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Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
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Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
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Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models

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Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models
Journal Article

Predicting orthognathic surgery results as postoperative lateral cephalograms using graph neural networks and diffusion models

2025
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Overview
Orthognathic surgery, or corrective jaw surgery, is performed to correct severe dentofacial deformities and is increasingly sought for cosmetic purposes. Accurate prediction of surgical outcomes is essential for selecting the optimal treatment plan and ensuring patient satisfaction. Here, we present GPOSC-Net, a generative prediction model for orthognathic surgery that synthesizes post-operative lateral cephalograms from pre-operative data. GPOSC-Net consists of two key components: a landmark prediction model that estimates post-surgical cephalometric changes and a latent diffusion model that generates realistic synthesizes post-operative lateral cephalograms images based on predicted landmarks and segmented profile lines. We validated our model using diverse patient datasets, a visual Turing test, and a simulation study. Our results demonstrate that GPOSC-Net can accurately predict cephalometric landmark positions and generate high-fidelity synthesized post-operative lateral cephalogram images, providing a valuable tool for surgical planning. By enhancing predictive accuracy and visualization, our model has the potential to improve clinical decision-making and patient communication. Accurate prediction of surgical outcomes is essential for selecting treatment plans and ensuring patient satisfaction in corrective jaw surgery (orthognathic surgery). Here, the authors present and validate GPOSC-Net, a generative model for orthognathic surgery planning, to predict surgical movement and synthesize post-operative cephalograms from pre-operative data using a diffusion model.