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Effect of slice inclination and object position within the field of view on the measurement accuracy of potential implant sites on cone-beam computed tomography

  • Saberi, Bardia Vadiati;Khosravifard, Negar;Nourzadeh, Alireza
    • Imaging Science in Dentistry
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    • v.50 no.1
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    • pp.37-43
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    • 2020
  • Purpose: The purpose of this study was to evaluate the accuracy of linear measurements in the horizontal and vertical dimensions based on object position and slice inclination in cone-beam computed tomography (CBCT) images. Materials and Methods: Ten dry sheep hemi-mandibles, each with 4 sites (incisor, canine, premolar, and molar), were evaluated when either centrally or peripherally positioned within the field of view (FOV) with the image slices subjected to either oblique or orthogonal inclinations. Four types of images were created of each region: central/cross-sectional, central/coronal, peripheral/cross-sectional, and peripheral/coronal. The horizontal and vertical dimensions were measured for each region of each image type. Direct measurements of each region were obtained using a digital caliper in both horizontal and vertical dimensions. CBCT and direct measurements were compared using the Bland-Altman plot method. P values <0.05 were considered to indicate statistical significance. Results: The buccolingual dimension of the incisor and premolar areas and the height of the incisor, canine, and molar areas showed statistically significant differences on the peripheral/coronal images compared to the direct measurements (P<0.05). Molar area height in the central/coronal slices also differed significantly from the direct measurements (P<0.05). Cross-sectional images of either the central or peripheral position had no marked difference from the gold-standard values, indicating sufficient accuracy. Conclusion: Peripheral object positioning within the FOV in combination with applying an orthogonal inclination to the slices resulted in significant inaccuracies in the horizontal and vertical measurements. The most undesirable effect was observed in the molar area and the vertical dimension.

Detection of peri-implant bone defects using cone-beam computed tomography and digital periapical radiography with parallel and oblique projection

  • Saberi, Bardia Vadiati;Khosravifard, Negar;Ghandari, Farnaz;Hadinezhad, Arash
    • Imaging Science in Dentistry
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    • v.49 no.4
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    • pp.265-272
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    • 2019
  • Purpose: To compare the diagnostic accuracy of cone-beam computed tomography (CBCT) with that of parallel(PPA) and oblique projected periapical(OPA) radiography for the detection of different types of peri-implant bone defects. Materials and Methods: Forty implants inserted into bovine rib blocks were used. Thirty had standardized bone defects(10 each of angular, fenestration, and dehiscence defects), and 10 were defect-free controls. CBCT, PPA, and OPA images of the samples were acquired. The images were evaluated twice by each of 2 blinded observers regarding the presence or absence and the type of the defects. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were determined for each radiographic technique. The 3 modalities were compared using the Fisher exact and chi-square tests, with P<0.05 considered as statistical significance. Results: High inter-examiner reliability was observed for the 3 techniques. Angular defects were detected with high sensitivity and specificity by all 3 modalities. CBCT and OPA showed similar AUC and sensitivity in the detection of fenestration defects. In the identification of dehiscence defects, CBCT showed the highest sensitivity, followed by OPA and PPA, respectively. CBCT and OPA had a significantly greater ability than PPA to detect fenestration and dehiscence defects(P<0.05). Conclusion: The application of OPA radiography in addition to routine PPA imaging as a radiographic follow-up method for dental implantation greatly enhances the visualization of fenestration and dehiscence defects. CBCT properly depicted all defect types studied, but it involves a relatively high dose of radiation and cost.

The Analysis of HVDC Cable Oil Swelling Characteristics on the Silicone Rubber (HVDC 절연유 중에서 Silicone Rubber의 팽윤특성 분석)

  • Lee, T.H.;Kim, N.Y.;Kim, J.N.;Jeon, S.I.
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.623-624
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    • 2007
  • This work examines the effects of swelling MI type HVDC cable oil on the semiconductive silicone rubber and silicone rubber as used in accessories for application on outdoor termination (EBA) slip on sleeve. The behavior of volume resistivity is monitored as a function of the amount of cable oil diffused into the material. Resistivities of semiconductive silicone samples up to the typical insulator range (${\sim}10^{10}{\Omega}-cm$) are observed as a consequence of swelling due to the presence of the diffused oil. The measured volume resistivities of the oil-impregnated semiconductive silicone rubber are compared to desired value as function of stress relief cone.

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Influence of wound closure on volume stability with the application of different GBR materials: an in vitro cone-beam computed tomographic study

  • Naenni, Nadja;Berner, Tanja;Waller, Tobias;Huesler, Juerg;Hammerle, Christoph Hans Franz;Thoma, Daniel Stefan
    • Journal of Periodontal and Implant Science
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    • v.49 no.1
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    • pp.14-24
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    • 2019
  • Purpose: To assess the influence of using different combinations of guided bone regeneration (GBR) materials on volume changes after wound closure at peri-implant dehiscence defects. Methods: In 5 pig mandibles, standardized bone defects were created and implants were centrally placed. The defects were augmented using different combinations of GBR materials: xenogeneic granulate and collagen membrane (group 1, n=10), xenogeneic granulate and alloplastic membrane (group 2, n=10), alloplastic granulates and alloplastic membrane (group 3, n=10). The horizontal thickness was assessed using cone-beam computed tomography before and after suturing. Measurements were performed at the implant shoulder (HT0) and at 1 mm (HT1) and 2mm (HT2) below. The data were statistically analysed using the Wilcoxon signed-rank test to evaluate within-group differences. Bonferroni correction was applied when calculating statistical significance between the groups. Results: The mean horizontal thickness before suturing was $2.55{\pm}0.53mm$ (group 1), $1.94{\pm}0.56mm$ (group 2), and $2.49{\pm}0.73mm$ (group 3). Post-suturing, the values were $1.47{\pm}0.31mm$ (group 1), $1.77{\pm}0.27mm$ (group 2), and $2.00{\pm}0.48mm$ (group 3). All groups demonstrated a loss of horizontal dimension. Intragroup changes exhibited significant differences in group 1 (P<0.001) and group 3 (P<0.01). Intergroup comparisons revealed statistically significant differences of the relative changes between groups 1 and 2 (P=0.033) and groups 1 and 3 (P=0.015). Conclusions: Volume change after wound closure was minimized by using an alloplastic membrane. The stability of the augmented horizontal thickness was most ensured by using this type of membrane irrespective of the bone substitute material used for membrane support.

A Study on the Collecting Efficiency of Oil-mist Filter according to the Sub-filter Shape (서브필터 형상에 따른 Oil-mist Filter의 포집효율 향상에 관한 연구)

  • Kim, Yong Sun;Yun, Seong Min;Shin, Hee Jae;Ko, Sang Cheol
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.18 no.1
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    • pp.16-23
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    • 2019
  • Cooking oil in kitchen-fog is the most harmful factor to the health of a cook. The proposed filter is a tool that protects the cooked state, to prevent users from inhaling oil mist in the kitchen. Due to efficiency issues, existing filters are of the mesh type or baffle type. In this paper, CFD analysis is carried out to select a filter with low pressure loss and low efficiency, and to attach the sub-filter to improve efficiency. The results of the analysis on the collection efficiency and pressure loss of three sub-filters, i.e., circle type, droplet type, and cone type, showed that the collection efficiency was 64.09% and the pressure loss was 1.26 mmAq when the circle type sub-filter was applied. The position of the sub-filter showed the best efficiency and pressure loss when it was located at the bottom of the center of the gap of the main filter.

A Robot End-effector for Biopsy Procedure Automation with Spring-Triggered Biopsy Gun Mechanism (스프링 격발형 생검총 구조를 가진 생검 시술 자동화 로봇 말단장치)

  • Won, Jong-Seok;Moon, Youngjin;Park, Sang Hoon;Choi, Jaesoon
    • Journal of Institute of Control, Robotics and Systems
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    • v.22 no.8
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    • pp.590-596
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    • 2016
  • Biopsy is a typical needle type intervention procedure performed under radiographic image equipment such as computed tomography (CT) and cone-beam CT. This minimal invasive procedure is a simple and effective way for identifying cancerous condition of a suspicious tissue but radiation exposure for the patients and interventional radiologists is a critical problem. In order to overcome such trouble and improve accuracy in targeting of the needle, there have been various attempts using robot technology. Those devices and systems, however, are not for full procedure automation in biopsy without consideration for tissue sampling task. A robotic end-effector of a master-slave tele-operated needle type intervention robot system has been proposed to perform entire biopsy procedure by the authors. However, motorized sampling adopted in the device has different cutting speed from that of biopsy guns used in the conventional way. This paper presents the design of a novel robotic mechanism and protocol for the automation of biopsy procedure using spring-triggered biopsy gun mechanism. An experimental prototype has been successfully fabricated and shown its feasibility of the automated biopsy sequence.

Successful nonsurgical treatment of type II dens invaginatus with 5 root canals using a self-adjusting file: a case report

  • George Taccio de Miranda Candeiro;Antonio Sergio Teixeira de Menezes;Ana Carolina Saldanha de Oliveira;Flavio Rodrigues Ferreira Alves
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.17.1-17.8
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    • 2023
  • The present report describes the endodontic treatment of an Oehlers type II dens invaginatus in a maxillary lateral incisor with 5 root canals, an extremely rare condition. Apical periodontitis and related symptoms were noted. Cone-beam computed tomography was used to aid the diagnosis, reveal tooth morphology, and assist in canal location. The pulp chamber was carefully accessed, and the root canals were explored under magnification. All root canals were prepared with an R25 Reciproc Blue system and sodium hypochlorite (NaOCl) irrigation. After initial preparation, a self-adjusting file (SAF) with NaOCl and ethylenediaminetetraacetic acid was used to complement the disinfection. Additionally, calcium hydroxide medication was applied. Vertical compaction was used to fill the canals with a calcium silicate-based endodontic sealer and gutta-percha. After 12 months, the patient exhibited healing of the periapical region, absence of symptoms, and normal dental function. In conclusion, this nonsurgical treatment protocol was successful in promoting the cure of apical periodontitis. Both complementary disinfection with an SAF and use of calcium hydroxide medication should be considered when choosing the best treatment approach for dens invaginatus with very complex anatomy.

C-shaped root canals of mandibular second molars in a Korean population: a CBCT analysis

  • Kim, Hee-Sun;Jung, Daun;Lee, Ho;Han, Yoon-Sic;Oh, Sohee;Sim, Hye-Young
    • Restorative Dentistry and Endodontics
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    • v.43 no.4
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    • pp.42.1-42.7
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    • 2018
  • Objectives: The purpose of this study was to investigate the C-shaped root canal anatomy of mandibular second molars in a Korean population. Materials and Methods: A total of 542 teeth were evaluated using cone-beam computed tomography (CBCT). The canal shapes were classified according to a modified version of Melton's method at the level where the pulp chamber floor became discernible. Results: Of the 542 mandibular second molars, 215 (39.8%) had C-shaped canals, 330 (53%) had 3 canals, 17 (3.3%) had 2 canals, 12 (2.2%) had 4 canals, and 8 (1.7%) had 1 canal. The prevalence of C-shaped canals was 47.8% in females and 28.4% in males. Seventy-seven percent of the C-shaped canals showed a bilateral appearance. The prevalence of C-shaped canals showed no difference according to age or tooth position. Most teeth with a C-shaped canal system presented Melton's type II (45.6%) and type III (32.1%) configurations. Conclusions: There was a high prevalence of C-shaped canals in the mandibular second molars of the Korean population studied. CBCT is expected to be useful for endodontic diagnosis and treatment planning of mandibular second molars.

Digital Tomosynthesis for Patient Alignment System Using Half-fan Mode CBCT Projection Images (Half-fan 모드를 이용한 방사선치료환자 위치교정을 위한 디지털영상 합성영상기술에 관한 예비연구)

  • Park, Justin C.;Park, Sung-Ho;Kim, Jin-Sung;Han, Young-Yih;Ju, Sang-Gyu;Shin, Eun-Hyuk;Shin, Jung-Suk;Park, Hee-Chul;Ahn, Yong-Chan;Song, Willian Y.
    • Progress in Medical Physics
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    • v.21 no.4
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    • pp.360-366
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    • 2010
  • To generate on-board digital tomosynthesis (DTS) for three-dimensionalimage-guided radiation therapy (IGRT) as an alternative to conventional portal imaging or on-board cone-beam computed tomography (CBCT), two clinical cases (liver and bladder) were selected to illustrate the capabilities of on-board DTS for IGRT. DTS images were generated from subsets of CBCT projection data (45, 162 projections) using half-fan mode scanning with a Feldkamp-type reconstruction algorithm. Digital tomosynthesis slices appeared similar to coincident CBCT planes and yielded substantially more anatomic information. Improved bony and soft-tissue visibility in DTS images is likely to improve target localization compared with radiographic verification techniques and might allow for daily localization of a soft-tissue target. Digital tomosynthesis might allow targeting of the treatment volume on the basis of daily localization.

From Theory to Implementation of a CPT-Based Probabilistic and Fuzzy Soil Classification

  • Tumay, Mehmet T.;Abu-Farsakh, Murad Y.;Zhang, Zhongjie
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.1466-1483
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    • 2008
  • This paper discusses the development of an up-to-date computerized CPT (Cone Penetration Test) based soil engineering classification system to provide geotechnical engineers with a handy tool for their daily design activities. Five CPT soil engineering classification systems are incorporated in this effort. They include the probabilistic region estimation and fuzzy classification methods, both developed by Zhang and Tumay, the Schmertmann, the Douglas and Olsen, and the Robertson et al. methods. In the probabilistic region estimation method, a conformal transformation is used to determine the soil classification index, U, from CPT cone tip resistance and friction ratio. A statistical correlation is established between U and the compositional soil type given by the Unified Soil Classification System (USCS). The soil classification index, U, provides a soil profile over depth with the probability of belonging to different soil types, which more realistically and continuously reflects the in-situ soil characterization, which includes the spatial variation of soil types. The CPT fuzzy classification on the other hand emphasizes the certainty of soil behavior. The advantage of combining these two classification methods is realized through implementing them into visual basic software with three other CPT soil classification methods for friendly use by geotechnical engineers. Three sites in Louisiana were selected for this study. For each site, CPT tests and the corresponding soil boring results were correlated. The soil classification results obtained using the probabilistic region estimation and fuzzy classification methods are cross-correlated with conventional soil classification from borings logs and three other established CPT soil classification methods.

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