Performance and Clinical Applicability of AI Models for Jawbone Lesion Classification: A Systematic Review with Meta-analysis and Introduction of a Clinical Interpretation Score.

AI models demonstrate promising diagnostic performance in classifying several jawbone lesions, though their accuracy is influenced by imaging modality, lesion type, and prevalence. Despite encouraging technical results, many studies lack transparent reporting and external validation, limiting their clinical interpretability. The Clinical Interpretation Score (CIS) provides a structured framework to evaluate the methodological transparency and clinical readiness of AI tools, helping to distinguish between technically sound models and those suitable for integration into diagnostic workflows.