A comparison of two-dimensional radiography and three-dimensional computed tomography in angular cephalometric measurements (original) (raw)
Related papers
Comparison between 3D and 2D Cephalometric Analyses
IFMBE Proceedings, 2008
This paper presented 3D cephalometric analysis on DICOM data from I-CAT CT cone-beam machine consisted of averages and standard deviations from 20 Thai males from 19 to 70 year (average 33.53 ± 14.08 year) and 20 Thai females from 16 to 70 year (average 32.60 ± 15.37 year). The angular measurements consisted of 49 lateral and 9 frontal measurements while linear measurements consisted of 29 lateral, 3 frontal, and 8 perpendicular measurements. Results in 3D were compared with the corresponding 2D results showing that most midline-to-midline linear measurements and some midline-to-midline angular measurements were not different, while other types of measurements were significantly different. The 3D results will be used in the clinical Ceph3D services as requested by those with interests on cephalometric analysis and anthropology with focus on Thai subjects while the 2D results will be used for comparison with cephalometric analyses from other orthodontists.
The Reliability of Two- and Three-Dimensional Cephalometric Measurements: A CBCT Study
Diagnostics
Cephalometry is a standard diagnostic tool in orthodontic and orthognathic surgery fields. However, built-in magnification from the cephalometric machine produces double images from left- and right-side craniofacial structures on the film, which poses difficulty for accurate cephalometric tracing and measurements. The cone-beam computed tomography (CBCT) images not only allow three-dimensional (3D) analysis, but also enable the extraction of two-dimensional (2D) images without magnification. To evaluate the most reliable cephalometric analysis method, we extracted 2D lateral cephalometric images with and without magnification from twenty full-cranium CBCT datasets; images were extracted with magnification to mimic traditional lateral cephalograms. Cephalometric tracings were performed on the two types of extracted 2D lateral cephalograms and on the reconstructed 3D full cranium images by two examiners. The intra- and inter-examiner intraclass correlation coefficients (ICC) were comp...
Medicina Oral Patología Oral y Cirugia Bucal, 2012
Objectives: Cone Beam Computerized Tomography (CBCT) allows the possibility of modifying some of the diagnostic tools used in orthodontics, such as cephalometry. The first step must be to study the characteristics of these devices in terms of accuracy and reliability of the most commonly used landmarks. The aims were 1-To assess intra and inter-observer reliability in the location of anatomical landmarks belonging to hard tissues of the skull in images taken with a CBCT device, 2-To determine which of those landmarks are more vs. less reliable and 3-To introduce planes of reference so as to create cephalometric analyses appropriated to the 3D reality. Study design: Fifteen patients who had a CBCT (i-CAT®) as a diagnostic register were selected. To assess the reproducibility on landmark location and the differences in the measurements of two observers at different times, 41 landmarks were defined on the three spatial axes (X,Y,Z) and located. 3.690 measurements were taken and, as each determination has 3 coordinates, 11.070 data were processed with SPSS® statistical package. To discover the reproducibility of the method on landmark location, an ANOVA was undertaken using two variation factors: time (t1, t2 and t3) and observer (Ob1 and Ob2) for each axis (X, Y and Z) and landmark. The order of the CBCT scans submitted to the observers (Ob1, Ob2) at t1, t2, and t3, were different and randomly allocated. Multiple compari
Comparison between 3D and 2D Cephalometric Analysis of 200 Thai Patients
This paper presented 3D cephalometric analysis on DICOM data from I-CAT CT cone-beam machine consisted of averages and standard deviations from 20 Thai males from 19 to 70 year (average 33.53 ± 14.08 year) and 20 Thai females from 16 to 70 year (average 32.60 ± 15.37 year). The angular measurements consisted of 49 lateral and 9 frontal measurements while linear measurements consisted of 29 lateral, 3 frontal, and 8 perpendicular measurements. Results in 3D were compared with the corresponding 2D results showing that most midline-to-midline linear measurements and some midline-to-midline angular measurements were not different, while other types of measurements were significantly different. The 3D results will be used in the clinical Ceph3D services as requested by those with interests on cephalometric analysis and anthropology with focus on Thai subjects while the 2D results will be used for comparison with cephalometric analyses from other orthodontists.
3D cephalometric analysis obtained from computed tomography. Review of the literature
Annali di stomatologia, 2011
The aim of this systematic review is to estimate accuracy and reproducibility of craniometric measurements and reliability of landmarks identified with computed tomography (CT) techniques in 3D cephalometric analysis. Computerized and manual searches were conducted up to 2011 for studies that addressed these objectives. The selection criteria were: (1) the use of human specimen; (2) the comparison between 2D and 3D cephalometric analysis; (3) the assessment of accuracy, reproducibility of measurements and reliability of landmark identification with CT images compared with two-dimensional conventional radiographs. The Cochrane Handbook for Systematic Reviews of Interventions was used as the guideline for this article. Twenty-seven articles met the inclusion criteria. Most of them demonstrated high measurements accuracy and reproducibility, and landmarks reliability, but their cephalometric analysis methodology varied widely. These differencies among the studies in making measurements...
The goal of orthodontic diagnosis and treatment planning has been to decide a course of orthodontic treatment based on the evaluation of the initial condition of the patient's anatomy evaluated from different types of data sources (i.e. 2D Cephalometric & Panoramic X-rays, 2D Facial & Intra-oral Photographs, 3D Study Models of the teeth, etc). Presently, the evaluation of the anatomical relationships, by the use of various two-dimensional imaging modalities, such as: Photographs, X-rays, Cephalometric tracings & analysis, etc., have only given a small amount of accurate 3D information when compared the "Anatomic Truth" of the patient's actual three-dimensional anatomy (1,7,9,22) . The only true three-dimensional information we routinely use today is from our evaluation of the "live patient" in the chair and from plaster study models of the teeth or from the creation of 3D digital study models from various scanning techniques. The three-dimensional informa...
Comparison of cephalometric measurements from three radiological clinics
Brazilian Oral Research, 2006
The orthodontic documentation carried out in radiological clinics is essential for diagnosis, planning and control of the orthodontic treatment. Amongst the diagnosis elements used are the cephalometric measurements, and errors can be incorporated as they are obtained. The objective of this work was to evaluate the values of some cephalometric measurements obtained in three radiological clinics using 30 lateral cephalometric radiographs of the head randomly chosen from the archives of the Department of Child Dentistry (Discipline of Orthodontics), School of Dentistry of Piracicaba, UNICAMP. These values were compared with the measurements obtained manually (control group) using variance analysis and Tukey’s and Friedman’s tests. Of the fourteen cephalometric measurements evaluated, the results demonstrated that only four of them presented statistically significant differences: IMPA, 1-NA, FMA, and H-nose. We concluded that although the majority of the mean cephalometric values did n...
Comparison of two three-dimensional cephalometric analysis computer software
Journal of Orthodontic Science, 2014
Background: Three-dimensional cephalometric analyses are getting more attraction in orthodontics. The aim of this study was to compare two softwares to evaluate three-dimensional cephalometric analyses of orthodontic treatment outcomes. Materials and Methods: Twenty cone beam computed tomography images were obtained using i-CAT ® imaging system from patient's records as part of their regular orthodontic records. The images were analyzed using InVivoDental5.0 (Anatomage Inc.) and 3DCeph™ (University of Illinois at Chicago, Chicago, IL, USA) software. Before and after orthodontic treatments data were analyzed using t-test. Results: Reliability test using interclass correlation coefficient was stronger for InVivoDental5.0 (0.83-0.98) compared with 3DCeph™ (0.51-0.90). Paired t-test comparison of the two softwares shows no statistical significant difference in the measurements made in the two softwares. Conclusions: InVivoDental5.0 measurements are more reproducible and user friendly when compared to 3DCeph™. No statistical difference between the two softwares in linear or angular measurements. 3DCeph™ is more time-consuming in performing three-dimensional analysis compared with InVivoDental5.0. Clinical Implications: InVivoDental5.0 utilizes less time in performing three-dimensional cephalometric measurements compared to 3DCeph™ system.
Accuracy and reliability of 2D cephalometric analysis in orthodontics
Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, 2014
Lateral cephalometric radiography is commonly used as a standard tool in orthodontic assessment and treatment planning. The aim of this study was to evaluate the available scientific literature and existing evidence for the validation of using lateral cephalometric imaging for orthodontic treatment planning. The secondary objective was to determine the accuracy and reliability of this technique. We did not attempt to evaluate the value of this radiographic technique for other purposes. A literature search was performed using specific keywords on electronic databases: Ovid MEDLINE, Scopus and Web of Science. Two reviewers selected relevant articles, corresponding to predetermined inclusion criteria. The electronic search was followed by a hand search of the reference lists of relevant papers. Two reviewers assessed the level of evidence of relevant publications as high, moderate or low. Based on this, the evidence grade for diagnostic efficacy was rated as strong, moderately strong, limited or insufficient. The initial search revealed 784 articles listed in MEDLINE (Ovid), 1,034 in Scopus and 264 articles in the Web of Science. Only 17 articles met the inclusion criteria and were selected for qualitative synthesis. Results showed seven studies on the role of cephalometry in orthodontic treatment planning, eight concerning cephalometric measurements and landmark identification and two on cephalometric analysis. It is surprising that, notwithstanding the 968 articles published in peer-reviewed journals, scientific evidence on the usefulness of this radiographic technique in orthodontics is still lacking, with contradictory results. More rigorous research on a larger study population should be performed to achieve full evidence on this topic.