디지털 측방두부규격방사선사진과 MDCT의 3차원 재구성 영상을 이용한 합성측방두부규격방사선사진의 계측치 비교 및 머리 위치가 미치는 효과

김미자; 최보람; 허경회; 이원진; 허민석; 이삼선; 최순철

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자료유형: 학술저널

저자정보: 김미자 (서울대학교 치의학대학원 구강악안면방사선학교실) 최보람 (서울대학교 치의학대학원 구강악안면방사선학교실) 허경회 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소) 이원진 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) 허민석 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소) 이삼선 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소 및 BK21) 최순철 (서울대학교 치의학대학원 구강악안면방사선학교실, 치학연구소)

저널정보: 대한영상치의학회 대한구강악안면방사선학회지 대한구강악안면방사선학회지 제39권 제3호

발행연도: 2009.1

수록면: 133 - 147 (15page)

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Purpose : To investigate the reproducibilities and compare the measurements in digital and MDCT-synthesized cephalometric radiograph, and to investigate the effect of head position on the measurement during imaging with MDCT. Materials and Methods : Twenty-two dry skulls (combined with mandible) were used in this study. Conventional digital cephalometric radiograph was taken in standard position, and MDCT was taken in standard position and two rotated position ($10^{\circ}$ left rotation and $10^{\circ}$ right tilting). MDCT data were imported in $OnDemand^{(R)}$ and lateral cephalometric radiograph were synthesized from 3D virtual models. Two types of rotated MDCT data were synthesized with default mode and with corrected mode using both ear rods. For all six images, sixteen angular and eleven linear measurements were made in V-$Ceph^{(R)}$ three times. Reproducibility of measurements was assessed using repeated measures ANOV A and ICC. Linear and angular measurements were compared between digital and five MDCT-synthesized images by Student t-test. Results : All measurements in six types of cephalometric radiograph were not statistically different under ICC examination. Measurements were not different between digital and MDCT-synthesized images (P>.05). Measurements in MDCT-synthesized image in $10^{\circ}$ left rotation or $10^{\circ}$ right tilting position showed possibility of difference from digital image in some measurements, and possibility of improvement via realignment of head position using both ear rods. Conclusion : MDCT-synthesized cephalometric radiograph can substitute conventional cephalometric radiograph. The error on head position during imaging with MDCT have possibility that can produce measurement errors with MDCT-synthesized image, and these position error can be corrected by realignment of the head position using both ear rods.

#Lateral cephalometric radiograph #Tomography #Computed #Cephalometic analysis #Head position

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소속기관 Department of Orthodontics, Hangang Sacred Heart Hospital, Graduate School of Clinical Dentistry, Ha

주요연구분야 의약학 > 임상의학 > 치의학

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Choi, Bo-Ram