An XAI-Driven Hybrid YOLOv8-LRP Architecture for the Detection of Impacted Mandibular Third Molars in Panoramic Radiography


Kayadibi I., KÖSE U., Guraksin G. E., Cetin B.

2025 Innovations in Intelligent Systems and Applications Conference, ASYU 2025, Bursa, Türkiye, 10 - 12 Eylül 2025, (Tam Metin Bildiri)

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Doi Numarası: 10.1109/asyu67174.2025.11208389
  • Basıldığı Şehir: Bursa
  • Basıldığı Ülke: Türkiye
  • Anahtar Kelimeler: Decision Support Systems, Deep Learning, Dentistry, Explainable Artificial Intelligence, Impacted Mandibular Third Molar
  • Süleyman Demirel Üniversitesi Adresli: Evet

Özet

The accurate detection of impacted mandibular third molars (i-mTM) in panoramic radiographs (PRs) is of vital importance for diagnosis and treatment planning. In this study, a hybrid YOLOv8-LRP architecture was proposed to enhance the interpretability of predictions using deep learning (DL)based YOLOv8 architectures for i-mTM detection, by integrating Layer-wise Relevance Propagation (LRP), an Explainable Artificial Intelligence (XAI) technique. A new dataset was created by labeling 608 PRs obtained from the public m-TM dataset. The performance of the proposed architecture was evaluated on this new dataset using a comprehensive ablation test. The optimized YOLOv8x architecture achieved superior performance metrics such as 99.59% precision, 100% recall, 99.80% F1 Score, and 99.50% mAP50. Heatmaps obtained from XAI analysis performed with LRP demonstrated that the proposed method provides explainability appropriate for the problem. In a performance comparison with state-of-the-art methods in the literature, the proposed hybrid method demonstrated the best performance across all metrics. These results clearly demonstrate that it offers a powerful and transparent tool for diagnostic decision support systems focused on detecting i-mTM in dentistry.