ACPNet: Enhancing Small-Scale Dieases Detection in Panoramic X-rays

Deep learning-based disease detection can automatically identify dental diseases in panoramic X-rays and improve the accuracy and efficiency of doctors’ diagnoses. However, due to the complex data distribution of panoramic oral X-rays, significant scale differences among lesions, and the presence of many small-scale diseases, automated disease detection in panoramic oral X-rays faces considerable challenges. To alleviate the aforementioned issues, we propose ACPNet, which introduces a novel two-stage approach for detecting small-scale dental diseases in panoramic X-rays using the Contextual Attention Alignment Network (CAAN) and the Point-to-Patch Module (PTPM). To the best of our knowledge, we are the first to explore the detection of small-scale dental diseases in panoramic X-rays under limited sample conditions. Specifically, CAAN integrates deformable convolution with the global attention mechanism of transformer attention, enabling the model to more accurately extract small target foreground features in the complex background of panoramic X-rays. PTPM employs key point detection and cascade dynamic patches to adjust the bounding boxes of lesions, ensuring that small-scale diseases have sufficient high-quality proposals, thereby enhancing detector performance. Additionally, we collected a dataset containing 1157 instances of dental diseases to validate the effectiveness of our algorithm. Extensive experiments demonstrate that ACPNet achieves state-of-the-art performance, highlighting its superiority over baseline and other detection methods.