DOI QR코드

DOI QR Code

Application of Cone-Beam Computed Tomography-Generated Cephalograms in Children and Adolescents

  • Wooju So (Department of Pediatric Dentistry, Dental Hospital, Ajou University) ;
  • Ji Min Kim (Office of Biostatistics, Medical Research Collaborating Center, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center) ;
  • Bumhee Park (Office of Biostatistics, Medical Research Collaborating Center, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center) ;
  • Yon-joo Mah (Department of Pediatric Dentistry, Dental Hospital, Ajou University)
  • 투고 : 2024.06.14
  • 심사 : 2024.07.18
  • 발행 : 2024.08.31

초록

This study investigates the potential of cone-beam computed tomography (CBCT)-generated cephalograms as a replacement for conventional lateral cephalograms (LCs) in children and adolescents. This retrospective study included 60 individuals, equally divided into permanent and mixed dentition groups. Both groups underwent conventional LCs and CBCT scans on the same day. LCs were then derived from CBCT scans. The same examiner performed digital measurements twice, with a week's interval, identifying landmarks and obtaining 7 angular and 5 linear measurements. In the permanent dentition group, significant differences were observed between the two imaging modalities for 6 angular and 2 linear measurements. In the mixed dentition group, significant differences were observed for 3 angular and 2 linear measurements. However, none of these differences exceeded the clinically acceptable limit of 2.0° or 2.0 mm. No significant differences in any measurement were found between the two groups (p < 0.05). CBCT-generated LCs demonstrated comparable results with good reliability in both dentition groups, suggesting their potential as suitable alternatives for children and adolescents who require CBCT for clinical purposes.

키워드

참고문헌

  1. Broadbent BH : A new X-ray technique and its application to orthodontia. The introduction of cephalometric radiography. Angle Orthod, 51:93-114, 1931.
  2. van Vlijmen OJC, Berge SJ, Bronkhorst EM, Swennen GRJ, Katsaros C, Kuijpers-Jagtman AM : A comparison of frontal radiographs obtained from cone beam CT scans and conventional frontal radiographs of human skulls. Int J Oral Maxillofac Surg, 38:773-778, 2009. https://doi.org/10.1016/j.ijom.2009.02.024
  3. Cattaneo PM, Bloch CB, Calmar D, Hjortshoj M, Melsen B : Comparison between conventional and cone-beam computed tomography-generated cephalograms. Am J Orthod Dentofacial Orthop, 134:798-802, 2008. https://doi.org/10.1016/j.ajodo.2008.07.008
  4. Park CS, Park JK, Kim H, Han SS, Jeong HG, Park H : Comparison of conventional lateral cephalograms with corresponding CBCT radiographs. Imaging Sci Dent, 42:201-205, 2012.
  5. Lamichane M, Anderson NK, Rigali PH, Seldin EB, Will LA : Accuracy of reconstructed images from cone-beam computed tomography scans. Am J Orthod Dentofacial Orthop, 136:156.E1-6, 2009.
  6. Jung PK, Lee GC, Moon CH : Comparison of cone-beam computed tomography cephalometric measurements using a midsagittal projection and conventional two-dimensional cephalometric measurements. Korean J Orthod, 45:282-288, 2015. https://doi.org/10.4041/kjod.2015.45.6.282
  7. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA : A new volumetric CT machine for dental imaging based on the cone-beam technique: Preliminary results. Eur Radiol, 8:1558-1564, 1998. https://doi.org/10.1007/s003300050586
  8. Swennen GRJ, Schutyser F : Three-dimensional cephalometry: Spiral multi-slice vs cone-beam computed tomography. Am J Orthod Dentofacial Orthop, 130:410-416, 2006. https://doi.org/10.1016/j.ajodo.2005.11.035
  9. Cevidanes LH, Styner MA, Proffit WR : Image analysis and superimposition of 3-dimensional cone-beam computed tomography models. Am J Orthod Dentofacial Orthop, 129:611-618, 2006. https://doi.org/10.1016/j.ajodo.2005.12.008
  10. Chang ZC, Hu FC, Lai E, Yao CC, Chen MH, Chen YJ : Landmark identification errors on cone-beam computed tomography-derived cephalograms and conventional digital cephalograms. Am J Orthod Dentofacial Orthop, 140:E289-E297, 2011. https://doi.org/10.1016/j.ajodo.2011.06.024
  11. Yang S, Liu DG, Gu Y : Comparison of linear measurements between CBCT orthogonally synthesized cephalograms and conventional cephalograms. Dentomaxillofac Radiol, 43:20140024, 2014.
  12. Kumar V, Ludlow J, Cevidanes LHS, Mol A : In vivo comparison of conventional and cone beam CT synthesized cephalograms. Angle Orthod, 78:873-879, 2008. https://doi.org/10.2319/082907-399.1
  13. Oz U, Orhan K, Abe N : Comparison of linear and angular measurements using two-dimensional conventional methods and three-dimensional cone beam CT images reconstructed from a volumetric rendering program in vivo. Dentomaxillofac Radiol, 40:492-500, 2011. https://doi.org/10.1259/dmfr/15644321
  14. Wen J, Liu S, Ye X, Xie X, Li J, Li H, Mei L : Comparative study of cephalometric measurements using 3 imaging modalities. J Am Dent Assoc, 148:913-921, 2017. https://doi.org/10.1016/j.adaj.2017.07.030
  15. Tanikawa C, Yamamoto T, Yagic M, Takada K : Automatic recognition of anatomic features on cephalograms of preadolescent children. Angle Orthod, 80:812-820, 2010. https://doi.org/10.2319/092909-474.1
  16. Kuhnisch J, Anttonen V, Duggal MS, Spyridonos ML, Rajasekharan S, Sobczak M, Stratigaki E, Van Acker JWG, Aps JKM, Horner K, Tsiklakis K : Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent, 21:375-386, 2020. https://doi.org/10.1007/s40368-019-00493-x
  17. Kumar V, Ludlow JB, Mol A, Cevidanes L : Comparison of conventional and cone beam CT synthesized cephalograms. Dentomaxillofac Radiol, 36:263-269, 2007. https://doi.org/10.1259/dmfr/98032356
  18. Sfogliano L, Abood A, Costa Viana MG, Kusnoto B : Cephalometric evaluation of posteroanterior projection of reconstructed three-dimensional Cone beam computed tomography, two-dimensional conventional radiography, and direct measurements. J World Fed Orthod, 5:22-27, 2016.
  19. van Bunningen RH, Dijkstra PU, Dieters A, van der Meer WJ, Kuijpers-Jagtman AM, Ren Y : Precision of orthodontic cephalometric measurements on ultra low dose-low dose CBCT reconstructed cephalograms. Clin Oral Investig, 26:1543-1550, 2022. https://doi.org/10.1007/s00784-021-04127-9
  20. Chung EJ, Yang BE, Park IY, Yi S, On SW, Kim YH, Kang SH, Byun SH : Effectiveness of cone-beam computed tomography-generated cephalograms using artificial intelligence cephalometric analysis. Sci Rep, 12:20585, 2022.
  21. Chen MH, Chang JZC, Kok SH, Chen YJ, Huang YD, Cheng KY, Lin CP : Intraobserver reliability of landmark identification in cone-beam computed tomography-synthesized two-dimensional cephalograms versus conventional cephalometric radiography: A preliminary study. J Dent Sci, 9:56-62, 2014. https://doi.org/10.1016/j.jds.2013.02.012
  22. Shaw K, McIntyre G, Mossey P, Menhinick A, Thomson D : Validation of conventional 2D lateral cephalometry using 3D cone beam CT. J Orthod, 40:22-28, 2013. https://doi.org/10.1179/1465313312Y.0000000009
  23. Chung RR, Lagravere MO, Flores-Mir C, Heo G, Carey JP, Major PW : A comparative analysis of angular cephalometric values between CBCT generated lateral cephalograms versus digitized conventional lateral cephalograms. Int Orthod, 7:308-321, 2009. https://doi.org/10.1016/S1761-7227(09)73505-3
  24. Cassetta M, Altieri F, Di Giorgio R, Silvestri A : Two-dimensional and three-dimensional cephalometry using cone beam computed tomography scans. J Craniofac Surg, 26:E311-E315, 2015. https://doi.org/10.1097/SCS.0000000000001700
  25. Greiner M, Greiner A, Hirschfelder U : Variance of landmarks in digital evaluations: Comparison between CT-based and conventional digital lateral cephalometric radiographs. J Orofac Orthop, 68:290-298, 2007. https://doi.org/10.1007/s00056-007-0710-5
  26. van Vlijmen OJ, Berge SJ, Swennen GR, Bronkhorst EM, Katsaros C, Kuijpers-Jagtman AM : Comparison of cephalometric radiographs obtained from cone-beam computed tomography scans and conventional radiographs. J Oral Maxillofac Surg, 67:92-97, 2009.
  27. Damstra J, Fourie Z, Ren Y : Comparison between two-dimensional and midsagittal three-dimensional cephalometric measurements of dry human skulls. Br J Oral Maxillofac Surg, 49:392-395, 2011. https://doi.org/10.1016/j.bjoms.2010.06.006
  28. Na ER, Aljawad H, Lee KM, Hwang HS : A comparative study of the reproducibility of landmark identification on posteroanterior and anteroposterior cephalograms generated from cone-beam computed tomography scans. Korean J Orthod, 49:41-48, 2019. https://doi.org/10.4041/kjod.2019.49.1.41
  29. Moshiri M, Scarfe WC, Hilgers ML, Scheetz JP, Silveira AM, Farman AG : Accuracy of linear measure-ments from imaging plate and lateral cephalometric images derived from cone-beam computed tomography. Am J Orthod Dentofacial Orthop, 132:550-560, 2007. https://doi.org/10.1016/j.ajodo.2006.09.046
  30. Liedke GS, Delamare EL, Vizzotto MB, da Silveira HLD, Prietsch JR, Dutra V, da Silveira HED : Comparative study between conventional and cone beam CT-synthesized half and total skull cephalograms. Dentomaxillofac Radiol, 41:136-142, 2012. https://doi.org/10.1259/dmfr/22287302
  31. Navarro RL, Oltramari-Navarro PVP, Fernandes TMF, de Oliveira GF, Conti ACCF, de Almeida MR, de Almeida RR : Comparison of manual, digital and lateral CBCT cephalometric analyses. J Appl Oral Sci, 21:167-176, 2013. https://doi.org/10.1590/1678-7757201302326
  32. Song MS, Kim SO, Kim IH, Kang CM, Song JS : Accuracy of automatic cephalometric analysis programs on lateral cephalograms of preadolescent children. J Korean Acad Pediatr Dent, 48:245-254, 2021. https://doi.org/10.5933/JKAPD.2021.48.3.245
  33. Stabrun AE, Danielsen K : Precision in cephalometric landmark indentification. Eur J Orthod, 4:185-196, 1982. https://doi.org/10.1093/ejo/4.3.185
  34. Houston WJ : The analysis of errors in orthodontic measurements. Am J Orthod, 83:382-390, 1983. https://doi.org/10.1016/0002-9416(83)90322-6
  35. Chen YJ, Chen SK, Yao JCC, Chang HF : The effects of differences in landmark identification on the cephalometric measurements in traditional versus digitized cephalometry. Angle Orthod, 74:155-161, 2004.
  36. Savage AW, Showfety KJ, Yancey J : Repeated measures analysis of geometrically constructed and directly determined cephalometric points. Am J Orthod Dentofacial Orthop, 91:295-299, 1987. https://doi.org/10.1016/0889-5406(87)90169-7
  37. Chen YJ, Chen SK, Chang HF, Chen KC : Comparison of landmark identification in traditional versus computer-aided digital cephalometry. Angle Orthod, 70:387-392, 2000.
  38. Baumrind S, Frantz RC : The reliability of head film measurements. 1. Landmark identification. Am J Orthod, 60:111-127, 1971. https://doi.org/10.1016/0002-9416(71)90028-5
  39. Wisth PJ, Boe OE : The reliability of cephalometric soft tissue measurements. Arch Oral Biol, 20:595-599, 1975. https://doi.org/10.1016/0003-9969(75)90080-1
  40. Bruntz LQ, Palomo JM, Baden S, Hans MG : A comparison of scanned lateral cephalograms with corresponding original radiographs. Am J Orthod Dentofacial Orthop, 130:340-348, 2006. https://doi.org/10.1016/j.ajodo.2004.12.029
  41. da Silva MBG, Gois BC, Sant'Anna EF : Evaluation of the reliability of measurements in cephalograms generated from cone beam computed tomography. Dental Press J Orthod, 18:53-60, 2013.
  42. Grauer D, Cevidanes LSH, Styner MA, Heulfe I, Harmon ET, Zhu H, Proffit WR : Accuracy and landmark error calculation using cone-beam computed tomography-generated cephalograms. Angle Orthod, 80:286-294, 2010. https://doi.org/10.2319/030909-135.1
  43. Hwang HS, Lee KM, Uhm GS, Cho JH, McNamara JA Jr : Use of reference ear plug to improve accuracy of lateral cephalograms generated from cone-beam computed tomography scans. Korean J Orthod, 43:54-61, 2013. https://doi.org/10.4041/kjod.2013.43.2.54
  44. Duarte H, Vieck R, Siqueira DF, Angelieri F, Bommarito S, Dalben G, Sannomiya EK : Effect of image compression of digital lateral cephalograms on the reproducibility of cephalometric points. Dentomaxillofac Radiol, 38:393-400, 2009. https://doi.org/10.1259/dmfr/40996636
  45. Cantekin K, Sekerci AE, Miloglu O, Buyuk SK : Identification of the mandibular landmarks in a pediatric population. Med Oral Patol Oral Cir Bucal, 19:E136-E141, 2014.
  46. American Academy of Oral and Maxillofacial Radiology : Clinical recommendations regarding use of cone beam computed tomography in orthodontics. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol, 116:238-257, 2013. https://doi.org/10.1016/j.oooo.2013.06.002
  47. Shin S, Kim D : Comparative validation of the mixed and permanent dentition at web-based artificial intelligence cephalometric analysis. J Korean Acad Pediatr Dent, 49:85-94, 2022. https://doi.org/10.5933/JKAPD.2022.49.1.85
  48. Farronato G, Garagiola U, Dominici A, Periti G, de Nardi S, Carletti V, Farronato D : "Ten-point" 3D cephalometric analysis using low-dosage cone beam computed tomography. Prog Orthod, 11:2-12, 2010. https://doi.org/10.1016/j.pio.2010.04.007