DOI QR코드

DOI QR Code

Expression of beam hardening artifacts on horizontally stitched cone-beam computed tomography images

  • 투고 : 2024.03.27
  • 심사 : 2024.08.02
  • 발행 : 2024.12.31

초록

Purpose: This study was performed to evaluate the expression of beam hardening artifacts generated by high atomic number materials in stitched cone-beam computed tomography (CBCT) images, compared to the traditional acquisition mode. Materials and Methods: CBCT volumes were acquired using an acrylic resin phantom embedded with pairs of cylinders made from amalgam dental alloy, cobalt-chromium alloy, gutta-percha, titanium, and zirconium. These cylinders were placed within the overlapping zones of the stitching reconstruction area. For each material, 3 acquisitions were conducted: 1 utilizing the automatic stitching process with a FOV of 80×37 mm, and 2 with smaller FOVs of 50×37mm. For the smaller FOVs, 1 scan targeted the anterior region, while the other focused on the left posterior region. Thus, 3 groups were formed: stitched FOV, anterior FOV, and posterior FOV. Artifact expression was assessed by calculating the means and standard deviations(SDs) of the gray values in 4 regions of interest located anteriorly, posteriorly, medially, and laterally to the cylinders. Analysis of variance was used to compare the data, with an alpha level of 5%. Results: The stitched FOV exhibited lower SD values than the posterior and anterior FOVs (P<0.05). Regarding the materials evaluated, amalgam, cobalt-chromium, and zirconium generally demonstrated higher SDs of the gray values than gutta-percha and titanium (P<0.05). Conclusion: Horizontally stitched CBCT images demonstrated lower artifact expression compared to the traditional mode of acquisition.

키워드

과제정보

The authors extend their gratitude to S.I.N. Implant System(São Paulo, Brazil) for supplying the titanium cylinders and to Fernanda Coelho-Silva for providing the additional cylinders.

참고문헌

  1. Scarfe WC, Li Z, Aboelmaaty W, Scott SA, Farman AG. Maxillofacial cone beam computed tomography: essence, elements, and steps to interpretation. Aust Dent J 2012; 57 Suppl 1: 46-60.
  2. Scarfe WC, Farman AG. What is cone-beam ct and how does it work? Dent Clin North Am 2008; 52: 707-30.
  3. Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. Technical aspects of dental CBCT: state of the art. Dentomaxillofac Radiol 2015; 44: 20140224.
  4. Gaêta-Araujo H, Alzoubi T, Vasconcelos KF, Orhan K, Pauwels R, Casselman JW, et al. Cone beam computed tomography in dentomaxillofacial radiology: a two-decade overview. Dentomaxillofac Radiol 2020; 49: 20200145.
  5. Kopp S, Ottl P. Dimensional stability in composite cone beam computed tomography. Dentomaxillofac Radiol 2010; 39: 512-6.
  6. Egbert N, Cagna DR, Ahuja S, Wicks RA. Accuracy and reliability of stitched cone-beam computed tomography images. Imaging Sci Dent 2015; 45: 41-7.
  7. Kim MK, Kang SH, Lee EH, Lee SH, Park W. Accuracy and validity of stitching sectional cone beam computed tomographic images. J Craniofac Surg 2012; 23: 1071-6.
  8. Srimawong P, Krisanachinda A, Chindasombatjaroen J. Accuracy of linear measurements in stitched versus non-stitched cone beam CT images. CU Dent J 2015; 38: 93-104.
  9. Schulze R, Heil U, Gross D, Bruellmann DD, Dranischnikow E, Schwanecke U, et al. Artefacts in CBCT: a review. Dentomaxillofac Radiol 2011; 40: 265-73.
  10. Vasconcelos TV, Bechara BB, McMahan CA, Freitas DQ, Noujeim M. Evaluation of artifacts generated by zirconium implants in cone-beam computed tomography images. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 123: 265-72.
  11. Gaêta-Araujo H, Nascimento EH, Fontenele RC, Mancini AX, Freitas DQ, Oliveira-Santos C. Magnitude of beam-hardening artifacts produced by gutta-percha and metal posts on cone-beam computed tomography with varying tube current. Imaging Sci Dent 2020; 50: 1-7.
  12. 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.
  13. Parsa A, Ibrahim N, Hassan B, Syriopoulos K, van der Stelt P. Assessment of metal artifact reduction around dental titanium implants in cone beam CT. Dentomaxillofac Radiol 2014; 43: 20140019.
  14. Queiroz PM, Santaella GM, da Paz TD, Freitas DQ. Evaluation of a metal artifact reduction tool on different positions of a metal object in the FOV. Dentomaxillofac Radiol 2017; 46:20160366.
  15. 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.
  16. Taylor C. Evaluation of the effects of positioning and configuration on contrast-to-noise ratio in the quality control of a 3D Accuitomo 170 dental CBCT system. Dentomaxillofac Radiol 2016; 45: 20150430.
  17. Martins LA, Queiroz PM, Nejaim Y, Vasconcelos KF, Groppo FC, Haiter-Neto F. Evaluation of metal artifacts for two CBCT devices with a new dental arch phantom. Dentomaxillofac Radiol 2020; 49: 20190385.
  18. Codari M, de Faria Vasconcelos K, Ferreira Pinheiro Nicolielo L, Haiter Neto F, Jacobs R. Quantitative evaluation of metal artifacts using different CBCT devices, high-density materials and field of views. Clin Oral Implants Res 2017; 28: 1509-14.
  19. Fontenele RC, Nascimento EH, Vasconcelos TV, Noujeim M, Freitas DQ. Magnitude of cone beam CT image artifacts related to zirconium and titanium implants: impact on image quality. Dentomaxillofac Radiol 2018; 47: 20180021.
  20. Min CK, Kim KA. Reducing metal artifacts between implants in cone-beam CT by adjusting angular position of the subject. Oral Radiol 2021; 37: 385-94.
  21. Mori I, Machida Y, Osanai M, Iinuma K. Photon starvation artifacts of X-ray CT: their true cause and a solution. Radiol Phys Technol 2013; 6: 130-41.
  22. Brüllmann D, Schulze RK. Spatial resolution in CBCT machines for dental/maxillofacial applications - what do we know today? Dentomaxillofac Radiol 2015; 44: 20140204.
  23. Vasconcelos KF, Nicolielo LF, Nascimento MC, Haiter-Neto F, Bóscolo FN, Van Dessel J, et al. Artefact expression associated with several cone-beam computed tomographic machines when imaging root filled teeth. Int Endod J 2015; 48: 994-1000.
  24. Coelho-Silva F, Martins LA, Braga DA, Zandonade E, Haiter Neto F, de-Azevedo-Vaz SL. Influence of windowing and metal artefact reduction algorithms on the volumetric dimensions of five different high-density materials: a cone-beam CT study. Dentomaxillofac Radiol 2020; 49: 20200039.
  25. Costa ED, Brasil DM, Queiroz PM, Verner FS, Junqueira RB, Freitas DQ. Use of the metal artefact reduction tool in the identification of fractured endodontic instruments in cone-beam computed tomography. Int Endod J 2020; 53: 506-12.
  26. de-Azevedo-Vaz SL, Peyneau PD, Ramirez-Sotelo LR, Vasconcelos Kde F, Campos PS, Haiter-Neto F. Efficacy of a cone beam computed tomography metal artifact reduction algorithm for the detection of peri-implant fenestrations and dehiscences. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 121: 550-6.
  27. Oliveira ML, Freitas DQ, Ambrosano GM, Haiter-Neto F. Influence of exposure factors on the variability of CBCT voxel values: a phantom study. Dentomaxillofac Radiol 2014; 43: 20140128.
  28. Van Dessel J, Nicolielo LF, Huang Y, Slagmolen P, Politis C, Lambrichts I, et al. Quantification of bone quality using different cone beam computed tomography devices: accuracy assessment for edentulous human mandibles. Eur J Oral Implantol 2016; 9: 411-24.
  29. Jacobs R, Salmon B, Codari M, Hassan B, Bornstein MM. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC Oral Health 2018; 18: 88.
  30. Cremonini CC, Dumas M, Pannuti CM, Neto JB, Cavalcanti MG, Lima LA. Assessment of linear measurements of bone for implant sites in the presence of metallic artifacts using cone beam computed tomography and multislice computed tomography. Int J Oral Maxillofac Surg 2011: 40: 845-50.
  31. Bamba J, Araki K, Endo A, Okano T. Image quality assessment of three cone beam CT machines using the SEDENTEXCT CT phantom. Dentomaxillofac Radiol 2013; 42: 20120445.