Accuracy and reliability of 2-dimensional photography versus 3-dimensional soft tissue imaging
Ayaz Irem, Shaheen Eman, Aly Medhat, Shujaat Sohaib, Gallo Giulia, Coucke Wim, Politis Constantinus, Jacobs Reinhilde,
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( Ayaz Irem ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Shaheen Eman ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Aly Medhat ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Shujaat Sohaib ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Gallo Giulia ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Coucke Wim ) - Scientific Institute of Public Health Department of Quality of Medical Laboratories
( Politis Constantinus ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
( Jacobs Reinhilde ) - KU Leuven Faculty of Medicine Department of Imaging and Pathology
Abstract
Purpose: This study was conducted to objectively and subjectively compare the accuracy and reliability of 2-dimensional (2D) photography and 3-dimensional (3D) soft tissue imaging.
Materials and Methods: Facial images of 50 volunteers (25 males, 25 females) were captured with a Nikon D800 2D camera (Nikon Corporation, Tokyo, Japan), 3D stereophotogrammetry (SPG), and laser scanning (LS). All subjects were imaged in a relaxed, closed-mouth position with a normal smile. The 2D images were then exported to Mirror¢ç Software (Canfield Scientific, Inc, NJ, USA) and the 3D images into Proplan CMF¢ç software (version 2.1, Materialise HQ, Leuven, Belgium) for further evaluation. For an objective evaluation, 2 observers identified soft tissue landmarks and performed linear measurements on subjects' faces (direct measurements) and both linear and angular measurements on all images (indirect measurements). For a qualitative analysis, 10 dental observers and an expert in facial imaging (subjective gold standard) completed a questionnaire regarding facial characteristics. The reliability of the quantitative data was evaluated using intraclass correlation coefficients, whereas the Fleiss kappa was calculated for qualitative data.
Results: Linear and angular measurements carried out on 2D and 3D images showed excellent inter-observer and intra-observer reliability. The 2D photographs displayed the highest combined total error for linear measurements. SPG performed better than LS, with borderline significance (P=0.052). The qualitative assessment showed no significant differences among the 2D and 3D imaging modalities.
Conclusion: SPG was found to a reliable and accurate tool for the morphological evaluation of soft tissue in comparison to 2D imaging and laser scanning.
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Photogrammetry; Three-dimensional imaging; Facial expression; Anthropometry
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