Accuracy of virtual 3-dimensional cephalometric images constructed with 2-dimensional cephalograms using the biplanar radiography principle
이재서, 김상록, 황현식, 이경민,
소속 상세정보
이재서 ( Lee Jae-Seo ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Radiology
김상록 ( Kim Sang-Rok ) - Chonnam National University School of Dentistry Department of Orthodontics
황현식 ( Hwang Hyeon-Shik ) - Chonnam National University School of Dentistry Department of Orthodontics
이경민 ( Lee Kyung-Min Clara ) - Chonnam National University School of Dentistry Department of Orthodontics
Abstract
Purpose: The purpose of this study was to evaluate the accuracy of virtual 3-dimensional (3D) cephalograms constructed using the principle of biplanar radiography by comparing them with cone-beam computed tomography(CBCT) images.
Materials and Methods: Thirty orthodontic patients were enrolled in this study. Frontal and lateral cephalograms were obtained with the use of a head posture aligner and reconstructed into 3D cephalograms using biplanar radiography software. Thirty-four measurements representing the height, width, depth, and oblique distance were computed in 3 dimensions, and compared with the measurements from the 3D images obtained by CBCT, using the paired t-test and Bland-Altman analysis.
Results: Comparison of height, width, depth, and oblique measurements showed no statistically significant differences between the measurements obtained from 3D cephalograms and those from CBCT images (P>0.05). Bland-Altman plots also showed high agreement between the 3D cephalograms and CBCT images.
Conclusion: Accurate 3D cephalograms can be constructed using the principle of biplanar radiography if frontal and lateral cephalograms can be obtained with a head posture aligner. Three-dimensional cephalograms generated using biplanar radiography can replace CBCT images taken for diagnostic purposes.
키워드
Dental Digital Radiography; Cone-Beam Computed Tomography; Diagnostic Imaging
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