Department of Oral and Maxillofacial Surgery, Hospital Clínico Universitario of Valencia, Valencia, Spain.
Int J Oral Maxillofac Surg. 2011 Nov;40(11):1227-37. doi: 10.1016/j.ijom.2011.06.017. Epub 2011 Jul 20.
A systematic review of the literature concerning upper airway imaging and analysis using cone-beam computed tomography (CBCT) was performed. A PubMed search (National Library of Medicine, NCBI; revised 9th January 2011) yielded 382 papers published between 1968 and 2010. The 382 full papers were screened in detail. 46 articles were considered clinically or technically relevant and were included in this systematic review. These were classified as articles on accuracy and reliability of CBCT imaging of the upper airway (n=4), accuracy and reliability of DICOM viewers (n=2), synopsis (n=10), technical (n=7) and clinical applications (n=27). When one paper was considered related to two or more categories, it was assigned to each relevant group. Results indicate that three-dimensional (3D) analysis of the upper airway using CBCT can be achieved in an accurate and reliable manner. Important obstacles still need to be addressed, including the impact of respiration phase, influence of tongue position and mandible morphology, longitudinal and cross-sectional 3D CBCT upper airway evaluation, and 3D CBCT definition of the anatomical boundaries of the upper airway.
采用锥形束 CT（CBCT）对气道进行影像学检查和分析的文献进行了系统回顾。在 PubMed 进行了检索（美国国立医学图书馆，NCBI；修订于 2011 年 1 月 9 日），获得了 1968 年至 2010 年间发表的 382 篇论文。对这 382 篇全文进行了详细筛选。46 篇被认为在临床或技术上具有相关性，并纳入了本系统综述。这些文章被分为气道 CBCT 成像的准确性和可靠性的文章（n=4）、DICOM 观察器的准确性和可靠性的文章（n=2）、概述（n=10）、技术（n=7）和临床应用（n=27）。当一篇文章被认为与两个或更多类别相关时，它被分配到每个相关组。结果表明，使用 CBCT 可以准确可靠地对气道进行三维（3D）分析。但仍需要解决一些重要障碍，包括呼吸阶段的影响、舌位和下颌骨形态的影响、气道的纵向和横向 3D CBCT 评价、3D CBCT 对气道解剖边界的定义。
