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This study developed an algorithm to distinguish patients with bisphosphonate-related osteonecrosis of the jaws (BRONJ) from healthy controls using cone beam computerized tomography (CBCT) images. The algorithm evaluated both trabecular and cortical bone changes in the mandibular bone. The algorithm was developed using statistical moments and had an accuracy of 0.999, sensitivity of 0.998, specificity of 0.998, precision of 1, recall of 0.998, AUC of 1, and F1 score of 0.999 in identifying BRONJ patients from healthy ones. The proposed algorithm differentiated the mandibular bones of the healthy and the BRONJ patients with high accuracy in the present test sample.
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