Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth

Abstract The images of the Quantitative Light induced Fluorescent (QLF) device, which provides both natural color images similar to those from intraoral cameras and fluorescent images using 405 nm light in a single shot, were evaluated for the validity and inter examiner reliability in detecting too...

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Main Authors: Sung-Ae Son, Yun-Hoa Jung, Jae-Hoon Kim, Jeong-Kil Park
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83803-8
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author Sung-Ae Son
Yun-Hoa Jung
Jae-Hoon Kim
Jeong-Kil Park
author_facet Sung-Ae Son
Yun-Hoa Jung
Jae-Hoon Kim
Jeong-Kil Park
author_sort Sung-Ae Son
collection DOAJ
description Abstract The images of the Quantitative Light induced Fluorescent (QLF) device, which provides both natural color images similar to those from intraoral cameras and fluorescent images using 405 nm light in a single shot, were evaluated for the validity and inter examiner reliability in detecting tooth cracks. QLF images of 26 cracked teeth before and after removing crack lines were taken. Two examiners assessed the QLF images before removing the crack line with natural color images, fluorescent images, and combination images showing both images simultaneously, and recorded the crack’s location after observing images. The reference standard of the crack’s location was established by a trained dentist based on QLF images after removing the crack line. The agreement between examiners and the reference standard of the crack line was calculated by kappa value. Inter examiner agreement of natural color images showed at 0.394, while fluorescent and combination images showed at 0.449 and 0.493. Compared with the reference standard, the combination and fluorescent images showed higher agreement at 0.742 and 0.662, while the natural color images showed the lowest agreement, at 0.164. Determining crack location using only natural colored QLF images is challenging, but fluorescent and combination images improved agreement between examiners and the reference standard.
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spelling doaj-art-99a03dab0b924678b09591534188e15f2025-01-05T12:24:02ZengNature PortfolioScientific Reports2045-23222024-12-011411910.1038/s41598-024-83803-8Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teethSung-Ae Son0Yun-Hoa Jung1Jae-Hoon Kim2Jeong-Kil Park3Department of Conservative Dentistry, Dental and Life Science Institute, School of Dentistry, Dental Research Institute, Pusan National UniversityDepartment of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National UniversityDepartment of Dental Education, Dental and Life Science Institute, School of Dentistry, Pusan National University, Dental Research InstituteDepartment of Conservative Dentistry, Dental and Life Science Institute, School of Dentistry, Dental Research Institute, Pusan National UniversityAbstract The images of the Quantitative Light induced Fluorescent (QLF) device, which provides both natural color images similar to those from intraoral cameras and fluorescent images using 405 nm light in a single shot, were evaluated for the validity and inter examiner reliability in detecting tooth cracks. QLF images of 26 cracked teeth before and after removing crack lines were taken. Two examiners assessed the QLF images before removing the crack line with natural color images, fluorescent images, and combination images showing both images simultaneously, and recorded the crack’s location after observing images. The reference standard of the crack’s location was established by a trained dentist based on QLF images after removing the crack line. The agreement between examiners and the reference standard of the crack line was calculated by kappa value. Inter examiner agreement of natural color images showed at 0.394, while fluorescent and combination images showed at 0.449 and 0.493. Compared with the reference standard, the combination and fluorescent images showed higher agreement at 0.742 and 0.662, while the natural color images showed the lowest agreement, at 0.164. Determining crack location using only natural colored QLF images is challenging, but fluorescent and combination images improved agreement between examiners and the reference standard.https://doi.org/10.1038/s41598-024-83803-8Cracked tooth diagnosisQuantitative light induced fluorescenceQLF image reliabilityQLF image validity
spellingShingle Sung-Ae Son
Yun-Hoa Jung
Jae-Hoon Kim
Jeong-Kil Park
Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
Scientific Reports
Cracked tooth diagnosis
Quantitative light induced fluorescence
QLF image reliability
QLF image validity
title Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
title_full Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
title_fullStr Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
title_full_unstemmed Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
title_short Investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
title_sort investigation of validity and inter examiner agreement of quantitative light induced fluorescent images in diagnosing cracked teeth
topic Cracked tooth diagnosis
Quantitative light induced fluorescence
QLF image reliability
QLF image validity
url https://doi.org/10.1038/s41598-024-83803-8
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AT jaehoonkim investigationofvalidityandinterexamineragreementofquantitativelightinducedfluorescentimagesindiagnosingcrackedteeth
AT jeongkilpark investigationofvalidityandinterexamineragreementofquantitativelightinducedfluorescentimagesindiagnosingcrackedteeth