Neralla Ananya, Mishra Silpiranjan, Nc Sangamesh, Srinivasan Bhuvaneshwari, Bajoria Atul Anand, Singh Dhirendra
Oral Medicine and Radiology, Kalinga Institute of Dental Sciences, Bhubaneswar, IND.
Periodontology, Kalinga Institute of Dental Sciences, Bhubaneswar, IND.
Cureus. 2024 Nov 6;16(11):e73172. doi: 10.7759/cureus.73172. eCollection 2024 Nov.
This study aims to assess the accuracy of linear alveolar bone measurements for implant planning using cone-beam computed tomography (CBCT) by comparing three 3D imaging software: CareStream (Carestream Health, Rochester, New York, United States), RadiAnt (Medixant, Poznan, Poland), and iRYS (Cefla s.c., Imola, Italy).
Twenty-seven dry goat mandibles were used for this in-vitro study. Gutta-percha markers were placed on the mandibles, which were then scanned using a CBCT machine. Linear measurements of the alveolar bone were taken at the implant sites using CareStream, RadiAnt, and iRYS software, and compared to gold-standard measurements obtained using digital Vernier calipers. Measurements included bone height and width, and the absolute measurement errors were calculated to assess accuracy.
iRYS consistently provided the most accurate measurements compared to the control, especially at lower error thresholds. RadiAnt tended to overestimate, while CareStream yielded intermediate values. Across all thresholds, iRYS showed the least deviation, followed by CareStream and RadiAnt. Statistical analysis showed no significant differences between the three software programs at higher error thresholds, confirming the reliability of each for implant planning.
All three software programs (iRYS, CareStream, and RadiAnt) offered reliable and accurate measurements for implant planning using CBCT, with iRYS being the most accurate. Clinicians can confidently use any of the three, although iRYS may be preferred for cases requiring higher precision.
本研究旨在通过比较三款三维成像软件（CareStream（美国纽约罗切斯特的Carestream Health公司）、RadiAnt（波兰波兹南的Medixant公司）和iRYS（意大利伊莫拉的Cefla s.c.公司）），评估使用锥形束计算机断层扫描（CBCT）进行种植体规划时线性牙槽骨测量的准确性。
本体外研究使用了27个干燥的山羊下颌骨。在下颌骨上放置牙胶标记物，然后使用CBCT机进行扫描。使用CareStream、RadiAnt和iRYS软件在种植体部位进行牙槽骨的线性测量，并与使用数字游标卡尺获得的金标准测量值进行比较。测量包括骨高度和宽度，并计算绝对测量误差以评估准确性。
与对照组相比，iRYS始终提供最准确的测量值，尤其是在较低误差阈值时。RadiAnt往往会高估，而CareStream得出的是中间值。在所有阈值下，iRYS的偏差最小，其次是CareStream和RadiAnt。统计分析表明，在较高误差阈值时，这三款软件程序之间没有显著差异，证实了它们在种植体规划方面的可靠性。
所有三款软件程序（iRYS、CareStream和RadiAnt）在使用CBCT进行种植体规划时都提供了可靠且准确的测量值，其中iRYS最准确。临床医生可以放心使用这三款软件中的任何一款，不过对于需要更高精度的病例，可能更倾向于使用iRYS。
