口腔医学 ›› 2022, Vol. 42 ›› Issue (7): 627-630.doi: 10.13591/j.cnki.kqyx.2022.07.010

• 临床研究 • 上一篇    下一篇

锥形束CT体素重叠对二维头影测量纵向研究准确性的影响

马晓晴, 张玲, 陆婉, 钱文昊, 李志耀, 樊明月   

  1. 上海市徐汇区牙病防治所正畸科,上海(200032)
  • 修回日期:2022-03-30 出版日期:2022-07-28 发布日期:2022-07-22
  • 通讯作者: 樊明月 E-mail:13918158162@163.com
  • 基金资助:
    徐汇区医学科研项目(SHXH201915);徐汇区智慧医疗专项研究项目(XHZH202103);上海市卫生健康委员会科研项目(202040085)

Influence of voxel overlap of cone beam CT on the accuracy of longitudinal study on two-dimensional cephalometry

MA Xiaoqing, ZHANG Ling, LU Wan, QIAN Wenhao, LI Zhiyao, FAN Mingyue   

  1. Department of Orthodontics, Shanghai Xuhui District Dental Center, Shanghai 200032, China
  • Revised:2022-03-30 Online:2022-07-28 Published:2022-07-22

摘要: 目的 了解不同阶段锥形束CT(CBCT)体素重叠对二维影像纵向疗效评估时定量分析准确性的影响。方法 选取36例顺利完成拔牙矫治的双颌前突成人患者,治疗前后CBCT数据导入Dolphin软件,实验组以前颅底为基础进行体素重叠,分别分层重建形成组合式侧位片,对照组头颅再定位后直接转换为侧位片。选取16项指标进行测量,由一名资深正畸医生完成所有病例的测量,所有数据测量两次,分别计算治疗前、后各指标的差值,采用配对t检验进行组间分析。结果 体素重叠后颅底结构拟合度较好,实验组各标记点较易识别,治疗前、后差值的组间比较表明SNA,U1-NA, U1-Y,U6-Y,L1-Y, L6-Y差异有统计学意义(P<0.05)。结论 CBCT体素重叠可减小测量误差,提高纵向研究的准确性。

关键词: 体素重叠, 分层重建, 误差, 纵向研究

Abstract: Objective To understand the effect of cone-beam CT(CBCT) voxel overlap at different stages on the accuracy of quantitative analysis during longitudinal efficacy assessment of two-dimensional images. Methods Thirty-six adult patients with bimaxillary protrusion who had finished extraction orthodontic treatment were selected, and CBCT data before and after treatment were imported into Dolphin software. The experimental group underwent voxel overlap based on the anterior cranial base, then were reconstructed respectively in layers to form the combined lateral film. In the control group they were directly converted to lateral films after cranial repositioning. 16 indexes were selected for measurement and one senior orthodontist completed all the measurements. All the data were measured twice. Differences of the indexes before and after treatment were calculated respectively. Paired t-test was used for inter-group analysis. Results Voxel overlap helped improve the fitting degree of skull base and the marker points in the experimental group were easier to identify. Inter-group comparison of the differences showed that there were significant differences in SNA, U1-NA, U1-Y, U6-Y, L1-Y and L6-Y (P<0.05). Conclusion CBCT voxel overlap can reduce errors and improve the accuracy of longitudinal studies.

Key words: voxel overlap, reconstruction in layers, error, longitudinal study

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