Accuracy of Upper Airway Volume Measurements Using Different Software Products: A Comparative Analysis.

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Muhammed Enes Naralan, Taha Emre Köse, Merve Gonca, Büşra Beşer Gül, Dilara Nil Günaçar
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Abstract

Objectives: This study aimed to evaluate the accuracy of airway volume measurements obtained from cone-beam computed tomography (CBCT) images using various software programs, with a focus on assessing the performance of NemoStudio compared to other tools. The estimated volumes were compared with the volume of the solid model's cavity filled with water (gold standard).

Methods: A single 3D-printed airway model was created based on CBCT data and scanned ten times under identical conditions. Volume measurements were performed using semi-automatic segmentation in four software programs (NemoStudio, NNT Viewer, ITK-SNAP, and 3D Slicer). The results were compared to the gold standard using repeated measures ANOVA, Bland-Altman plots, and post hoc comparisons.

Results: Nemo Studio demonstrated a systematic bias and higher variability compared to the gold standard, resulting in lower accuracy than the other software programs. ITK-SNAP and 3D Slicer showed the highest agreement with the gold standard, while NNT Viewer also exhibited acceptable performance. Statistical analyses revealed significant differences in the accuracy of volume measurements among the software tools (P < 0.001). Bland-Altman plots highlighted Nemo Studio's broader limits of agreement, emphasizing its deviation from the gold standard.

Conclusion: Variability in airway volume measurement accuracy underscores the need for careful software selection and methodological standardization. Further refinement of segmentation algorithms is essential for improved consistency and reliability in clinical applications.

Advances in knowledge: This study provides the first evaluation of NemoStudio's volumetric accuracy for CBCT-based airway measurements, offering novel insights into software reliability and the impact of algorithm selection in clinical and academic settings.

使用不同软件产品测量上呼吸道容积的准确性:比较分析。
目的:本研究旨在评估使用各种软件程序从锥束计算机断层扫描(CBCT)图像中获得的气道体积测量的准确性,重点评估NemoStudio与其他工具相比的性能。将估算的体积与实体模型中充满水的空腔的体积(金标准)进行比较。方法:以CBCT数据为基础,制作单个3d打印气道模型,在相同条件下进行10次扫描。体积测量使用四种软件程序(NemoStudio, NNT Viewer, ITK-SNAP和3D Slicer)进行半自动分割。使用重复测量方差分析、Bland-Altman图和事后比较将结果与金标准进行比较。结果:与金标准相比,Nemo Studio表现出系统性偏差和更高的可变性,导致其准确性低于其他软件程序。ITK-SNAP和3D切片机显示出与金标准的最高一致性,而NNT查看器也表现出可接受的性能。统计分析显示,不同的软件工具在容积测量的准确性上存在显著差异(P结论:气道容积测量准确性的可变性强调了谨慎选择软件和方法标准化的必要性。进一步改进分割算法对于提高临床应用的一致性和可靠性至关重要。知识进展:本研究首次评估了NemoStudio基于cbct的气道测量的体积准确性,为软件可靠性和算法选择在临床和学术环境中的影响提供了新的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.60
自引率
9.10%
发文量
65
审稿时长
4-8 weeks
期刊介绍: Dentomaxillofacial Radiology (DMFR) is the journal of the International Association of Dentomaxillofacial Radiology (IADMFR) and covers the closely related fields of oral radiology and head and neck imaging. Established in 1972, DMFR is a key resource keeping dentists, radiologists and clinicians and scientists with an interest in Head and Neck imaging abreast of important research and developments in oral and maxillofacial radiology. The DMFR editorial board features a panel of international experts including Editor-in-Chief Professor Ralf Schulze. Our editorial board provide their expertise and guidance in shaping the content and direction of the journal. Quick Facts: - 2015 Impact Factor - 1.919 - Receipt to first decision - average of 3 weeks - Acceptance to online publication - average of 3 weeks - Open access option - ISSN: 0250-832X - eISSN: 1476-542X
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