Automated Segmentation of Digital Artifacts in Intraoral Photostimulable Phosphor Radiographs

: These findings demonstrate that large-scale, multi-class pixel-level segmentation of PSP artifacts represents a fundamentally challenging problem shaped by the combined effects of class imbalance, small object size, heterogeneous artifact morphology, and incomplete training representation. While the proposed framework confirms the feasibility of automated artifact localization, its current performance suggests greater immediate value as a quality control or screening support tool rather than a fully autonomous diagnostic system. By providing a comprehensive baseline and systematic analysis, this study establishes a benchmark for future research and highlights the critical need for imbalance-aware learning strategies, hierarchical modeling, and data-centric approaches to advance this field.