on whether they understand occluded patterns and possess spatial understanding skills. By requiring models to reason about occluded objects, CAPTURe also tests VLMs' ability to form world models that would allow them to fill in missing information. CAPTURe consists of two parts: (1) CAPTURe-real, with manually filtered images of real objects in patterns and (2) CAPTURe-synthetic, a controlled diagnostic with generated patterned images. We evaluate four strong VLMs (GPT-4o, Intern-VL2, Molmo, and Qwen2-VL) on CAPTURe, finding that models struggle to count on both occluded and unoccluded patterns. Crucially, we find that models perform worse with occlusion, suggesting that VLMs are also deficient in inferring unseen spatial relationships: even the strongest VLMs like GPT-4o fail to count with occlusion. In contrast, we find that humans achieve very little error on CAPTURe. We also find that providing auxiliary information of occluded object locations increases performance, underscoring that the model error comes both from an inability to handle occlusion as well as difficulty counting in images.

  • 4 authors
·
Apr 21, 2025 2

Latent-OFER: Detect, Mask, and Reconstruct with Latent Vectors for Occluded Facial Expression Recognition

Most research on facial expression recognition (FER) is conducted in highly controlled environments, but its performance is often unacceptable when applied to real-world situations. This is because when unexpected objects occlude the face, the FER network faces difficulties extracting facial features and accurately predicting facial expressions. Therefore, occluded FER (OFER) is a challenging problem. Previous studies on occlusion-aware FER have typically required fully annotated facial images for training. However, collecting facial images with various occlusions and expression annotations is time-consuming and expensive. Latent-OFER, the proposed method, can detect occlusions, restore occluded parts of the face as if they were unoccluded, and recognize them, improving FER accuracy. This approach involves three steps: First, the vision transformer (ViT)-based occlusion patch detector masks the occluded position by training only latent vectors from the unoccluded patches using the support vector data description algorithm. Second, the hybrid reconstruction network generates the masking position as a complete image using the ViT and convolutional neural network (CNN). Last, the expression-relevant latent vector extractor retrieves and uses expression-related information from all latent vectors by applying a CNN-based class activation map. This mechanism has a significant advantage in preventing performance degradation from occlusion by unseen objects. The experimental results on several databases demonstrate the superiority of the proposed method over state-of-the-art methods.

  • 3 authors
·
Jul 21, 2023

OralGPT-Omni: A Versatile Dental Multimodal Large Language Model

Multimodal Large Language Models (MLLMs) have exhibited immense potential across numerous medical specialties; yet, dentistry remains underexplored, in part due to limited domain-specific data, scarce dental expert annotations, insufficient modality-specific modeling, and challenges in reliability. In this paper, we present OralGPT-Omni, the first dental-specialized MLLM designed for comprehensive and trustworthy analysis across diverse dental imaging modalities and clinical tasks. To explicitly capture dentists' diagnostic reasoning, we construct TRACE-CoT, a clinically grounded chain-of-thought dataset that mirrors dental radiologists' decision-making processes. This reasoning supervision, combined with our proposed four-stage training paradigm, substantially strengthens the model's capacity for dental image understanding and analysis. In parallel, we introduce MMOral-Uni, the first unified multimodal benchmark for dental image analysis. It comprises 2,809 open-ended question-answer pairs spanning five modalities and five tasks, offering a comprehensive evaluation suite to date for MLLMs in digital dentistry. OralGPT-Omni achieves an overall score of 51.84 on the MMOral-Uni benchmark and 45.31 on the MMOral-OPG benchmark, dramatically outperforming the scores of GPT-5. Our work promotes intelligent dentistry and paves the way for future advances in dental image analysis. All code, benchmark, and models will be made publicly available.

OralGPT OralGPT-Family
·
Nov 26, 2025 2

Deep Generative Adversarial Network for Occlusion Removal from a Single Image

Nowadays, the enhanced capabilities of in-expensive imaging devices have led to a tremendous increase in the acquisition and sharing of multimedia content over the Internet. Despite advances in imaging sensor technology, annoying conditions like occlusions hamper photography and may deteriorate the performance of applications such as surveillance, detection, and recognition. Occlusion segmentation is difficult because of scale variations, illumination changes, and so on. Similarly, recovering a scene from foreground occlusions also poses significant challenges due to the complexity of accurately estimating the occluded regions and maintaining coherence with the surrounding context. In particular, image de-fencing presents its own set of challenges because of the diverse variations in shape, texture, color, patterns, and the often cluttered environment. This study focuses on the automatic detection and removal of occlusions from a single image. We propose a fully automatic, two-stage convolutional neural network for fence segmentation and occlusion completion. We leverage generative adversarial networks (GANs) to synthesize realistic content, including both structure and texture, in a single shot for inpainting. To assess zero-shot generalization, we evaluated our trained occlusion detection model on our proposed fence-like occlusion segmentation dataset. The dataset can be found on GitHub.

  • 3 authors
·
Sep 20, 2024

YOLOrtho -- A Unified Framework for Teeth Enumeration and Dental Disease Detection

Detecting dental diseases through panoramic X-rays images is a standard procedure for dentists. Normally, a dentist need to identify diseases and find the infected teeth. While numerous machine learning models adopting this two-step procedure have been developed, there has not been an end-to-end model that can identify teeth and their associated diseases at the same time. To fill the gap, we develop YOLOrtho, a unified framework for teeth enumeration and dental disease detection. We develop our model on Dentex Challenge 2023 data, which consists of three distinct types of annotated data. The first part is labeled with quadrant, and the second part is labeled with quadrant and enumeration and the third part is labeled with quadrant, enumeration and disease. To further improve detection, we make use of Tufts Dental public dataset. To fully utilize the data and learn both teeth detection and disease identification simultaneously, we formulate diseases as attributes attached to their corresponding teeth. Due to the nature of position relation in teeth enumeration, We replace convolution layer with CoordConv in our model to provide more position information for the model. We also adjust the model architecture and insert one more upsampling layer in FPN in favor of large object detection. Finally, we propose a post-process strategy for teeth layout that corrects teeth enumeration based on linear sum assignment. Results from experiments show that our model exceeds large Diffusion-based model.

  • 4 authors
·
Aug 11, 2023

Towards Better Dental AI: A Multimodal Benchmark and Instruction Dataset for Panoramic X-ray Analysis

Recent advances in large vision-language models (LVLMs) have demonstrated strong performance on general-purpose medical tasks. However, their effectiveness in specialized domains such as dentistry remains underexplored. In particular, panoramic X-rays, a widely used imaging modality in oral radiology, pose interpretative challenges due to dense anatomical structures and subtle pathological cues, which are not captured by existing medical benchmarks or instruction datasets. To this end, we introduce MMOral, the first large-scale multimodal instruction dataset and benchmark tailored for panoramic X-ray interpretation. MMOral consists of 20,563 annotated images paired with 1.3 million instruction-following instances across diverse task types, including attribute extraction, report generation, visual question answering, and image-grounded dialogue. In addition, we present MMOral-Bench, a comprehensive evaluation suite covering five key diagnostic dimensions in dentistry. We evaluate 64 LVLMs on MMOral-Bench and find that even the best-performing model, i.e., GPT-4o, only achieves 41.45% accuracy, revealing significant limitations of current models in this domain. To promote the progress of this specific domain, we also propose OralGPT, which conducts supervised fine-tuning (SFT) upon Qwen2.5-VL-7B with our meticulously curated MMOral instruction dataset. Remarkably, a single epoch of SFT yields substantial performance enhancements for LVLMs, e.g., OralGPT demonstrates a 24.73% improvement. Both MMOral and OralGPT hold significant potential as a critical foundation for intelligent dentistry and enable more clinically impactful multimodal AI systems in the dental field. The dataset, model, benchmark, and evaluation suite are available at https://github.com/isbrycee/OralGPT.

OralGPT OralGPT-Family
·
Sep 11, 2025 2

DENTEX: An Abnormal Tooth Detection with Dental Enumeration and Diagnosis Benchmark for Panoramic X-rays

Panoramic X-rays are frequently used in dentistry for treatment planning, but their interpretation can be both time-consuming and prone to error. Artificial intelligence (AI) has the potential to aid in the analysis of these X-rays, thereby improving the accuracy of dental diagnoses and treatment plans. Nevertheless, designing automated algorithms for this purpose poses significant challenges, mainly due to the scarcity of annotated data and variations in anatomical structure. To address these issues, the Dental Enumeration and Diagnosis on Panoramic X-rays Challenge (DENTEX) has been organized in association with the International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI) in 2023. This challenge aims to promote the development of algorithms for multi-label detection of abnormal teeth, using three types of hierarchically annotated data: partially annotated quadrant data, partially annotated quadrant-enumeration data, and fully annotated quadrant-enumeration-diagnosis data, inclusive of four different diagnoses. In this paper, we present the results of evaluating participant algorithms on the fully annotated data, additionally investigating performance variation for quadrant, enumeration, and diagnosis labels in the detection of abnormal teeth. The provision of this annotated dataset, alongside the results of this challenge, may lay the groundwork for the creation of AI-powered tools that can offer more precise and efficient diagnosis and treatment planning in the field of dentistry. The evaluation code and datasets can be accessed at https://github.com/ibrahimethemhamamci/DENTEX

  • 13 authors
·
May 30, 2023

Periodontal Bone Loss Analysis via Keypoint Detection With Heuristic Post-Processing

This study proposes a deep learning framework and annotation methodology for the automatic detection of periodontal bone loss landmarks, associated conditions, and staging. 192 periapical radiographs were collected and annotated with a stage agnostic methodology, labelling clinically relevant landmarks regardless of disease presence or extent. We propose a heuristic post-processing module that aligns predicted keypoints to tooth boundaries using an auxiliary instance segmentation model. An evaluation metric, Percentage of Relative Correct Keypoints (PRCK), is proposed to capture keypoint performance in dental imaging domains. Four donor pose estimation models were adapted with fine-tuning for our keypoint problem. Post-processing improved fine-grained localisation, raising average PRCK^{0.05} by +0.028, but reduced coarse performance for PRCK^{0.25} by -0.0523 and PRCK^{0.5} by -0.0345. Orientation estimation shows excellent performance for auxiliary segmentation when filtered with either stage 1 object detection model. Periodontal staging was detected sufficiently, with the best mesial and distal Dice scores of 0.508 and 0.489, while furcation involvement and widened periodontal ligament space tasks remained challenging due to scarce positive samples. Scalability is implied with similar validation and external set performance. The annotation methodology enables stage agnostic training with balanced representation across disease severities for some detection tasks. The PRCK metric provides a domain-specific alternative to generic pose metrics, while the heuristic post-processing module consistently corrected implausible predictions with occasional catastrophic failures. The proposed framework demonstrates the feasibility of clinically interpretable periodontal bone loss assessment, with potential to reduce diagnostic variability and clinician workload.

  • 7 authors
·
Oct 19, 2025

GEPAR3D: Geometry Prior-Assisted Learning for 3D Tooth Segmentation

Tooth segmentation in Cone-Beam Computed Tomography (CBCT) remains challenging, especially for fine structures like root apices, which is critical for assessing root resorption in orthodontics. We introduce GEPAR3D, a novel approach that unifies instance detection and multi-class segmentation into a single step tailored to improve root segmentation. Our method integrates a Statistical Shape Model of dentition as a geometric prior, capturing anatomical context and morphological consistency without enforcing restrictive adjacency constraints. We leverage a deep watershed method, modeling each tooth as a continuous 3D energy basin encoding voxel distances to boundaries. This instance-aware representation ensures accurate segmentation of narrow, complex root apices. Trained on publicly available CBCT scans from a single center, our method is evaluated on external test sets from two in-house and two public medical centers. GEPAR3D achieves the highest overall segmentation performance, averaging a Dice Similarity Coefficient (DSC) of 95.0% (+2.8% over the second-best method) and increasing recall to 95.2% (+9.5%) across all test sets. Qualitative analyses demonstrated substantial improvements in root segmentation quality, indicating significant potential for more accurate root resorption assessment and enhanced clinical decision-making in orthodontics. We provide the implementation and dataset at https://github.com/tomek1911/GEPAR3D.

  • 8 authors
·
Jul 30, 2025

SeeThrough3D: Occlusion Aware 3D Control in Text-to-Image Generation

We identify occlusion reasoning as a fundamental yet overlooked aspect for 3D layout-conditioned generation. It is essential for synthesizing partially occluded objects with depth-consistent geometry and scale. While existing methods can generate realistic scenes that follow input layouts, they often fail to model precise inter-object occlusions. We propose SeeThrough3D, a model for 3D layout conditioned generation that explicitly models occlusions. We introduce an occlusion-aware 3D scene representation (OSCR), where objects are depicted as translucent 3D boxes placed within a virtual environment and rendered from desired camera viewpoint. The transparency encodes hidden object regions, enabling the model to reason about occlusions, while the rendered viewpoint provides explicit camera control during generation. We condition a pretrained flow based text-to-image image generation model by introducing a set of visual tokens derived from our rendered 3D representation. Furthermore, we apply masked self-attention to accurately bind each object bounding box to its corresponding textual description, enabling accurate generation of multiple objects without object attribute mixing. To train the model, we construct a synthetic dataset with diverse multi-object scenes with strong inter-object occlusions. SeeThrough3D generalizes effectively to unseen object categories and enables precise 3D layout control with realistic occlusions and consistent camera control.

  • 5 authors
·
Feb 26 2

O^2-Recon: Completing 3D Reconstruction of Occluded Objects in the Scene with a Pre-trained 2D Diffusion Model

Occlusion is a common issue in 3D reconstruction from RGB-D videos, often blocking the complete reconstruction of objects and presenting an ongoing problem. In this paper, we propose a novel framework, empowered by a 2D diffusion-based in-painting model, to reconstruct complete surfaces for the hidden parts of objects. Specifically, we utilize a pre-trained diffusion model to fill in the hidden areas of 2D images. Then we use these in-painted images to optimize a neural implicit surface representation for each instance for 3D reconstruction. Since creating the in-painting masks needed for this process is tricky, we adopt a human-in-the-loop strategy that involves very little human engagement to generate high-quality masks. Moreover, some parts of objects can be totally hidden because the videos are usually shot from limited perspectives. To ensure recovering these invisible areas, we develop a cascaded network architecture for predicting signed distance field, making use of different frequency bands of positional encoding and maintaining overall smoothness. Besides the commonly used rendering loss, Eikonal loss, and silhouette loss, we adopt a CLIP-based semantic consistency loss to guide the surface from unseen camera angles. Experiments on ScanNet scenes show that our proposed framework achieves state-of-the-art accuracy and completeness in object-level reconstruction from scene-level RGB-D videos. Code: https://github.com/THU-LYJ-Lab/O2-Recon.

  • 8 authors
·
Aug 18, 2023

CXR-LLaVA: Multimodal Large Language Model for Interpreting Chest X-ray Images

Purpose: Recent advancements in large language models (LLMs) have expanded their capabilities in a multimodal fashion, potentially replicating the image interpretation of human radiologists. This study aimed to develop open-source multimodal large language model for interpreting chest X-ray images (CXR-LLaVA). We also examined the effect of prompt engineering and model parameters such as temperature and nucleus sampling. Materials and Methods: For training, we collected 659,287 publicly available CXRs: 417,336 CXRs had labels for certain radiographic abnormalities (dataset 1); 241,951 CXRs provided free-text radiology reports (dataset 2). After pre-training the Resnet50 as an image encoder, the contrastive language-image pre-training was used to align CXRs and corresponding radiographic abnormalities. Then, the Large Language Model Meta AI-2 was fine-tuned using dataset 2, which were refined using GPT-4, with generating various question answering scenarios. The code can be found at https://github.com/ECOFRI/CXR_LLaVA. Results: In the test set, we observed that the model's performance fluctuated based on its parameters. On average, it achieved F1 score of 0.34 for five pathologic findings (atelectasis, cardiomegaly, consolidation, edema, and pleural effusion), which was improved to 0.46 through prompt engineering. In the independent set, the model achieved an average F1 score of 0.30 for the same pathologic findings. Notably, for the pediatric chest radiograph dataset, which was unseen during training, the model differentiated abnormal radiographs with an F1 score ranging from 0.84 to 0.85. Conclusion: CXR-LLaVA demonstrates promising potential in CXR interpretation. Both prompt engineering and model parameter adjustments can play pivotal roles in interpreting CXRs.

  • 4 authors
·
Oct 22, 2023

DentVLM: A Multimodal Vision-Language Model for Comprehensive Dental Diagnosis and Enhanced Clinical Practice

Diagnosing and managing oral diseases necessitate advanced visual interpretation across diverse imaging modalities and integrated information synthesis. While current AI models excel at isolated tasks, they often fall short in addressing the complex, multimodal requirements of comprehensive clinical dental practice. Here we introduce DentVLM, a multimodal vision-language model engineered for expert-level oral disease diagnosis. DentVLM was developed using a comprehensive, large-scale, bilingual dataset of 110,447 images and 2.46 million visual question-answering (VQA) pairs. The model is capable of interpreting seven 2D oral imaging modalities across 36 diagnostic tasks, significantly outperforming leading proprietary and open-source models by 19.6% higher accuracy for oral diseases and 27.9% for malocclusions. In a clinical study involving 25 dentists, evaluating 1,946 patients and encompassing 3,105 QA pairs, DentVLM surpassed the diagnostic performance of 13 junior dentists on 21 of 36 tasks and exceeded that of 12 senior dentists on 12 of 36 tasks. When integrated into a collaborative workflow, DentVLM elevated junior dentists' performance to senior levels and reduced diagnostic time for all practitioners by 15-22%. Furthermore, DentVLM exhibited promising performance across three practical utility scenarios, including home-based dental health management, hospital-based intelligent diagnosis and multi-agent collaborative interaction. These findings establish DentVLM as a robust clinical decision support tool, poised to enhance primary dental care, mitigate provider-patient imbalances, and democratize access to specialized medical expertise within the field of dentistry.

  • 23 authors
·
Sep 26, 2025

Computer Aided Detection for Pulmonary Embolism Challenge (CAD-PE)

Rationale: Computer aided detection (CAD) algorithms for Pulmonary Embolism (PE) algorithms have been shown to increase radiologists' sensitivity with a small increase in specificity. However, CAD for PE has not been adopted into clinical practice, likely because of the high number of false positives current CAD software produces. Objective: To generate a database of annotated computed tomography pulmonary angiographies, use it to compare the sensitivity and false positive rate of current algorithms and to develop new methods that improve such metrics. Methods: 91 Computed tomography pulmonary angiography scans were annotated by at least one radiologist by segmenting all pulmonary emboli visible on the study. 20 annotated CTPAs were open to the public in the form of a medical image analysis challenge. 20 more were kept for evaluation purposes. 51 were made available post-challenge. 8 submissions, 6 of them novel, were evaluated on the 20 evaluation CTPAs. Performance was measured as per embolus sensitivity vs. false positives per scan curve. Results: The best algorithms achieved a per-embolus sensitivity of 75% at 2 false positives per scan (fps) or of 70% at 1 fps, outperforming the state of the art. Deep learning approaches outperformed traditional machine learning ones, and their performance improved with the number of training cases. Significance: Through this work and challenge we have improved the state-of-the art of computer aided detection algorithms for pulmonary embolism. An open database and an evaluation benchmark for such algorithms have been generated, easing the development of further improvements. Implications on clinical practice will need further research.

  • 20 authors
·
Mar 30, 2020

Unsupervised Stereo via Multi-Baseline Geometry-Consistent Self-Training

Photometric loss and pseudo-label-based self-training are two widely used methods for training stereo networks on unlabeled data. However, they both struggle to provide accurate supervision in occluded regions. The former lacks valid correspondences, while the latter's pseudo labels are often unreliable. To overcome these limitations, we present S^3, a simple yet effective framework based on multi-baseline geometry consistency. Unlike conventional self-training where teacher and student share identical stereo pairs, S^3 assigns them different target images, introducing natural visibility asymmetry. Regions occluded in the student's view often remain visible and matchable to the teacher, enabling reliable pseudo labels even in regions where photometric supervision fails. The teacher's disparities are rescaled to align with the student's baseline and used to guide student learning. An occlusion-aware weighting strategy is further proposed to mitigate unreliable supervision in teacher-occluded regions and to encourage the student to learn robust occlusion completion. To support training, we construct MBS20K, a multi-baseline stereo dataset synthesized using the CARLA simulator. Extensive experiments demonstrate that S^3 provides effective supervision in both occluded and non-occluded regions, achieves strong generalization performance, and surpasses previous state-of-the-art methods on the KITTI 2015 and 2012 benchmarks.

  • 8 authors
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Aug 14, 2025

SHOVIR: A Benchmark for Evaluating Vision Shortcut Learning in Radiology Report Generation

Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image. This allows models to achieve competitive scores by exploiting learned priors or spurious correlations, a failure mode we refer to as vision shortcut. We introduce SHOVIR, a benchmark for evaluating vision shortcut behavior in RRG. SHOVIR extends two spatially annotated chest X-ray datasets, MIMIC-CXR and PadChest-GR, with per-box CheXpert labels, and defines image-level and disease-level occlusion experiments that contrast baseline performance on clean images against localized, region-specific perturbations. Comparing predictions across these conditions isolates two failure modes at the disease-class level: direct shortcuts, where a finding persists after its visual evidence is removed, and contextual shortcuts, where detection degrades once co-occurring pathologies are occluded despite the target region remaining intact. Benchmarking eight state-of-the-art VLMs, we find that shortcut behavior varies substantially across architectures and datasets. Models achieving the highest baseline report quality do not necessarily rank highest in spatial grounding, revealing that clinically fluent generation can coexist with shallow reliance on visual evidence. These findings expose a blind spot in current RRG evaluation and motivate region-aware assessment protocols.

  • 5 authors
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Jun 28

SparseGS-W: Sparse-View 3D Gaussian Splatting in the Wild with Generative Priors

Synthesizing novel views of large-scale scenes from unconstrained in-the-wild images is an important but challenging task in computer vision. Existing methods, which optimize per-image appearance and transient occlusion through implicit neural networks from dense training views (approximately 1000 images), struggle to perform effectively under sparse input conditions, resulting in noticeable artifacts. To this end, we propose SparseGS-W, a novel framework based on 3D Gaussian Splatting that enables the reconstruction of complex outdoor scenes and handles occlusions and appearance changes with as few as five training images. We leverage geometric priors and constrained diffusion priors to compensate for the lack of multi-view information from extremely sparse input. Specifically, we propose a plug-and-play Constrained Novel-View Enhancement module to iteratively improve the quality of rendered novel views during the Gaussian optimization process. Furthermore, we propose an Occlusion Handling module, which flexibly removes occlusions utilizing the inherent high-quality inpainting capability of constrained diffusion priors. Both modules are capable of extracting appearance features from any user-provided reference image, enabling flexible modeling of illumination-consistent scenes. Extensive experiments on the PhotoTourism and Tanks and Temples datasets demonstrate that SparseGS-W achieves state-of-the-art performance not only in full-reference metrics, but also in commonly used non-reference metrics such as FID, ClipIQA, and MUSIQ.

  • 5 authors
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Mar 25, 2025

PRAD: Periapical Radiograph Analysis Dataset and Benchmark Model Development

Deep learning (DL), a pivotal technology in artificial intelligence, has recently gained substantial traction in the domain of dental auxiliary diagnosis. However, its application has predominantly been confined to imaging modalities such as panoramic radiographs and Cone Beam Computed Tomography, with limited focus on auxiliary analysis specifically targeting Periapical Radiographs (PR). PR are the most extensively utilized imaging modality in endodontics and periodontics due to their capability to capture detailed local lesions at a low cost. Nevertheless, challenges such as resolution limitations and artifacts complicate the annotation and recognition of PR, leading to a scarcity of publicly available, large-scale, high-quality PR analysis datasets. This scarcity has somewhat impeded the advancement of DL applications in PR analysis. In this paper, we present PRAD-10K, a dataset for PR analysis. PRAD-10K comprises 10,000 clinical periapical radiograph images, with pixel-level annotations provided by professional dentists for nine distinct anatomical structures, lesions, and artificial restorations or medical devices, We also include classification labels for images with typical conditions or lesions. Furthermore, we introduce a DL network named PRNet to establish benchmarks for PR segmentation tasks. Experimental results demonstrate that PRNet surpasses previous state-of-the-art medical image segmentation models on the PRAD-10K dataset. The codes and dataset will be made publicly available.

  • 5 authors
·
Apr 10, 2025