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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/18846

Title: Accuracy of linear measurements using three imaging modalities: two lateral cephalograms and one 3D model from CBCT data
Authors: Pittayapat, Pisha
Bornstein, Michael M.
Nozu Imada, Thais Sumie
Coucke, Wim
Jacobs, Reinhilde
Issue Date: 2015
Citation: EUROPEAN JOURNAL OF ORTHODONTICS, 37 (2), p. 202-208
Abstract: Background: The aim of this study was to evaluate the accuracy of linear measurements on three imaging modalities: lateral cephalograms from a cephalometric machine with a 3 m source-to-mid-sagittal-plane distance (SMD), from a machine with 1.5 m SMD and 3D models from cone-beam computed tomography (CBCT) data. Methods: Twenty-one dry human skulls were used. Lateral cephalograms were taken, using two cephalometric devices: one with a 3 m SMD and one with a 1.5 m SMD. CBCT scans were taken by 3D Accuitomo (R) 170, and 3D surface models were created in Maxilim (R) software. Thirteen linear measurements were completed twice by two observers with a 4 week interval. Direct physical measurements by a digital calliper were defined as the gold standard. Statistical analysis was performed. Results: Nasion-Point A was significantly different from the gold standard in all methods. More statistically significant differences were found on the measurements of the 3 m SMD cephalograms in comparison to the other methods. Intra-and inter-observer agreement based on 3D measurements was slightly better than others. Limitations: Dry human skulls without soft tissues were used. Therefore, the results have to be interpreted with caution, as they do not fully represent clinical conditions. Conclusions: 3D measurements resulted in a better observer agreement. The accuracy of the measurements based on CBCT and 1.5 m SMD cephalogram was better than a 3 m SMD cephalogram. These findings demonstrated the linear measurements accuracy and reliability of 3D measurements based on CBCT data when compared to 2D techniques. Future studies should focus on the implementation of 3D cephalometry in clinical practice.
Notes: [Pittayapat, Pisha; Bornstein, Michael M.; Jacobs, Reinhilde] Univ Leuven, Fac Med, Dept Imaging & Pathol, OIC,OMFS IMPATH Res Grp, B-3000 Leuven, Belgium. [Pittayapat, Pisha; Bornstein, Michael M.; Jacobs, Reinhilde] Univ Hosp Leuven, Oral & Maxillofacial Surg, B-3000 Leuven, Belgium. [Pittayapat, Pisha] Chulalongkorn Univ, Fac Dent, Dept Radiol, Bangkok, Thailand. [Bornstein, Michael M.] Univ Bern, Sch Dent Med, Dept Oral Surg & Stomatol, Bern, Switzerland. [Nozu Imada, Thais Sumie] Univ Sao Paulo FOB USP, Dept Stomatol, Bauru Sch Dent, Sao Paulo, Brazil. [Coucke, Wim] Sci Inst Publ Hlth, Dept Biol Clin, Brussels, Belgium. [Lambrichts, Ivo] Hasselt Univ, Lab Morphol, Biomed Res Inst, Diepenbeek, Belgium.
URI: http://hdl.handle.net/1942/18846
DOI: 10.1093/ejo/cju036
ISI #: 000352200800014
ISSN: 0141-5387
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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