FIRE Caries Detection Using Morphological Reconstruction

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Solution Overview

Problem

Traditional dental caries detection methods, including visual examination and x-ray imaging, are risky and less effective for early detection, and existing fluorescence-based methods are sensitive to illumination variations, limiting their ability to accurately identify incipient caries.

Innovation Solution

A method and apparatus that utilize a morphological grayscale reconstruction technique to generate an enhanced FIRE image by combining fluorescence and reflectance data, specifically identifying regional maxima in reflectance images to enhance contrast and reduce sensitivity to illumination variations, allowing for earlier detection of caries.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If fluorescence-based methods are used for caries detection, then early detection capability is improved, but sensitivity to illumination variations increases

Engineering Contradiction:
Improveearly detection capabilityVSAvoidsensitivity to illumination variations
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent combines fluorescence imaging with reflectance imaging into a unified FIRE (Fluorescence Imaging with Reflectance Enhancement) system. The reflectance component captures illumination pattern information that compensates for illumination variations, while the fluorescence component provides early caries detection capability. This merging allows the system to maintain high early detection sensitivity while reducing vulnerability to illumination instability.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The reflectance image serves as an intermediary that mediates the relationship between illumination variations and fluorescence measurement accuracy. By capturing the actual illumination pattern through reflectance imaging, the system can normalize or compensate for illumination variations when analyzing fluorescence signals, thereby improving measurement reliability without sacrificing early detection capability.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If traditional visual examination and x-ray imaging are used, then detection simplicity is maintained, but detection accuracy for early caries deteriorates

Engineering Contradiction:
Improvedetection simplicityVSAvoiddetection accuracy for early caries
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent replaces traditional mechanical visual examination and x-ray imaging with an optical fluorescence-based detection system. This substitution enables early caries detection through fluorescence signal changes that occur before structural changes visible to the naked eye or on x-ray images, thereby improving detection accuracy while maintaining operational simplicity through automated image acquisition and processing.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent utilizes fluorescence emission at different wavelengths (color changes) to detect early caries. Healthy enamel and carious enamel exhibit different fluorescence characteristics under UV-blue excitation, allowing the system to identify early carious lesions through spectral analysis without requiring complex mechanical intervention or radiation exposure.

Inventive Principle:
Principle #32Color changes

3Device complexity

If conventional detection techniques are used, then equipment complexity is minimized, but harmful effects increase

Engineering Contradiction:
Improveequipment complexityVSAvoiddamage to weakened teeth and radiation exposure
Core Design Contradiction:
Device complexityVSObject-affected harmful factors

Solution Approach 1:

The patent replaces mechanical probing with optical fluorescence imaging for caries detection. This substitution eliminates the risk of damaging weakened teeth during examination, as the optical method is non-contact and non-invasive. The system uses UV-blue light excitation to generate fluorescence signals that reveal carious areas without applying mechanical stress to compromised tooth structures.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent substitutes x-ray imaging with fluorescence-based optical imaging for caries detection. This replacement eliminates ionizing radiation exposure while maintaining effective caries detection capability. The fluorescence method provides sufficient contrast between healthy and carious enamel through optical property differences, removing the need for harmful radiation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The approach provides a more accurate and sensitive detection of early caries by enhancing image contrast and reducing the impact of illumination variations, enabling earlier intervention and potentially reducing the need for costly restorative treatments.

Implementation Method 1

incident light is directed toward a tooth, wherein the incident light excites a fluorescent emission from the tooth tissue

Methodology Applied
Scientific EffectFluorescence: Fluorescence

Implementation Method 2

Back-scattered reflectance image data is obtained from back-scattered light from the tooth tissue

Methodology Applied
Scientific EffectBack-scattering: Scattering

Data Source

PatentEP2378955B1Method and apparatus for detection of caries
Publication Date: 2021.08.25 CARESTREAM DENTAL TECH TOPCO LTD
  • EP2378955B1 patent drawingFigure 1
  • EP2378955B1 patent drawingFigure 2
  • EP2378955B1 patent drawingFigure 3

AI summary

A method for forming an enhanced image (60) of a tooth (20) making use of the tooth (20) fluorescence and/or reflectance effects, employs a morphological image processing technique, and reduces susceptibility to overall intensity variations in the image (60).