Introduction: The purpose of this study is to evaluate the validity of a free-access software package (ITK-SNAP) in segmenting and measuring the volume of upper airway spaces secondary to rapid maxillary expansion (RME).

Materials And Methods: Sixteen participants who required RME were recruited for this study. Preoperative (T1) and 6-month postoperative (T2) cone-beam computed tomographic scans of all participants were analyzed. OnDemand3D software packages was used for superimposition and orientation of the images, while ITK-SNAP software was used to measure the volume of airway spaces. At week one (W1), all volumetric measurements were carried out by one examiner and repeated after 1 week (W2). Paired -test, the interclass correlation coefficient, and Dahlberg coefficients of reliability were used to assess the reproducibility.

Results: Student's -test showed no significant difference between the W1 and W2 set of measurements ( > 0.05). Coefficients of reliability were above 95% and intraclass correlation coefficient ranged from 0.99 to 1.000, which altogether confirmed the satisfactory reproducibility of the measurements.

Conclusions: ITK-SNAP software package is a reliable and cost-effective method to segment and measure upper airway changes subsequent to RME.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952232PMC
http://dx.doi.org/10.4103/jos.JOS_93_17DOI Listing

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