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Evaluation of the efficacy of the metal artifact reduction algorithm in the detection of a vertical root fracture in endodontically treated teeth in cone-beam computed tomography images: An in vitro study

机译:在锥束计算机断层扫描图像中评估金属假象减少算法在牙髓治疗牙齿中检测垂直牙根骨折的功效评估:一项体外研究

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Background . Three-dimensional (3D) cone-beam computed tomography (CBCT) scans play an important role in dental diagnostics and treatment planning, especially in detecting vertical root fractures (VRFs). However, artifacts caused by high-density dental materials can negatively affect the quality of CBCT images by decreasing contrast and masking structures. Objectives . The aim of this study was to assess the efficacy of artifact removal software in detecting VRFs in endodontically treated teeth on CBCT scans. Material and Methods . This study evaluated 70 endodontically treated single-rooted teeth. Half of the teeth were cracked by introducing a wedge into the canal and tapping gently with a hammer; the rest remained untouched as a control group. The teeth were then mounted in a bovine rib bone. Soft tissue was simulated using red dental wax. Cone-beam computed tomography scans were taken using the NewTom? 3G, ProMax? 3D and Cranex? 3D CBCT systems, and the MATLAB software was applied. The images were evaluated by 2 oral and maxillofacial radiologists, and the results were recorded in a checklist. The data was analyzed using the κ coefficient, McNemar’s test and the receiver operating characteristic (ROC) curves. Results . A significant inter-observer agreement was noted between the 2 observers in detecting VRFs using all CBCT systems. In all systems, the use of the MATLAB software improved the detection of VRFs, but the difference was not significant in the NewTom 3G (p = 0.119) and ProMax 3D (p = 0.455) systems. However, the difference was significant in the Cranex 3D system (p = 0.039). Conclusion . The MATLAB artifact removal software can enhance the detection of VRFs on CBCT scans to some extent.
机译:背景 。三维(3D)锥形束计算机断层扫描(CBCT)扫描在牙科诊断和治疗计划中,尤其是在检测垂直根部骨折(VRF)方面起着重要作用。但是,由高密度牙科材料引起的伪影会通过降低对比度和掩盖结构来负面影响CBCT图像的质量。目标。这项研究的目的是评估在CBCT扫描中,在去除牙髓治疗牙齿中VRF时,去除假象软件的功效。材料与方法 。这项研究评估了70颗经牙髓治疗的单根牙齿。将楔形物插入根管并用锤子轻轻敲打,使一半的牙齿破裂。其余的人作为对照组保持不变。然后将牙齿固定在牛肋骨上。使用红色的牙蜡模拟软组织。使用NewTom进行锥形束计算机断层扫描。 3G,ProMax? 3D和Cranex? 3D CBCT系统,并应用了MATLAB软件。由两名口腔颌面放射科医生对图像进行评估,并将结果记录在清单中。使用κ系数,McNemar测试和接收器工作特性(ROC)曲线对数据进行了分析。结果。在使用所有CBCT系统检测VRF时,两个观察者之间注意到了一个重要的观察者间协议。在所有系统中,使用MATLAB软件均可改善对VRF的检测,但在NewTom 3G(p = 0.119)和ProMax 3D(p = 0.455)系统中,差异并不明显。但是,在Cranex 3D系统中差异非常明显(p = 0.039)。结论。 MATLAB工件消除软件可以在某种程度上增强CBCT扫描中对VRF的检测。

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