A deep learning approach for the diagnosis and recurrence prediction of OKC

Odontogenic Keratocyst (OKC) is a benign jaw tumor characterized by a high recurrence rate. However, its clinical diagnosis presents significant challenges due to complex pathological morphologies and inconspicuous early symptoms. In this paper, we propose an intelligent OKC diagnosis system that leverages multimodal data fusion and interpretable analysis. Specifically, we first devise a Multimodal Feature-based Diagnosis Model (MFDM), which utilizes a Spatial Feature Fusion Module (SFFM) to fuse features extracted from patients' oral pathological slides and tabular clinical parameters. Second, we formulate an Interpretable Recurrence Prediction Model (IRPM) that extracts features from patient demographics and medical history records. This model harnesses an attention mechanism to weight these features, thereby realizing a quantitative estimation of OKC recurrence risk. Furthermore, we implement an integrated information management platform that deploys both MFDM and IRPM. This platform facilitates OKC detection, risk prediction, case storage, and key data visualization, significantly facilitating the algorithm's usability. We conduct extensive comparative and ablation experiments on collected datasets. The results demonstrate that our approach achieves higher accuracy in both diagnosis and recurrence prediction compared to existing state-of-the-art models. Moreover, the visualization elucidates the rationale behind the model's decision-making process, reinforcing its interpretability and credibility for clinical applications.

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Publication Details

Journal
Scientific Reports
Published
2026-03-23
DOI
https://doi.org/10.1038/s41598-026-44979-3
Primary Topic
Genomics and Rare Diseases
Type
article
Field-Weighted Citation Impact
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article

A deep learning approach for the diagnosis and recurrence prediction of OKC

W X Yang, Chaoran Peng, Jianyun Zhang, Rui Gao et al.
Scientific Reports
Genomics and Rare Diseases
article

A deep learning approach for the diagnosis and recurrence prediction of OKC

W X Yang, Chaoran Peng, Jianyun Zhang, Rui Gao, Xinjia Cai, Maoming Qian, Mingbo Zhang, Weihua Chen
article en

Abstract

Odontogenic Keratocyst (OKC) is a benign jaw tumor characterized by a high recurrence rate. However, its clinical diagnosis presents significant challenges due to complex pathological morphologies and inconspicuous early symptoms. In this paper, we propose an intelligent OKC diagnosis system that leverages multimodal data fusion and interpretable analysis. Specifically, we first devise a Multimodal Feature-based Diagnosis Model (MFDM), which utilizes a Spatial Feature Fusion Module (SFFM) to fuse features extracted from patients' oral pathological slides and tabular clinical parameters. Second, we formulate an Interpretable Recurrence Prediction Model (IRPM) that extracts features from patient demographics and medical history records. This model harnesses an attention mechanism to weight these features, thereby realizing a quantitative estimation of OKC recurrence risk. Furthermore, we implement an integrated information management platform that deploys both MFDM and IRPM. This platform facilitates OKC detection, risk prediction, case storage, and key data visualization, significantly facilitating the algorithm's usability. We conduct extensive comparative and ablation experiments on collected datasets. The results demonstrate that our approach achieves higher accuracy in both diagnosis and recurrence prediction compared to existing state-of-the-art models. Moreover, the visualization elucidates the rationale behind the model's decision-making process, reinforcing its interpretability and credibility for clinical applications.

Scientific Reports
Peking University (CN), Beijing Jiaotong University (CN), China University of Geosciences (Beijing) (CN), National Clinical Research Center for Digestive Diseases (CN), Beijing Academy of Artificial Intelligence (CN), National Clinical Research (US), Tsinghua University (CN)
Openalex Percentile: Top 11%
Genomics and Rare Diseases
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