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Accuracy of linear measurement using cone-beam computed tomography at different reconstruction angles

Imaging Science in Dentistry 2014³â 44±Ç 4È£ p.257 ~ 262
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:Nikneshan Sima :Aval Shadi Hamidi/:Bakhshalian Neema/:Shahab Shahriyar/:Mohammadpour Mahdis/:Sarikhani Soodeh

Abstract


Purpose : This study was performed to evaluate the effect of changing the orientation of a reconstructed image on the accuracy of linear measurements using cone-beam computed tomography (CBCT).

Materials and Methods : Forty-two titanium pins were inserted in seven dry sheep mandibles. The length of these pins was measured using a digital caliper with readability of 0.01 mm. Mandibles were radiographed using a CBCT device. When the CBCT images were reconstructed, the orientation of slices was adjusted to parallel (i.e., 0¡Æ), +10¡Æ, +12¡Æ, -12¡Æ, and -10¡Æ with respect to the occlusal plane. The length of the pins was measured by three radiologists, and the accuracy of these measurements was reported using descriptive statistics and one-way analysis of variance (ANOVA); p<0.05 was considered statistically significant.

Results : The differences in radiographic measurements ranged from -0.64 to +0.06 at the orientation of -12¡Æ, -0.66 to -0.11 at -10¡Æ, -0.51 to +0.19 at 0¡Æ, -0.64 to +0.08 at +10¡Æ, and -0.64 to +0.1 at +12¡Æ. The mean absolute values of the errors were greater at negative orientations than at the parallel position or at positive orientations. The observers underestimated most of the variables by 0.5-0.1 mm (83.6%). In the second set of observations, the reproducibility at all orientations was greater than 0.9.

Conclusion : Changing the slice orientation in the range of -12¡Æ to +12¡Æ reduced the accuracy of linear measurements obtained using CBCT. However, the error value was smaller than 0.5 mm and was, therefore, clinically acceptable.

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Cone-Beam Computed Tomography; Dental Implants; Dimensional Measurement Accuracy

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