An Automatic Grading System for Orthodontically Induced External Root Resorption Based on Deep Convolutional Neural Network

Orthodontically induced external root resorption (OIERR) is a common complication of orthodontic treatments. Accurate OIERR grading is crucial for clinical intervention. This study aimed to evaluate six deep convolutional neural networks (CNNs) for performing OIERR grading on tooth slices to construct an automatic grading system for OIERR. A total of 2146 tooth slices of different OIERR grades were collected and preprocessed. Six pre-trained CNNs (EfficientNet-B1, EfficientNet-B2, EfficientNet-B3, EfficientNet-B4, EfficientNet-B5, and MobileNet-V3) were trained and validated on the pre-processed images based on four different cross-validation methods. The performances of the CNNs on a test set were evaluated and compared with those of orthodontists. The gradient-weighted class activation mapping (Grad-CAM) technique was used to explore the area of maximum impact on the model decisions in the tooth slices. The six CNN models performed remarkably well in OIERR grading, with a mean accuracy of 0.92, surpassing that of the orthodontists (mean accuracy of 0.82). EfficientNet-B4 trained with fivefold cross-validation emerged as the final OIERR grading system, with a high accuracy of 0.94. Grad-CAM revealed that the apical region had the greatest effect on the OIERR grading system. The six CNNs demonstrated excellent OIERR grading and outperformed orthodontists. The proposed OIERR grading system holds potential as a reliable diagnostic support for orthodontists in clinical practice.

Preventive effect of Lactobacillus plantarum HFY15 on carbon tetrachloride (CCl4 )-induced acute liver injury in mice

Carbon tetrachloride (CCl4 ) is the main chemical causing liver damage. In this experiment, the effect of Lactobacillus plantarum HFY15 treatment on CCl4 -induced acute liver injury was investigated using mice. Fifty adult mice were randomized into five study groups, each group with 10 ml kg-1 saline, 50 mg kg-1 silymarin, and 109 CFU kg-1 L. plantarum HFY15 and LDSB per day, and all the mice expect the normal group were injected 0.8% CCl4 (10 ml kg-1 ) on the 14th day. Following the 16 h induction of the liver injury, various biochemical markers were assessed for blood and liver tissue. After L. plantarum HFY15 treatment, the content of alanine aminotransferase (ALT), aspartate aminotransferase (AST), triglycerides (TG), malondialdehyde (MDA), and reactive oxygen species (ROS) in serum decreased by 67.7%, 65.0%, 41.9%, 59.5%, and 51.5%, respectively, and the level of antioxidant enzymes (total superoxide dismutation [T-SOD], catalase [CAT], glutathione [GSH]) increased by more than twofold. Pro-inflammatory cytokine interleukin-6 (IL-6), interferon-γ (INF-γ), and tumor necrosis factor-α (TNF-α) decreased by more than 45% in serum and live. What is more, L. plantarum HFY15 increased the expression of antiapoptosis genes Bcl-2 by eightfold, inhibiting the expression of proapoptotic genes Caspase-3 and Bax by about threefold. Lactobacillus plantarum HFY15 has obvious protective effects on CCl4 -induced liver injury by inhibiting oxidation, reducing the release of inflammatory factors, and exerting suppressive effect on apoptotic process in the CCl4 -induced liver injury. Lactobacillus plantarum HFY15 can be developed as edible lactic acid bacteria for preventing liver toxicity. PRACTICAL APPLICATION: L. plantarum HFY15 can alleviate liver injury caused by carbon tetrachloride toxicity through antioxidant, anti-inflammatory and anti-apoptotic pathways.