研究目的
This study aimed to assess the ability of three Cone Beam Computed Tomography (CBCT) systems including Cranex 3D, NewTom 3G and 3D Promax for Three-Dimensional (3D) image reconstruction of the cortical plate with variable thicknesses.
研究成果
Most CBCT systems have high efficacy for 3D image reconstruction of cortical bone with thicknesses over 1 mm, but poor efficacy for thicknesses less than 0.5 mm. Systems with smaller FOVs and smaller voxel sizes, such as Cranex 3D with 4x6 cm2 FOV, perform better for visualizing thin cortical bone. This highlights the importance of selecting appropriate CBCT systems and parameters for accurate dental and maxillofacial imaging.
研究不足
The study is an in vitro experiment using bovine bone, which may not fully replicate human clinical conditions. Only three CBCT systems were evaluated, and the sample size was limited to 72 samples. The use of wax for soft tissue simulation might not accurately represent real soft tissues. The study focused on cortical bone visualization and did not assess other anatomical structures or pathological conditions.
1:Experimental Design and Method Selection:
The study used an in vitro design with bovine rib bone samples prepared in three groups based on cortical bone thickness (≤0.5 mm, 0.6-1 mm, 1.1-1.5 mm). CBCT scans were performed using three systems with different FOVs, and 3D images were reconstructed using respective software. Two observers evaluated the images for visibility of cortical bone, with statistical analysis using SPSS and Kappa test for agreement.
2:5 mm, 6-1 mm, 1-5 mm). CBCT scans were performed using three systems with different FOVs, and 3D images were reconstructed using respective software. Two observers evaluated the images for visibility of cortical bone, with statistical analysis using SPSS and Kappa test for agreement. Sample Selection and Data Sources:
2. Sample Selection and Data Sources: Freshly slaughtered cow rib bone was used, cut into 2x2 cm cubes with varying cortical thicknesses. Samples were kept hydrated in a freezer. A total of 72 samples (24 per group) were scanned.
3:List of Experimental Equipment and Materials:
CBCT systems: Cranex 3D (Soredex), NewTom 3G (QR SRL), 3D Promax (Planmeca); software: OnDemand 3D dental (Soredex), NNT Viewer (NewTom), Romexis (Planmeca); other equipment: saw, cutting disc, milling machine (all Lamico brand), wax for soft tissue simulation, mandible model.
4:Experimental Procedures and Operational Workflow:
Bone samples were prepared and mounted in wax-simulated mandibular models. Each sample was scanned with all three CBCT systems at specified FOVs and parameters. 3D images were reconstructed using the software, and two radiologists assessed cortical bone visibility twice with a two-week interval.
5:Data Analysis Methods:
Data were analyzed with SPSS software (version 16). Descriptive statistics and Kappa test were used to evaluate intra- and inter-observer agreements and system efficacy.
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Cranex 3D
Not specified
Soredex
CBCT system for acquiring 3D images of maxillofacial structures
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NewTom 3G
Not specified
QR SRL Company
CBCT system for acquiring 3D images of maxillofacial structures
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3D Promax
Not specified
Planmeca OY
CBCT system for acquiring 3D images of maxillofacial structures
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OnDemand 3D dental software
Not specified
Soredex
Software for reconstructing and viewing 3D CBCT images
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NNT Viewer software
Not specified
Newtom
Software for reconstructing and viewing 3D CBCT images
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Romexis software
Not specified
Planmeca OY
Software for reconstructing and viewing 3D CBCT images
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SPSS software
V.16
SPSS
Statistical analysis software for data processing
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Saw
Not specified
Lamico
Cutting bone samples
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Cutting disc
Not specified
Lamico
Cutting bone samples
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Milling machine
Not specified
Lamico
Preparing bone samples to specific thicknesses
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