单侧牙槽裂锥束计算机断层扫描视野优化减剂量的研究。

IF 2.4 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Tobias Regnstrand, Semra Konstantin Top, Agneta Karsten, Reinhilde Jacobs, Daniel Benchimol
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引用次数: 0

摘要

目的:本研究旨在探讨视场(FOV)可以减少多少,同时仍然描绘必要的解剖结构。第二个目的是评估视场减小时遗漏了多少偶然发现。材料和方法:在这项回顾性研究中,收集了170份平均年龄为9.4岁的儿童CBCT。所有CBCT的视场均为80 × 50 mm,覆盖上颌骨。本研究分析了是否可以使用更小的视场,同时仍然包括必要的解剖结构。采用两种FOV复位方案测量包括重要解剖结构在内的最小高度和宽度:一种较小(包括裂牙、邻近的中门牙和邻近的犬齿),一种较大(包括两犬齿、鼻底和裂牙)。结果:采用较大的方案,视场为44.3 × 36.5 mm(95百分位);对于较小的方案,视场为28.1 × 34.9 mm(第95百分位)。在更大的方案中,22%的偶然发现被遗漏。在较小的方案中,35%的偶然发现被遗漏。然而,这些发现大多与植骨计划无关。结论:采用50 × 40 mm视场(比原视场剂量减少41%)能较好地描绘裂区、中门牙、鼻底及双犬齿。建议用35 × 40 mm的视场(比原视场减少56%的剂量)来描绘唇裂和与唇裂相邻的同侧犬齿和中切牙。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dose Reduction by Field of View Optimisation in Cone-Beam Computed Tomography of Unilateral Alveolar Clefts.

Objective: This study aimed to investigate how much the field of view (FOV) can be decreased while still depicting the necessary anatomical structures. A secondary aim was to assess how many incidental findings were missed with a reduced FOV.

Material and methods: In this retrospective study, 170 CBCT volumes from children with a mean age of 9.4 years were collected. All CBCT had a FOV of 80 × 50 mm covering the maxilla. The present study analysed whether a smaller FOV can be used while still including necessary anatomical structures. Measurements of the minimal height and width that include vital anatomical structures were performed with two FOV reduction protocols: one smaller (includes the cleft, adjacent central incisor and adjacent canine) and one larger (includes both canines, nasal floor and the cleft).

Results: The use of the larger protocol resulted in a FOV of 44.3 × 36.5 mm (95th percentile); for the smaller protocol, the FOV was 28.1 × 34.9 mm (95th percentile). In the larger protocol, incidental findings were missed in 22%. In the smaller protocol, 35% of the incidental findings were missed. However, most of these findings were irrelevant to the planning of the bone graft.

Conclusion: A FOV of 50 × 40 mm (41% dose reduction compared with the original FOV) is suggested to fully depict the cleft area, central incisors, nasal floor and both canines. A FOV of 35 × 40 mm (56% dose reduction compared with the original FOV) is suggested to depict the cleft and the ipsilateral canine and central incisor adjacent to the cleft.

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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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