Comparison of W. Arnett’s cephalometric analysis measurements performed using artificial intelligence and manual measurements

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dc.authoridhttps://orcid.org/0000-0001-5661-0762
dc.authoridhttps://orcid.org/0000-0002-8196-2345
dc.contributor.authorKula, Betül
dc.contributor.authorPolat, Elif Nadide Akay
dc.date.accessioned2026-07-09T11:52:26Z
dc.date.available2026-07-09T11:52:26Z
dc.date.issued2026
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü
dc.description.abstractObjectives: This study aimed to compare the linear and angular Arnett cephalometric measurements obtained from WebCeph Premium™ with those from manual cephalometric analysis and to assess the reliability of the automated measurements. Methods: Thirty-two pre-treatment lateral cephalograms of patients were randomly selected. Images were calibrated, 29 landmarks were manually traced, and 40 parameters were recorded by two orthodontists (6 angular, 34 linear). WebCeph Premium™ (version 2.0.0, AssembleCircle Corp., Gyeonggi-do, Republic of Korea) automatically identified landmarks and performed Arnett’s cephalometric analysis. After 15 days, orthodontists reassessed the radiographs. Reliability and repeatability were evaluated using the intraclass correlation coefficient (ICC), which exceeded 0.95, indicating excellent agreement. Normality was assessed using the Shapiro–Wilk test, and group comparisons were performed with paired t-tests. Results: For Researcher 1, initial ICC values ranged from 0.003 to 0.984 and final values from 0.617 to 0.996. For Researcher 2, initial ICC values ranged from 0.022 to 0.999 and final values from 0.601 to 0.999. Inter-observer ICC values ranged from 0.03 to 0.984, with most measurements showing high agreement. Manual tracing and WebCeph Premium™ showed high agreement, with ICC values ranging 0.913 and 0.995. Conclusions: WebCeph Premium™ demonstrates high concordance with manual Arnett analyses; however, further refinement of certain parameters is necessary to enhance AI precision. Clinical Relevance: The utilization of WebCeph Premium™ within clinical settings has the capacity to enhance the efficiency of cephalometric analysis for orthognathic cases by minimizing manual workload and inter-examiner variability. This can result in more consistent and efficient treatment planning. © The Author(s) 2026.
dc.identifier.citationKula, B., & Polat, E. N. A. (2026). Comparison of W. Arnett’s cephalometric analysis measurements performed using artificial intelligence and manual measurements. Clinical Oral Investigations, 30(6), Article 223. https://doi.org/10.1007/s00784-026-06915-7
dc.identifier.doi10.1007/s00784-026-06915-7
dc.identifier.issn14326981
dc.identifier.issue6
dc.identifier.scopus2-s2.0-105038490638
dc.identifier.urihttps://hdl.handle.net/20.500.12941/428
dc.identifier.volume30
dc.indekslendigikaynakScopus
dc.institutionauthorKula, Betül
dc.institutionauthoridhttps://orcid.org/0000-0001-5661-0762
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofClinical Oral Investigations
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectArtificial Intelligence
dc.subjectWebCeph™
dc.subjectLateral Cephalometry
dc.subjectArnett Analysis
dc.titleComparison of W. Arnett’s cephalometric analysis measurements performed using artificial intelligence and manual measurements
dc.typeArticle

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