Table 30 Inter-rater agreement analysis across enhancement methods.

From: Novel metaheuristic optimized latent diffusion framework for automated oral disease detection in public health screening

Enhancement method

Fleiss’ Kappa (95% CI)

Agreement level

Standard ERROR

Z-statistic

p-value

Pairwise comparisons

DentoSMART-LDM

0.847 (0.821–0.873)

Almost perfect

0.013

65.15

< 0.001

Enhanced-PSO-LDM

0.763 (0.734–0.792)

Substantial

0.015

50.87

< 0.001

vs. DentoSMART p < 0.001

Traditional enhancement

0.723 (0.694–0.752)

Substantial

0.015

48.20

< 0.001

vs. DentoSMART p < 0.001

No enhancement

0.612 (0.581–0.643)

Substantial

0.016

38.25

< 0.001

vs. DentoSMART p < 0.001