Trustworthy Data-driven Chronological Age Estimation from Panoramic Dental Images
Integrating deep learning into healthcare enables personalized care but raises trust issues due to model opacity. To improve transparency, we propose a system for dental age estimation from panoramic images that combines an opaque and a transparent method within a Natural Language Generation module. This module generates clinician-friendly textual explanations of age estimations, designed with dental experts through a rule-based approach. Following the best practices in the field, the quality of the generated explanations was manually validated by human experts using a questionnaire. The results showed a strong performance, since the experts rated 4.77±0.12 (out of 5) on average across the five dimensions considered. We also performed a trustworthy self-assessment procedure following the Assessment List for Trustworthy Artificial Intelligence checklist, in which it scored 4.40±0.27 (out of 5) across its seven dimensions.
keywords: Human-centric explainable artificial intelligence, Data-to-text systems, Ruled-based text generation, Fuzzy quantification, Surrogate deep learning
Publication: Article
1769083032458
January 22, 2026
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Integrating deep learning into healthcare enables personalized care but raises trust issues due to model opacity. To improve transparency, we propose a system for dental age estimation from panoramic images that combines an opaque and a transparent method within a Natural Language Generation module. This module generates clinician-friendly textual explanations of age estimations, designed with dental experts through a rule-based approach. Following the best practices in the field, the quality of the generated explanations was manually validated by human experts using a questionnaire. The results showed a strong performance, since the experts rated 4.77±0.12 (out of 5) on average across the five dimensions considered. We also performed a trustworthy self-assessment procedure following the Assessment List for Trustworthy Artificial Intelligence checklist, in which it scored 4.40±0.27 (out of 5) across its seven dimensions. - Ainhoa Vivel-Couso, Nicolás Vila-Blanco, María J. Carreira, Alberto Bugarín-Diz, Inmaculada Tomás, Jose M. Alonso-Moral - 10.1007/s10796-025-10682-3
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