• Imaging Science in Dentistry
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• 제49권1호
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• pp.53-58
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• 2019

Purpose: To present characteristic findings of Tc-99m hydroxymethylene diphosphonate (HMDP) scintigraphy, computed tomography (CT), and magnetic resonance (MR) imaging for osteonecrosis in the mandible, especially osteoradionecrosis(ORN) and medication-related osteonecrosis of the jaw(MRONJ). Materials and Methods: Thirteen patients with MRONJ and 7 patients with ORN in the mandible underwent Tc-99m HMDP scintigraphy, CT, and MR imaging (T1-weighted images[T1WI], T2-weighted images[T2WI], short inversion time inversion recovery images[STIR]), diffusion-weighted images[DWI], and apparent diffusion coefficient [ADC] mapping). The associations of scintigraphy, CT, and MR imaging findings with MRONJ and ORN were analyzed using the chi-square test with the Pearson exact test. Results: Thirteen patients with MRONJ and 7 patients with ORN in the mandible showed low signal intensity on T1WI and ADC mapping, high signal intensity on STIR and DWI, and increased uptake on scintigraphy. Periosteal bone proliferation on CT was observed in 69.2% of patients with MRONJ(9 of 13) versus 14.3% of patients with ORN(1 of 7)(P=0.019). Conclusion: This study presented characteristic imaging findings of MRONJ and ORN on scintigraphy, CT, and MR imaging. Our results suggest that CT can be effective for detecting MRONJ and ORN.

• 대한치과교정학회지
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• 제42권4호
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• pp.169-181
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• 2012

Objective: The purpose of this study was to develop superimposition method on the lower arch using 3-dimensional (3D) cone beam computed tomography (CBCT) images and orthodontic 3D digital modeling. Methods: Integrated 3D CBCT images were acquired by substituting the dental portion of 3D CBCT images with precise dental images of an orthodontic 3D digital model. Images were acquired before and after treatment. For the superimposition, 2 superimposition methods were designed. Surface superimposition was based on the basal bone structure of the mandible by surface-to-surface matching (best-fit method). Plane superimposition was based on anatomical structures (mental and lingual foramen). For the evaluation, 10 landmarks including teeth and anatomic structures were assigned, and 30 times of superimpositions and measurements were performed to determine the more reproducible and reliable method. Results: All landmarks demonstrated that the surface superimposition method produced relatively more consistent coordinate values. The mean distances of measured landmarks values from the means were statistically significantly lower with the surface superimpositions method. Conclusions: Between the 2 superimposition methods designed for the evaluation of 3D changes in the lower arch, surface superimposition was the simpler, more reproducible, reliable method.

• Journal of Oral Medicine and Pain
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• 제21권2호
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• pp.255-264
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• 1996

This study was performed to demonstrate the method of image reformation for dental implants, using a personal computer with inexpensive softwares and to compare the images reformatted using the above method with those using Dentascan software. CT axial slices of 4 mandibles of 4 volunteers from GE Highspeed Advantage(GE Medical systems, U.S.A.) were used. personal computer used for image reformation was PowerWave 604/120 (Power computing Co, U.S.A. ) and softwares used were Osiris (Univ. Hospital of Geneva, Switzerland) and ImportACLESS Vl.1 (Designed Access Co., U.S.A.) for importing CT images and NIH image 1.58 (NIH, U.S.A.) for image processing. Seven image were selected among the serial reconstructed cross-sectional images produced by Dentascan. Seven resliced cross-sectional images at the same position were obtained at the personal computer. Regression analysis of the measurements of PC group was done against those of DS group. Measurements of the bone height and width at the reformer cross-sectional images using Mac-compatible computer was highly correlated with those using workstation with Dentascan software(height : r2= 0.999, p<0.001, width : r2= 0.993, p <0.001). So, it is considered that we can use a personal computer with inexpensive software for the dental implant planning, instead of the expensive software and workstation.

• 대한치과의사협회지
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• 제57권11호
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• pp.690-699
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• 2019

Ultrasound sonography(US) is used to evaluate various diseases of maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. Nevertheless, the clinical application of US imaging is limited in the dental field. This is due to the lack of knowledge about the US image and the image characteristics of the anatomical structures. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging.

• 한국멀티미디어학회논문지
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• 제17권10호
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• pp.1205-1212
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• 2014

In this paper, we propose a high-quality stitching method of 3D multiple dental CT images. First, a weighted function is generated using the difference of two distance functions that calculate a distance from the nearest edge of an overlapped region to each position. And a blending ratio propagation function for two gradient vectors is parameterized by the difference and magnitude of gradient vectors that is also applied by the weighted function. When the blending ratio is propagated, an improved region growing scheme is proposed to decide the next position and calculate the blending intensity. The proposed method produces a high-quality stitching image. Our method removes the seam artifact caused by the mean intensity difference between images and vignetting effect. And it removes double edges caused by local misalignment. Experimental results showed that the proposed method produced high-quality stitching images for ten patients. Our stitching method could be usefully applied into the stitching of 3D or 2D multiple images.

• Journal of Korean Dental Science
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• 제12권1호
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• pp.20-28
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• 2019

Purpose: This study was performed to evaluate the effect of voxel size on the accuracy of landmark identification in cone-beam computed tomography (CBCT) images. Materials and Methods: CBCT images were obtained from 15 dry human skulls with two different voxel sizes; 0.39 mm and 0.10 mm. Three midline landmarks and eight bilateral landmarks were identified by 5 examiners and were recorded as three-dimensional coordinates. In order to compare the accuracy of landmark identification between large and small voxel size images, the difference between best estimate (average value of 5 examiners' measurements) and each examiner's value were calculated and compared between the two images. Result: Landmark identification errors showed a high variability according to the landmarks in case of large voxel size images. The small voxel size images showed small errors in all landmarks. The landmark identification errors were smaller for all landmarks in the small voxel size images than in the large voxel size images. Conclusion: The results of the present study indicate that landmark identification errors could be reduced by using smaller voxel size scan in CBCT images.

• 대한치과의사협회지
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• 제57권4호
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• pp.213-220
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• 2019

Purpose: The aim of this study was to evaluate the red fluorescence characteristics of bacterial dental deposits assessed by quantitative light-induced fluorescence (QLF) technology and confirm whether the red fluorescence can distinguish and evaluate quantitatively accumulation of bacterial dental deposits. Methods: This retrospective cross-sectional study used QLF images captured at a dental clinic from January to December 2016. In each QLF image, a skilled examiner selected one region where the presence of deposits was suspected. Then, the regions were classified into three groups of not detectable deposits(ND), half detectable deposits (HD), and full detectable deposits (FD) by two examiners according to classification criteria. Only those images where the regions of bacterial dental deposits were classified identically by all examiners were used for analysis. The mean red fluorescence intensity (RFI) was defined as the mean value of R/G for all pixels in the regions. The RFI was compared between groups using Welch's ANOVA test, and the Spearman correlation was calculated to assess the association between RFI and accumulation of deposits. Results: In this study, 351 images among the collected images of 605 subjects were finally selected. The mean age of subjects was about 44 years. The R/G values of the ND, HD and FD were 0.73, 1.26 and 1.83 respectively. There were significant differences between all groups (p<0.001), and strong positive correlation was identified between the R/G value and the accumulation of deposits (r = 0.90, p<0.001). Conclusion: The intensity of red fluorescence as observed in the QLF images correlated well with the accumulation maturation of the deposits, which indicates that the QLF technology can be used to evaluate the status of oral hygiene.

• Imaging Science in Dentistry
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• 제41권4호
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• pp.189-193
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• 2011

The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.

• Imaging Science in Dentistry
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• 제42권3호
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• pp.183-190
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• 2012

Purpose: The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods: Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. Results: A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed 'optimal for obtaining diagnostic information,' 153 were 'adequate for diagnosis,' 109 were 'poor but diagnosable,' and nine were 'unrecognizable and too poor for diagnosis'. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Conclusion: Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

• 한국CDE학회논문집
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• 제15권3호
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• pp.234-242
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• 2010

3D CAD technology has been extended to a medical area including dental clinic beyond industrial design. The 2D images obtained by CT(Computerized Tomography) and MRI(Magnetic Resonance Imaging) are not intuitive, and thus the volume rendering technique, which transforms 2D data into 3D anatomic information, has been in practical use. This paper has focused on a method and its implementation for forming 3D geometric surface model from laminated CT images of the pubis. The implemented system could support a dental clinic to observe and examine the status of a patient's pubis before implant surgery. The supplement of 3D implant model would help dental surgeons settle operation plans more safely and confidently. It also would be utilized with teaching materials for a practice and training.