Converting dose-area product to effective dose in dental cone-beam computed tomography using organ-specific deep learning.

Objective: To develop an accurate method for converting dose-area product (DAP) to patient dose for dental cone-beam computed tomography (CBCT) using deep learning.

Methods: 24,384 CBCT exposures of an adult phantom were simulated with PCXMC 2.0, using permutations of tube voltage, filtration, source-isocenter distance, beam width/height and isocenter position.

Comparison of deep learning models to detect crossbites on 2D intraoral photographs.

Background: To support dentists with limited experience, this study trained and compared six convolutional neural networks to detect crossbites and classify non-crossbite, frontal, and lateral crossbites using 2D intraoral photographs.

Methods: Based on 676 photographs from 311 orthodontic patients, six convolutional neural network models were trained and compared to classify (1) non-crossbite vs. crossbite and (2) non-crossbite vs.

Assessment of cone-beam CT technical image quality indicators and radiation dose for optimal STL model used in visual surgical planning.

Objectives: The aim of this study was to identify cone-beam computed tomography (CBCT) protocols that offer an optimal balance between effective dose (ED) and 3D model for orthognathic virtual surgery planning, using CT as a reference, and to assess whether such protocols can be defined based on technical image quality metrics.

Methods: Eleven CBCT (VISO G7, Planmeca Oy, Helsinki, Finland) scan protocols were selected out of 32 candidate protocols, based on ED and technical image quality measurements. Next, an anthropomorphic RANDO SK150 phantom was scanned using these 11 CBCT protocols and 2 CT scanners for bone quantity assessments.

Effect of metal artefact reduction level on the assessment of dental implant positioning by cone-beam computed tomography.

Objectives: This study evaluated the effect of metal artefact reduction (MAR) level and tube current on the assessment of dental implant positioning relative to the mandibular canal (MC) through cone-beam computed tomography (CBCT).

Methods: Titanium dental implants were placed in dried mandibles at 0.5-mm superior to the MC (group 1/n = 8) and 0.

Assessment of the root filling volume in C-shaped root canal on cone-beam CT and micro-CT in relation to nano-CT.

Aim: To assess the observed volume of filled C-shaped root canals from different CBCT and micro-CT having nano-CT as a reference.

Materials And Methods: Twelve extracted mandibular molars with C-shaped root canals were endodontically treated using Reciproc Blue R25 (VDW GMBH, Munich, Germany) in a reciprocating system and filled with gutta-percha (Dentsply Maillefer) and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany). CBCT scans were performed using 3 units-3D Accuitomo 170 (J.

Accuracy of Intra-Oral Radiography and Cone Beam Computed Tomography in the Diagnosis of Buccal Bone Loss.

Background: The use of cone beam computed tomography (CBCT) in dentistry started in the maxillofacial field, where it was used for complex and comprehensive treatment planning. Due to the use of reduced radiation dose compared to a computed tomography (CT) scan, CBCT has become a frequently used diagnostic tool in dental practice. However, published data on the accuracy of CBCT in the diagnosis of buccal bone level is lacking.

Evaluation of 2- and 3-dimensional anatomic parameters of C-shaped root canals with cone beam computed tomography, microcomputed tomography, and nanocomputed tomography.

Objective: The objective of this study was to evaluate 2-dimensional (2D) and 3D morphometric parameters of C-shaped root canals on cone beam computed tomography (CBCT) and microcomputed tomography (microCT) images using nanocomputed tomography (nanoCT) as the reference standard.

Study Design: Sixty mandibular molars with C-shaped canals were individually scanned using nanoCT and microCT. Cone beam computed tomography acquisitions were then performed with 4 CBCT systems, using high and standard resolutions.

A new formula for converting dose-area product to effective dose in dental cone-beam computed tomography.

Purpose: The purpose of this study was to determine a dedicated conversion formula between dose-area product (DAP) and effective dose (E) for dental CBCT, which incorporates X-ray beam energy as well as geometric factors.

Methods: CBCT exposures of an adult phantom were simulated using PCXMC 2.0 (STUK, Finland).

European survey on the use of patient contact shielding during radiological examinations.

Objectives: Contact shielding (CS) of patients during X-ray studies has been used for decades to protect radiosensitive organs. This practice has not changed much despite increasing evidence that CS is not useful in many cases. The Gonad And Patient Shielding (GAPS) group-founded by representatives of the main European bodies involved in radiology-promoted this survey to assess the current practice of CS among European radiology departments and the attitude towards a non-shielding policy.

Influence of metal artefact reduction on the diagnosis of contact between implant and mandibular canal in cone beam computed tomography: An ex-vivo study.

Objective: To evaluate the influence of metal artefact reduction (MAR) in the diagnosis of dental implant contact with the mandibular canal (MC) using cone beam computed tomography (CBCT).

Methods: Dental implants were installed with surgical guides in the posterior hemiarches of 10 dry human mandibles: 0.5 mm above to the MC cortex (G1/n = 8) and 0.

Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions.

The aim of this study was to evaluate CBCT exposure protocols and CBCT devices in terms of image quality for the detection of cracks and fine endodontic structures using 3 conditions of metallic artifacts. An anthropomorphic phantom containing teeth with cracks, isthmus, narrow canal, and apical delta was scanned using ten CBCT devices. A reference industrial CT image was used to detect and measure all structures.

As low as diagnostically acceptable dose imaging in maxillofacial trauma: a reference quality approach.

Objectives: As-low-as-diagnostically-acceptable (ALADA) doses are substantially lower than current diagnostic reference levels. To improve dose management, a reference quality approach was tested in which phantom quality metrics of a clinical ALADA dose reference protocol were used to benchmark potential ALADA dose protocols for various scanner models.

Methods: Spatial resolution, contrast resolution, contrast-to-noise ratio (CNR) and subjective noise and sharpness were evaluated for a clinical ALADA dose reference protocol at 80 kV and 40 mA (CTDIvol 2.

How Does Ambient Light Affect the Image Quality of Phosphor Plate Digital Radiography? A Quantitative Analysis Using Contemporary Digital Radiographic Systems.

The aim of this study is to quantitatively evaluate the influence of the duration of ambient light exposure on the image quality of digital radiographs obtained with contemporary phosphor plate (PSP)-based systems. Radiographs of an aluminum step-wedge were obtained using VistaScan and Express systems at five X-ray exposure times: 0.10, 0.

CBCT-based assessment of root canal treatment using micro-CT reference images.

Purpose: This study compared the root canal anatomy between cone-beam computed tomography (CBCT) and micro-computed tomography (micro-CT) images before and after biomechanical preparation and root canal filling.

Materials And Methods: Isthmus-containing mesial roots of mandibular molars (n=14) were scanned by micro-CT and 3 CBCT devices: 3D Accuitomo 170 (ACC), NewTom 5G (N5G) and NewTom VGi evo (NEVO). Two calibrated observers evaluated the images for 2-dimensional quantitative parameters, the presence of debris or root perforation, and filling quality in the root canal and isthmus.

Influence of head positioning during cone-beam CT imaging on the accuracy of virtual 3D models.

Objective: Cone beam computed tomography (CBCT) images are being increasingly used to acquire three-dimensional (3D) models of the skull for additive manufacturing purposes. However, the accuracy of such models remains a challenge, especially in the orbital area. The aim of this study is to assess the impact of four different CBCT imaging positions on the accuracy of the resulting 3D models in the orbital area.

A review on the application of deep learning for CT reconstruction, bone segmentation and surgical planning in oral and maxillofacial surgery.

Computer-assisted surgery (CAS) allows clinicians to personalize treatments and surgical interventions and has therefore become an increasingly popular treatment modality in maxillofacial surgery. The current maxillofacial CAS consists of three main steps: (1) CT image reconstruction, (2) bone segmentation, and (3) surgical planning. However, each of these three steps can introduce errors that can heavily affect the treatment outcome.

Impact of metal artefacts on subjective perception of image quality of 13 CBCT devices.

Objectives: The overall objective of this study was to assess how metal artefacts impact image quality of 13 CBCT devices. As a secondary objective, the influence of scanning protocols and field of view on CBCT image quality with and without metal artefacts was also assessed.

Materials And Methods: CBCT images were acquired of a dry human skull phantom considering three clinical simulated conditions: one without metal and two with metallic materials (metallic pin and implant).

Influence of anatomical features in the endodontic treatment planning of maxillary anterior teeth.

This study evaluate the maxillary anterior teeth anatomy by micro-computed tomography (μCT), about relevant characteristic for endodontic treatment planning. Fifty maxillary central incisors (MCI), lateral incisors (MLI) and maxillary canines (MC) were scanned using a μCT device. Two and three-dimensional parameters at 1 to 5mm distance to the apical foramen, external anatomic characteristics of the teeth and qualitative analysis of the internal anatomy was performed.

Efficacy of MAVIG X-Ray Protective Drapes in Reducing CTO Operator Radiation.

Background: The MAVIG X-ray protective drape (MXPD) has been shown to reduce operator radiation dose during percutaneous coronary interventions (PCI). Whether MXPDs are also effective in reducing operator radiation during chronic total occlusion (CTO) PCI, often with dual access, is unknown.

Methods: We performed a prospective, randomized-controlled study comparing operator radiation dose during CTO PCI ( = 60) with or without pelvic MXPDs.

European consensus on patient contact shielding.

Patient contact shielding has been in use for many years in radiology departments in order to reduce the effects and risks of ionising radiation on certain organs. New technologies in projection imaging and CT scanning such as digital receptors and automatic exposure control (AEC) systems have reduced doses and improved image consistency. These changes and a greater understanding of both the benefits and the risks from the use of shielding have led to a review of shielding use in radiology.

European consensus on patient contact shielding.

Patient contact shielding has been in use for many years in radiology departments in order to reduce the effects and risks of ionising radiation on certain organs. New technologies in projection imaging and CT scanning such as digital receptors and automatic exposure control systems have reduced doses and improved image consistency. These changes and a greater understanding of both the benefits and the risks from the use of shielding have led to a review of shielding use in radiology.

Impact of the blooming artefact on dental implant dimensions in 13 cone-beam computed tomography devices.

Background: The purpose of this study was to objectively assess dimensional alteration (blooming artefact) on dental implant using 13 cone-beam computed tomography (CBCT) devices adjusted to device-specific scanning protocols and to assess whether subjective adjustment of brightness and contrast (B&C) could alter its visualization.

Methods: An anthropomorphic phantom containing a dental implant was scanned in 13 CBCT devices adjusted to three scanning protocols: medium-FOV standard resolution, small-FOV standard resolution, and small-FOV high resolution. The diameter of the implant was measured at five levels, averaged, and compared with those from a reference standard industrial CT image.

A motion correction approach for oral and maxillofacial cone-beam CT imaging.

Patient movement affects image quality in oral and maxillofacial cone-beam computed tomography imaging. While many efforts are made to minimize the possibility of motion during a scan, relatively little attention has been given to motion correction after acquisition. We propose a novel method which can improve the image quality after an oral and maxillofacial scan.