Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of object position in the field of view and application of a metal artifact reduction algorithm on the detection of vertical root fractures on cone-beam computed tomography scans: An in vitro study

  • Nikbin, Ava (Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences) ;
  • Kajan, Zahra Dalili (Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences) ;
  • Taramsari, Mehran (Dental Sciences Research Center, Department of Endodontics, Faculty of Dentistry, Guilan University of Medical Sciences) ;
  • Khosravifard, Negar (Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences)
  • Received : 2018.06.15
  • Accepted : 2018.08.24
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To assess the effects of object position in the field of view (FOV) and application of a metal artifact reduction (MAR) algorithm on the diagnostic accuracy of cone-beam computed tomography (CBCT) for the detection of vertical root fractures(VRFs). Materials and Methods: Sixty human single-canal premolars received root canal treatment. VRFs were induced in 30 endodontically treated teeth. The teeth were then divided into 4 groups, with 2 groups receiving metal posts and the remaining 2 only having an empty post space. The roots from different groups were mounted in a phantom made of cow rib bone, and CBCT scans were obtained for the 4 different groups. Three observers evaluated the images independently. Results: The highest frequency of correct diagnoses of VRFs was obtained with the object positioned centrally in the FOV, using the MAR algorithm. Peripheral positioning of the object without the MAR algorithm yielded the highest sensitivity for the first observer (66.7%). For the second and third observers, a central position improved sensitivity, with or without the MAR algorithm. In the presence of metal posts, central positioning of the object in the FOV significantly increased the diagnostic sensitivity and accuracy compared to peripheral positioning. Conclusion: Diagnostic accuracy was higher with central positioning than with peripheral positioning, irrespective of whether the MAR algorithm was applied. However, the effect of the MAR algorithm was more significant with central positioning than with peripheral positioning of the object in the FOV. The clinical experience and expertise of the observers may serve as a confounder in this respect.

Keywords

References

  1. Kamburoglu K, Murat S, Yuksel SP, Cebeci AR, Horasan S. Detection of vertical root fracture using cone-beam computerized tomography: an in vitro assessment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e74-81.
  2. Tamse A. Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. Endod Topics 2006; 13: 84-94. https://doi.org/10.1111/j.1601-1546.2006.00200.x
  3. Khedmat S, Rouhi N, Drage N, Shokouhinejad N, Nekoofar MH. Evaluation of three imaging techniques for the detection of vertical root fractures in the absence and presence of gutta-percha root fillings. Int Endod J 2012; 45: 1004-9. https://doi.org/10.1111/j.1365-2591.2012.02062.x
  4. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007; 40: 818-30. https://doi.org/10.1111/j.1365-2591.2007.01299.x
  5. Pauwels R, Stamatakis H, Bosmans H, Bogaerts R, Jacobs R, Horner K, et al. Quantification of metal artifacts on cone beam computed tomography images. Clin Oral Implants Res 2013; 24 Suppl A100: 94-9. https://doi.org/10.1111/j.1600-0501.2011.02382.x
  6. Bernardes RA, de Moraes IG, Hungaro Duarte MA, Azevedo BC, de Azevedo JR, Bramante CM. Use of cone-beam volumetric tomography in the diagnosis of root fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 270-7. https://doi.org/10.1016/j.tripleo.2009.01.017
  7. Ferreira RI, Bahrami G, Isidor F, Wenzel A, Haiter-Neto F, Groppo FC. Detection of vertical root fractures by cone-beam computerized tomography in endodontically treated teeth with fiber-resin and titanium posts: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115: e49-57.
  8. Youssefzadeh S, Gahleitner A, Dorffner R, Bernhart T, Kain berger FM. Dental vertical root fractures: value of CT in detection. Radiology 1999; 210: 545-9. https://doi.org/10.1148/radiology.210.2.r99ja20545
  9. Moudi E, Haghanifar S, Madani Z, Alhavaz A, Bijani A, Bagheri M. Assessment of vertical root fracture using cone-beam computed tomography. Imaging Sci Dent 2014; 44: 37-41. https://doi.org/10.5624/isd.2014.44.1.37
  10. Kajan ZD, Taromsari M. Value of cone beam CT in detection of dental root fractures. Dentomaxillofac Radiol 2012; 41: 3-10. https://doi.org/10.1259/dmfr/25194588
  11. Wang P, Yan XB, Lui DG, Zhang WL, Zhang Y, Ma XC. Detection of dental root fractures by using cone-beam computed tomography. Dentomaxillofac Radiol 2011; 40: 290-8. https://doi.org/10.1259/dmfr/84907460
  12. Bornstein MM, Wolner-Hanssen AB, Sendi P, von Arx T. Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root-fractured permanent teeth. Dent Traumatol 2009; 25: 571-7. https://doi.org/10.1111/j.1600-9657.2009.00833.x
  13. Parsa A, Ibrahim N, Hassan B, Syriopoulos K, van der Stelt P. Assessment of metal artefact reduction around dental titanium implants in cone beam CT. Dentomaxillofac Radiol 2014; 43: 20140019. https://doi.org/10.1259/dmfr.20140019
  14. Pauwels R, Jacobs R, Bogaerts R, Bosmans H, Panmekiate S. Reduction of scatter-induced image noise in cone beam computed tomography: effect of field of view size and position. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 121: 188-95. https://doi.org/10.1016/j.oooo.2015.10.017
  15. Queiroz PM, Santaella GM, da Paz TD, Freitas DQ. Evaluation of a metal artefact reduction tool on different positions of a metal object in the FOV. Dentomaxillofac Radiol 2017; 46:20160366. https://doi.org/10.1259/dmfr.20160366
  16. Bechara BB, Moore WS, McMahan CA, Noujeim M. Metal artefact reduction with cone beam CT: an in vitro study. Dentomaxillofac Radiol 2012; 41: 248-53. https://doi.org/10.1259/dmfr/80899839
  17. Bezerra IS, Neves FS, Vasconcelos TV, Ambrosano GM, Freitas DQ. Influence of the artefact reduction algorithm of Picasso Trio CBCT system on the diagnosis of vertical root fractures in teeth with metal posts. Dentomaxillofac Radiol 2015; 44:20140428. https://doi.org/10.1259/dmfr.20140428
  18. Barrett JF, Keat N. Artifacts in CT: recognition and avoidance. Radiographics 2004; 24: 1679-91. https://doi.org/10.1148/rg.246045065
  19. Ozer SY. Detection of vertical root fractures of different thicknesses in endodontically enlarged teeth by cone beam computed tomography versus digital radiography. J Endod 2010; 36: 1245-9. https://doi.org/10.1016/j.joen.2010.03.021
  20. Junqueira RB, Verner FS, Campos CN, Devito KL, do Carmo AM. Detection of vertical root fractures in the presence of intracanal metallic post: a comparison between periapical radiography and cone-beam computed tomography. J Endod 2013; 39: 1620-4. https://doi.org/10.1016/j.joen.2013.08.031
  21. Melo SL, Haiter-Neto F, Correa LR, Scarfe WC, Farman AG. Comparative diagnostic yield of cone beam CT reconstruction using various software programs on the detection of vertical root fractures. Dentomaxillofac Radiol 2013; 42: 20120459. https://doi.org/10.1259/dmfr.20120459
  22. Bechara B, Alex McMahan C, Moore WS, Noujeim M, Teixeira FB, Geha H. Cone beam CT scans with and without artefact reduction in root fracture detection of endodontically treated teeth. Dentomaxillofac Radiol 2013; 42: 20120245. https://doi.org/10.1259/dmfr.20120245
  23. Dalili Kajan Z, Taramsari M, Khosravi Fard N, Khaksari F, Moghasem Hamidi F. The efficacy of metal artifact reduction mode in cone-beam computed tomography images on diagnostic accuracy of root fractures in teeth with intracanal posts. Iran Endod J 2018; 13: 47-53.
  24. Iikubo M, Nishioka T, Okura S, Kobayashi K, Sano T, Katsumata A, et al. Influence of voxel size and scan field of view on fracture-like artifacts from gutta-percha obturated endodontically treated teeth on cone-beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: 631-7. https://doi.org/10.1016/j.oooo.2016.07.014
  25. Queiroz PM, Oliveira ML, Groppo FC, Haiter-Neto F, Freitas DQ. Evaluation of metal artefact reduction in cone-beam computed tomography images of different dental materials. Clin Oral Investig 2018; 22: 419-23. https://doi.org/10.1007/s00784-017-2128-9
  26. Salineiro FCS, Kobayashi-Velasco S, Braga MM, Cavalcanti MGP. Radiographic diagnosis of root fractures: a systematic review, meta-analyses and sources of heterogeneity. Dentomaxillofac Radiol 2017; 46: 20170400. https://doi.org/10.1259/dmfr.20170400
  27. Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M, Ariji E, et al. Relationship between density variability and imaging volume size in cone-beam computerized tomographic scanning of the maxillofacial region: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 420-5. https://doi.org/10.1016/j.tripleo.2008.05.049
  28. van Daatselaar AN, Dunn SM, Spoelder HJ, Germans DM, Renambot L, Bal HE, et al. Feasibility of local CT of dental tissues. Dentomaxillofac Radiol 2003; 32: 173-80. https://doi.org/10.1259/dmfr/28402359
  29. Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M, Ariji E, et al. Effects of image artifacts on gray-value density in limited-volume cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 829-36. https://doi.org/10.1016/j.tripleo.2006.12.005

Cited by

  1. In vivo and in vitro diagnosis of cracked teeth: A review vol.11, pp.6, 2018, https://doi.org/10.4103/jioh.jioh_92_19
  2. Diagnosis of cracked teeth using cone-beam computed tomography: literature review and clinical experience vol.50, pp.5, 2018, https://doi.org/10.1259/dmfr.20200407
  3. Influence of size of field of view (FOV), position within the FOV, and scanning mode on the detection of root fracture and observer’s perception of artifacts in CBCT images vol.50, pp.6, 2018, https://doi.org/10.1259/dmfr.20200563
  4. Influence of metal artefact reduction tool on the detection of vertical root fractures involving teeth with intracanal materials in cone beam computed tomography images: A systematic review and meta vol.54, pp.10, 2018, https://doi.org/10.1111/iej.13569