ENSEMBLE OF CONVOLUTIONAL NEURAL NETWORKS FOR TOOTH SEGMENTATION ON PANORAMIC X-RAY IMAGES

Authors

  • V. I. Bohush Oles Honchar Dnipro National University, Dnipro, Ukraine
  • M. G. Ivanchenko Oles Honchar Dnipro National University, Dnipro, Ukraine

DOI:

https://doi.org/10.15588/1607-3274-2026-2-6

Keywords:

deep learning, convolutional neural networks, tooth segmentation, semantic segmentation, U-Net, ensemble

Abstract

Context. Semantic segmentation of teeth on panoramic X-ray images is an important task in dental diagnostics, as it allows for the automation of the diagnosis of dental diseases. However, panoramic X-rays have a complex structure, which complicates the task of segmentation. The use of convolutional neural networks shows high potential in solving this problem. In this context, it is relevant to study the best models and combine them into an ensemble in order to improve the quality of segmentation.
Objective. The aim of this work is to study the effectiveness of various convolutional neural network architectures in the task of
semantic tooth segmentation on panoramic X-ray images and to develop an ensemble approach to improve the quality of the results.
Method. Various architectures of convolutional neural networks are used: U-Net, Attention U-Net, Residual U-Net, Residual Attention U-Net, R2 U-Net, U-Net++, U-Net 3+, USE-Net, Dense U-Net, and DeepLabV3+ with a pre-trained ResNet-101 backbone on the ImageNet dataset. An ensemble approach based on the best models is proposed, where the final segmentation mask is determined by majority voting. The models were trained on a preprocessed dataset of panoramic X-ray images with the application of augmentation techniques. The performance of the models was evaluated using the IoU, Dice, and Accuracy metrics.
Results. Various neural network models were investigated, and the best ones were combined into an ensemble. The conducted experiments confirmed that the ensemble approach improves segmentation accuracy compared to individual models. The best result was achieved by the ensemble combining the Dense U-Net, Attention U-Net, and U-Net 3+ architectures.
Conclusions. The proposed ensemble approach demonstrated high efficiency in the task of semantic tooth segmentation on panoramic X-ray images, outperforming the results of individual models. The scientific novelty of the study lies in the application of an ensemble approach that combines various architectures of convolutional neural networks for semantic tooth segmentation on X-ray images. The practical significance of the work is in the potential use of the developed approach for building automated diagnostic systems in dentistry. The obtained results can be applied to further automate the analysis of X-ray images and contribute to the development of intelligent medical systems.

Author Biographies

V. I. Bohush, Oles Honchar Dnipro National University, Dnipro

Master of the Department of Software Engineering and Information Technologies

M. G. Ivanchenko, Oles Honchar Dnipro National University, Dnipro

PhD, Associate Professor, Associate Professor of the Department of Software Engineering and
Information Technologies

References

Rayed M. E., Islam S. M. S., Niha S. I. et al. Deep learning for medical image segmentation: State-of-the-art advancements and challenges. Informatics in Medicine Unlocked, 2024, Vol. 47, P. 101504. DOI: 10.1016/j.imu.2024.101504

Huang C., Wang J., Wang S. et al. A review of deep learning in dentistry. Neurocomputing, 2023, Vol. 554, P. 126629. DOI: 10.1016/j.neucom.2023.126629

Ronneberger O., Fischer P., Brox T. U-Net: Convolutional Networks for Biomedical Image Segmentation. Lecture Notes in Computer Science, 2015, Vol. 9351, pp. 234–241. DOI: 10.1007/978-3-319-24574-4_28

Oktay O., Schlemper J., Folgoc L. L. et al. Attention U-Net: Learning Where to Look for the Pancreas. arXiv preprint arXiv:1804.03999, 2018. DOI: 10.48550/arXiv.1804.03999

Zhang Z., Liu Q., Wang Y. Road Extraction by Deep Residual U-Net. IEEE Geoscience and Remote Sensing Letters, 2018, Vol. 15, № 5, pp. 749–753. DOI: 10.1109/LGRS.2018.2802944

Ni Z.-L., Bian G.-B., Zhou X.-H. et al. RAUNet: Residual Attention U-Net for Semantic Segmentation of Cataract Surgical Instruments. Lecture Notes in Computer Science, 2019, Vol. 11954, pp. 139–149. DOI: 10.1007/978-3-030- 36711-4_13

Alom M. Z., Yakopcic C., Hasan M. et al. Recurrent residual U-Net for medical image segmentation. Journal of medical imaging, 2019, Vol. 6, № 1, pp. 014006–014006. DOI: 10.1117/1.JMI.6.1.014006

Rundo L., Han C., Nagano Y. et al. USE-Net: Incorporating Squeeze-and-Excitation blocks into U-Net for prostate zonal segmentation of multi-institutional MRI datasets. Neurocomputing, 2019, Vol. 365, pp. 31–43. DOI: 10.1016/j.neucom.2019.07.006

Cai S., Tian Y., Lui H. et al. Dense-UNet: a novel multiphoton in vivo cellular image segmentation model based on a convolutional neural network. Quantitative imaging in medicine and surgery, 2020, Vol. 10, № 6, P. 1275. DOI: 10.21037/qims-19-1090

Zhou Z., Rahman Siddiquee M. M., Tajbakhsh N. et al.Unet++: A nested u-net architecture for medical image segmentation. Lecture Notes in Computer Science, 2018, Vol. 11045, pp. 3–11. DOI: 10.1007/978-3-030-00889-5_1

Huang H., Lin L., Tong R. et al. UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation. Acoustics, Speech and Signal Processing (ICASSP) : IEEE International Conference, 4–8 May 2020 : proceedings. Barcelona: IEEE, 2020, pp. 1055–1059. DOI:

1109/ICASSP40776.2020.9053405

Chen L.-C., Zhu Y., Papandreou G. et al. Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation. Computer Vision – ECCV 2018 : 15th European Conference, 8–14 September 2018 : proceedings. Munich, Springer-Verlag, 2018, pp. 833–851. DOI: 10.1007/978-3-030-01234-2_49

Koch T. L., Perslev M., Igel C. et al. Accurate Segmentation of Dental Panoramic Radiographs with U-NETS. Biomedical Imaging (ISBI 2019) : IEEE 16th International Symposium, 8–11 April 2019 : proceedings. Venice, IEEE, 2019, pp. 15–19. DOI: 10.1109/ISBI.2019.8759563

Chen Q., Zhao Y., Liu Y. et al. MSLPNet: multi-scale location perception network for dental panoramic X-ray image segmentation. Neural Computing and Applications, 2021, Vol. 33, № 16, pp. 10277–10291. DOI: 10.1007/s00521- 021-05790-5

Zhao Y., Li P., Gao C. et al. TSASNet: Tooth segmentation on dental panoramic X-ray images by Two-Stage Attention Segmentation Network. Knowledge-Based Systems, 2020, Vol. 206, P. 106338. DOI: 10.1016/j.knosys.2020.106338

Lin S., Hao X., Liu Y. et al. Lightweight deep learning methods for panoramic dental X-ray image segmentation. Neural Computing and Applications, 2023, Vol. 35, № 11, pp. 8295–8306. DOI: 10.1007/s00521-022-08102-7

Sheng C., Wang L., Huang Z. et al. Transformer-Based Deep Learning Network for Tooth Segmentation on Panoramic Radiographs. Journal of systems science and complexity, 2022, Vol. 36, № 1, pp. 257–272. DOI: 10.1007/s11424- 022-2057-9

Hou S., Zhou T., Liu Y. et al. Teeth U-Net: A segmentation model of dental panoramic X-ray images for context semantics and contrast enhancemen. Computers in Biology and Medicine, 2023, Vol. 152, P. 106296. DOI: 10.1016/j.compbiomed.2022.106296

Zannah R., Bashar M., Mushfiq R. B. et al. Semantic Segmentation on Panoramic Dental X-Ray Images Using U-Net Architectures. IEEE Access, 2024, Vol. 12, pp. 44598– 44612. DOI: 10.1109/ACCESS.2024.3380027

Mărginean A. C., Mureşanu S., Hedeşiu M. et al. Teeth segmentation and carious lesions segmentation in panoramic X-ray images using CariSeg, a networks’ ensemble. Heliyon, 2024, Vol. 10, № 10, P. e30836. DOI: 10.1016/j.heliyon.2024.e30836

Li Z., Tang W., Gao S. et al. Adapting SAM2 Model from Natural Images for Tooth Segmentation in Dental Panoramic X-Ray Images. Entropy, 2024, Vol. 26, № 12, P. 1059. DOI: 10.3390/e26121059

Bhat S., Birajdar G. K., Patil M. D.Tooth segmentation in panoramic dental radiographs using deep convolution neural network -Insights from subjective analysis. Discover Applied Sciences, 2025, Vol. 7, № 4, P. 279. DOI: 10.1007/s42452-025-06606-0

Ma T., Li J., Dang Z. et al. A Dual-Stream Dental Panoramic X-Ray Image Segmentation Method Based on Transformer Heterogeneous Feature Complementation. Technologies, 2025, Vol. 13, № 7, P. 293. DOI: 10.3390/technologies13070293

Children’s Dental Panoramic Radiographs Dataset [Electronic resource]. Access mode: https://www.kaggle.com/datasets/truthisneverlinear/childrens-dental-panoramic-radiographs-dataset

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Published

2026-06-26

How to Cite

Bohush, V. I., & Ivanchenko, M. G. . (2026). ENSEMBLE OF CONVOLUTIONAL NEURAL NETWORKS FOR TOOTH SEGMENTATION ON PANORAMIC X-RAY IMAGES. Radio Electronics, Computer Science, Control, (2), 62–72. https://doi.org/10.15588/1607-3274-2026-2-6

Issue

Section

Neuroinformatics and intelligent systems