Objectives: This study aimed to develop a fully automated human identification method based on a convolutional neural network (CNN) with a large-scale dental panoramic radiograph (DPR) dataset. Methods: In total, 2,760 DPRs from 746 subjects who had 2 to 17 DPRs with various changes in image characteristics due to various dental treatments (tooth extraction, oral surgery, prosthetics, orthodontics, or tooth development) were collected. The test dataset included the latest DPR of each subject (746 images) and the other DPRs (2,014 images) were used for model training. A modified VGG16 model with two fully connected layers was applied for human identification. The proposed model was evaluated with rank-1, –3, and −5 accuracies, running time, and gradient-weighted class activation mapping (Grad-CAM)–applied images. Results: This model had rank-1,–3, and −5 accuracies of 82.84%, 89.14%, and 92.23%, respectively. All rank-1 accuracy values of the proposed model were above 80% regardless of changes in image characteristics. The average running time to train the proposed model was 60.9 sec per epoch, and the prediction time for 746 test DPRs was short (3.2 sec/image). The Grad-CAM technique verified that the model automatically identified humans by focusing on identifiable dental information. Conclusion: The proposed model showed good performance in fully automatic human identification despite differing image characteristics of DPRs acquired from the same patients. Our model is expected to assist in the fast and accurate identification by experts by comparing large amounts of images and proposing identification candidates at high speed.
