Reliability of OneCeph Cephalometric Analysis Application on the Devices with Different Screen Size

Abstract

This study aimed to assess the reliability of the OneCeph application according to personal computer (PC), tablet and smartphone screen size in comparison with Dolphin software on PC as a gold standard. Cephalometric landmarks were identified on 100 digital radiographs. Twenty-four cephalometric measurements were made with Dolphin software as a gold standard comparing with OneCeph application on smartphone (OS), OneCeph on PC (OP) and OneCeph on tablet (OT). All measurements were repeated after four weeks for intra-examiner reliability with intraclass correlation coefficients (ICC). One-way ANOVA and Kruskal Wallis test were done for measurement comparison between methods (Dolphin, OS, OP and OT). Results for OneCeph on smartphone and tablet, 21 measurements were comparable with Dolphin while other three (NLA, H-angle and UL to S-plane) were not. In OneCeph on PC, 20 measurements were comparable with Dolphin while other four (NLA, H-angle, U1 to A-point and UL to S-plane) were not. All different measurements were clinically insignificant except H-angle. Intra-examiner reliability represented ICC above 0.9. In conclusion, OneCeph application on three different screen size is reliable to use for cephalometric measurement. Most of the measurements are comparable with gold standard and adequate to be utilised in clinical routine. OneCeph on smartphone and tablet are advantageous from the portable feature over PC.