The purpose of this study was to develop a complete digital workflow for planning, simulation, and evaluation for orthognathic surgery based on 3D digital natural head position reproduction, a cloud-based collaboration platform, and 3D landmark-based evaluation. We included 24 patients who underwent bimaxillary orthognathic surgery. Surgeons and engineers could share the massive image data immediately and conveniently and collaborate closely in surgical planning and simulation using a cloud-based platform. The digital surgical splint could be optimized for a specific patient before or after the physical fabrication of 3D printing splints through close collaboration. The surgical accuracy was evaluated comprehensively via the translational (linear) and rotational (angular) discrepancies between identical 3D landmarks on the simulation and postoperative computed tomography (CT) models. The means of the absolute linear discrepancy at eight tooth landmarks were 0.61 ± 0.55, 0.86 ± 0.68, and 1.00 ± 0.79 mm in left–right, advance–setback, and impaction–elongation directions, respectively, and 1.67 mm in the root mean square direction. The linear discrepancy in the left–right direction was significantly different from the other two directions as shown by analysis of variance (ANOVA, p < 0.05). The means of the absolute angular discrepancies were 1.43 ± 1.06°, 0.50 ± 0.31°, and 0.58 ± 0.41° in the pitch, roll, and yaw orientations, respectively. The angular discrepancy in the pitch orientation was significantly different from the other two orientations (ANOVA, p < 0.05). The complete digital workflow that we developed for orthognathic patients provides efficient and streamlined procedures for orthognathic surgery and shows high surgical accuracy with efficient image data sharing and close collaboration.

Panoramic radiography is the most commonly used equipment in the dental field, but there is no comprehensive standard about how to evaluate the spatial resolution of panoramic radiography. In this study, panorama resolution phantoms were developed for evaluation of horizontal and vertical resolution reflecting unique characteristics of panoramic radiography. Four horizontal resolution phantoms of staircase shape were designed to obtain images of horizontal lead line pairs in a 52 mm width. Four vertical resolution phantoms with vertical lead line pairs placed at an oblique angle were also designed. A phantom stand was made. Three machines were evaluated twice by two oromaxillofacial radiologists. The horizontal lead line pairs were readable over the entire measured area at the values of 1.88, 2.32, and 2.58 lp/mm for all machines. A readable area of horizontal 3.19 lp/mm was observed in the lingual side. In the vertical resolution phantoms, it was possible to read a narrower range. By using the panorama resolution phantoms and phantom stand, it was possible to evaluate the resolution of a wide buccolingual width in four significant areas. By evaluating the resolution of the vertical and horizontal compartments separately, it was possible to gain a better understanding of the obtained images.

Automated Optical Inspection (AOI) of Printed Circuit Boards (PCBs) suffers from scarce labeled data and frequent domain shifts caused by variations in camera optics, illumination, and product design. These limitations hinder the development of accurate and reliable deep-learning models in manufacturing settings. To address this challenge, this study systematically benchmarks three Parameter-Efficient Fine-Tuning (PEFT) strategies—Linear Probe, Low-Rank Adaptation (LoRA), and Visual Prompt Tuning (VPT)—applied to two representative foundation vision models: the Contrastive Language–Image Pretraining Vision Transformer (CLIP-ViT-B/16) and the Self-Distillation with No Labels Vision Transformer (DINOv2-S/14). The models are evaluated on six-class PCB defect classification tasks under few-shot (k = 5, 10, 20) and full-data regimes, analyzing both performance and reliability. Experiments show that VPT achieves 0.99 ± 0.01 accuracy and 0.998 ± 0.001 macro–Area Under the Precision–Recall Curve (macro-AUPRC), reducing classification error by approximately 65% compared with Linear and LoRA while tuning fewer than 1.5% of backbone parameters. Reliability, assessed by the stability of precision–recall behavior across different decision thresholds, improved as the number of labeled samples increased. Furthermore, class-wise and few-shot analyses revealed that VPT adapts more effectively to rare defect types such as Spur and Spurious Copper while maintaining near-ceiling performance on simpler categories (Short, Pinhole). These findings collectively demonstrate that prompt-based adaptation offers a quantitatively favorable trade-off between accuracy, efficiency, and reliability. Practically, this positions VPT as a scalable strategy for factory-level AOI, enabling the rapid deployment of robust defect inspection models even when labeled data is scarce.