Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Sao Paulo, Brazil.
OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven, University Hospitals Leuven, Leuven, Belgium; Department of Radiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Dec;136(6):759-768. doi: 10.1016/j.oooo.2023.07.005. Epub 2023 Jul 11.
OBJECTIVE: The objective of this study was to evaluate 2-dimensional (2D) and 3D morphometric parameters of C-shaped root canals on cone beam computed tomography (CBCT) and microcomputed tomography (microCT) images using nanocomputed tomography (nanoCT) as the reference standard. STUDY DESIGN: Sixty mandibular molars with C-shaped canals were individually scanned using nanoCT and microCT. Cone beam computed tomography acquisitions were then performed with 4 CBCT systems, using high and standard resolutions. The 2D parameters of roundness and major and minor diameters were obtained in the cross sections of the root canals at 1, 2, and 3 mm from the root apex. The 3D parameters of surface area, volume, and structure model index were measured considering the entire extension of the root canals. Absolute error (AE) in measurement was calculated against the nanoCT values. Data were statistically analyzed with the Shapiro-Wilk test and analysis of variance (α = 0.05). RESULTS: No significant differences in AE were discovered for the 2D parameters among microCT and the CBCT scans. The AE values for the 3D parameters of volume and surface area were significantly smaller in microCT compared to all CBCT units (P < .05). Significantly lower AE values for surface area were observed in high resolution compared to standard resolution for all CBCT units (P < .05). Structure model index did not differ significantly among microCT and all CBCT protocols. CONCLUSIONS: Cone beam computed tomography images showed accuracy for evaluating 2D parameters and over- and underestimation for 3D parameters.
目的:本研究旨在通过纳米计算机断层扫描(nanoCT)作为参考标准,评估锥形束计算机断层扫描(CBCT)和微计算机断层扫描(microCT)图像上 C 形根管的 2 维(2D)和 3 维形态参数。
研究设计:将 60 颗具有 C 形根管的下颌磨牙分别用 nanoCT 和 microCT 进行扫描。然后使用 4 种 CBCT 系统以高分辨率和标准分辨率进行锥形束 CT 采集。在根尖 1、2 和 3 毫米处的根管横截面中获得圆形和长径和短径的 2D 参数。考虑到根管的整个延伸,测量表面积、体积和结构模型指数的 3D 参数。根据 nanoCT 值计算测量的绝对误差(AE)。使用 Shapiro-Wilk 检验和方差分析(α=0.05)对数据进行统计分析。
结果:微 CT 和 CBCT 扫描的 2D 参数之间的 AE 无显著差异。与所有 CBCT 单位相比,体积和表面积的 3D 参数的 AE 值在 microCT 中明显较小(P<.05)。与所有 CBCT 单位的标准分辨率相比,高分辨率的表面积 AE 值明显较低(P<.05)。结构模型指数在 microCT 和所有 CBCT 方案之间没有显著差异。
结论:CBCT 图像在评估 2D 参数方面具有准确性,但在 3D 参数方面存在高估和低估。
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023-12