nach oben

Erschienen in:

27.07.2019 | Original Article

In vivo reliability of 3D cephalometric landmark determination on magnetic resonance imaging: a feasibility study

verfasst von: Alexander Juerchott, Christian Freudlsperger, Sebastian Zingler, Muhammad Abdullah Saleem, Johann M. E. Jende, Christopher J. Lux, Martin Bendszus, Sabine Heiland, Tim Hilgenfeld

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2020

Einloggen, um Zugang zu erhalten

Abstract

Objective

3D cephalometric analysis performed on cone-beam or multi-slice computed tomography (CBCT, MSCT) has superior diagnostic value compared to 2D cephalometry based on radiographs. However, this comes at the expense of increased radiation risks for the predominantly young patients. Magnetic resonance imaging (MRI) has the potential to overcome this diagnostic dilemma but has not been established for 3D cephalometry so far. Since landmark reliability forms the basis for 3D cephalometry, we evaluated the in vivo reliability of established 3D landmarks using MRI.

Materials and methods

Sixteen orthodontic patients underwent MRI at 3 Tesla using a 0.5 mm 3D sequence. On each MRI scan, 44 cephalometric landmarks were determined. Image analysis was performed twice by two independent observers. Intra- and inter-rater agreement was assessed by mean measurement errors and intraclass correlation coefficients (ICCs). Measurement errors were calculated as Euclidean distances and distances for x-, y-, and z-coordinates.

Results

Overall, MRI-based 3D cephalometric landmarks revealed a high reliability comparable to prior in vivo studies using CBCT/MSCT. Intra- and inter-rater ICCs were consistently higher than 0.9. Intra-rater comparisons showed mean measurement differences (ranges) of 0.87 mm (0.41–1.63) for rater I and 0.94 mm (0.49–1.28) for rater II. Average inter-rater difference was 1.10 mm (0.52–2.29). Distinct differences in reliability between the various landmarks were observed, corresponding well with the landmarks’ specific shapes.

Conclusions

The present study demonstrates that MRI enables reliable determination of 3D cephalometric landmarks in vivo.

Clinical relevance

This study emphasizes the potential of MRI to perform treatment planning and monitoring in orthodontics as well as oral and maxillofacial surgery without radiation exposure.

Baumrind S, Frantz RC (1971) The reliability of head film measurements. 1. Landmark identification. Am J Orthod 60(2):111–127CrossRefPubMed

Baumrind S, Frantz RC (1971) The reliability of head film measurements. 2. Conventional angular and linear measures. Am J Orthod 60(5):505–517CrossRefPubMed

Moyers RE, Bookstein FL (1979) The inappropriateness of conventional cephalometrics. Am J Orthod 75(6):599–617CrossRefPubMed

Ahlqvist J, Eliasson S, Welander U (1986) The effect of projection errors on cephalometric length measurements. Eur J Orthod 8(3):141–148CrossRefPubMed

Park SH, Yu HS, Kim KD, Lee KJ, Baik HS (2006) A proposal for a new analysis of craniofacial morphology by 3-dimensional computed tomography. Am J Orthod Dentofac Orthop 129(5):600 e623–600 e634. https://doi.org/10.1016/j.ajodo.2005.11.032 CrossRef

Stratemann SA, Huang JC, Maki K, Miller AJ, Hatcher DC (2008) Comparison of cone beam computed tomography imaging with physical measures. Dentomaxillofac Radiol 37(2):80–93. https://doi.org/10.1259/dmfr/31349994 CrossRefPubMed

Periago DR, Scarfe WC, Moshiri M, Scheetz JP, Silveira AM, Farman AG (2008) Linear accuracy and reliability of cone beam CT derived 3-dimensional images constructed using an orthodontic volumetric rendering program. Angle Orthod 78(3):387–395. https://doi.org/10.2319/122106-52.1 CrossRefPubMed

Hassan B, van der Stelt P, Sanderink G (2009) Accuracy of three-dimensional measurements obtained from cone beam computed tomography surface-rendered images for cephalometric analysis: influence of patient scanning position. Eur J Orthod 31(2):129–134. https://doi.org/10.1093/ejo/cjn088 CrossRefPubMed

Olmez H, Gorgulu S, Akin E, Bengi AO, Tekdemir I, Ors F (2011) Measurement accuracy of a computer-assisted three-dimensional analysis and a conventional two-dimensional method. Angle Orthod 81(3):375–382. https://doi.org/10.2319/070810-387.1 CrossRefPubMedPubMedCentral

10.

Gribel BF, Gribel MN, Frazao DC, McNamara JA Jr, Manzi FR (2011) Accuracy and reliability of craniometric measurements on lateral cephalometry and 3D measurements on CBCT scans. Angle Orthod 81(1):26–35. https://doi.org/10.2319/032210-166.1 CrossRefPubMedPubMedCentral

11.

Gribel BF, Gribel MN, Manzi FR, Brooks SL, McNamara JA Jr (2011) From 2D to 3D: an algorithm to derive normal values for 3-dimensional computerized assessment. Angle Orthod 81(1):3–10. https://doi.org/10.2319/032910-173.1 CrossRefPubMedPubMedCentral

12.

Damstra J, Fourie Z, De Wit M, Ren Y (2012) A three-dimensional comparison of a morphometric and conventional cephalometric midsagittal planes for craniofacial asymmetry. Clin Oral Investig 16(1):285–294. https://doi.org/10.1007/s00784-011-0512-4 CrossRefPubMed

13.

Shin SM, Kim YM, Kim NR, Choi YS, Park SB, Kim YI (2016) Statistical shape analysis-based determination of optimal midsagittal reference plane for evaluation of facial asymmetry. Am J Orthod Dentofac Orthop 150(2):252–260. https://doi.org/10.1016/j.ajodo.2016.01.017 CrossRef

14.

Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A, Cockmartin L, Bosmans H, Jacobs R, Bogaerts R, Horner K, Consortium SP (2012) Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol 81(2):267–271. https://doi.org/10.1016/j.ejrad.2010.11.028 CrossRef

15.

Pauwels R, Cockmartin L, Ivanauskaité D, Urbonienė A, Gavala S, Donta C, Tsiklakis K, Jacobs R, Bosmans H, Bogaerts R, Horner K, Consortium S (2014) Estimating cancer risk from dental cone-beam CT exposures based on skin dosimetry. Phys Med Biol 59(14):3877–3891. https://doi.org/10.1088/0031-9155/59/14/3877 CrossRefPubMed

16.

American Academy of Oral and Maxillofacial Radiology (2013) Clinical recommendations regarding use of cone beam computed tomography in orthodontics. [corrected]. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol 116(2):238–257. https://doi.org/10.1016/j.oooo.2013.06.002

17.

Pittayapat P, Limchaichana-Bolstad N, Willems G, Jacobs R (2014) Three-dimensional cephalometric analysis in orthodontics: a systematic review. Orthod Craniofacial Res 17(2):69–91. https://doi.org/10.1111/ocr.12034 CrossRef

18.

Goto TK, Nishida S, Nakamura Y, Tokumori K, Nakamura Y, Kobayashi K, Yoshida Y, Yoshiura K (2007) The accuracy of 3-dimensional magnetic resonance 3D vibe images of the mandible: an in vitro comparison of magnetic resonance imaging and computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103(4):550–559. https://doi.org/10.1016/j.tripleo.2006.03.011 CrossRefPubMed

19.

Juerchott A, Saleem MA, Hilgenfeld T, Freudlsperger C, Zingler S, Lux CJ, Bendszus M, Heiland S (2018) 3D cephalometric analysis using magnetic resonance imaging: validation of accuracy and reproducibility. Sci Rep 8(1):13029. https://doi.org/10.1038/s41598-018-31384-8 CrossRefPubMedPubMedCentral

20.

Lisboa Cde O, Masterson D, da Motta AF, Motta AT (2015) Reliability and reproducibility of three-dimensional cephalometric landmarks using CBCT: a systematic review. J Appl Oral Sci 23(2):112–119. https://doi.org/10.1590/1678-775720140336 CrossRefPubMed

21.

Hilgenfeld T, Prager M, Heil A, Schwindling FS, Nittka M, Grodzki D, Rammelsberg P, Bendszus M, Heiland S (2017) PETRA, MSVAT-SPACE and SEMAC sequences for metal artefact reduction in dental MR imaging. Eur Radiol 27(12):5104–5112. https://doi.org/10.1007/s00330-017-4901-1 CrossRefPubMed

22.

Titiz I, Laubinger M, Keller T, Hertrich K, Hirschfelder U (2012) Repeatability and reproducibility of landmarks—a three-dimensional computed tomography study. Eur J Orthod 34(3):276–286. https://doi.org/10.1093/ejo/cjq190 CrossRefPubMed

23.

Hassan B, Nijkamp P, Verheij H, Tairie J, Vink C, van der Stelt P, van Beek H (2013) Precision of identifying cephalometric landmarks with cone beam computed tomography in vivo. Eur J Orthod 35(1):38–44. https://doi.org/10.1093/ejo/cjr050 CrossRefPubMed

24.

Schlicher W, Nielsen I, Huang JC, Maki K, Hatcher DC, Miller AJ (2012) Consistency and precision of landmark identification in three-dimensional cone beam computed tomography scans. Eur J Orthod 34(3):263–275. https://doi.org/10.1093/ejo/cjq144 CrossRefPubMed

25.

Naji P, Alsufyani NA, Lagravere MO (2014) Reliability of anatomic structures as landmarks in three-dimensional cephalometric analysis using CBCT. Angle Orthod 84(5):762–772. https://doi.org/10.2319/090413-652.1 CrossRefPubMed

26.

Pittayapat P, Jacobs R, Bornstein MM, Odri GA, Kwon MS, Lambrichts I, Willems G, Politis C, Olszewski R (2016) A new mandible-specific landmark reference system for three-dimensional cephalometry using cone-beam computed tomography. Eur J Orthod 38(6):563–568. https://doi.org/10.1093/ejo/cjv088 CrossRefPubMed

27.

Olszewski R, Reychler H, Cosnard G, Denis JM, Vynckier S, Zech F (2008) Accuracy of three-dimensional (3D) craniofacial cephalometric landmarks on a low-dose 3D computed tomograph. Dentomaxillofac Radiol 37(5):261–267. https://doi.org/10.1259/dmfr/33343444 CrossRefPubMed

28.

Olszewski R, Tanesy O, Cosnard G, Zech F, Reychler H (2010) Reproducibility of osseous landmarks used for computed tomography based three-dimensional cephalometric analyses. J Craniomaxillofac Surg 38(3):214–221. https://doi.org/10.1016/j.jcms.2009.05.005 CrossRefPubMed

29.

Olszewski R, Frison L, Wisniewski M, Denis JM, Vynckier S, Cosnard G, Zech F, Reychler H (2013) Reproducibility of three-dimensional cephalometric landmarks in cone-beam and low-dose computed tomography. Clin Oral Investig 17(1):285–292. https://doi.org/10.1007/s00784-012-0688-2 CrossRefPubMed

30.

Lagravere MO, Gordon JM, Guedes IH, Flores-Mir C, Carey JP, Heo G, Major PW (2009) Reliability of traditional cephalometric landmarks as seen in three-dimensional analysis in maxillary expansion treatments. Angle Orthod 79(6):1047–1056. https://doi.org/10.2319/010509-10R.1 CrossRefPubMed

31.

Lagravere MO, Low C, Flores-Mir C, Chung R, Carey JP, Heo G, Major PW (2010) Intraexaminer and interexaminer reliabilities of landmark identification on digitized lateral cephalograms and formatted 3-dimensional cone-beam computerized tomography images. Am J Orthod Dentofac Orthop 137(5):598–604. https://doi.org/10.1016/j.ajodo.2008.07.018 CrossRef

32.

Katkar RA, Kummet C, Dawson D, Moreno Uribe L, Allareddy V, Finkelstein M, Ruprecht A (2013) Comparison of observer reliability of three-dimensional cephalometric landmark identification on subject images from Galileos and i-CAT cone beam CT. Dentomaxillofac Radiol 42(9):20130059. https://doi.org/10.1259/dmfr.20130059 CrossRefPubMedPubMedCentral

33.

Neiva MB, Soares AC, Lisboa Cde O, Vilella Ode V, Motta AT (2015) Evaluation of cephalometric landmark identification on CBCT multiplanar and 3D reconstructions. Angle Orthod 85(1):11–17. https://doi.org/10.2319/120413-891.1 CrossRefPubMed

34.

Muramatsu A, Nawa H, Kimura M, Yoshida K, Maeda M, Katsumata A, Ariji E, Goto S (2008) Reproducibility of maxillofacial anatomic landmarks on 3-dimensional computed tomographic images determined with the 95% confidence ellipse method. Angle Orthod 78(3):396–402. https://doi.org/10.2319/040207-166.1 CrossRefPubMed

35.

Fuyamada M, Nawa H, Shibata M, Yoshida K, Kise Y, Katsumata A, Ariji E, Goto S (2011) Reproducibility of landmark identification in the jaw and teeth on 3-dimensional cone-beam computed tomography images. Angle Orthod 81(5):843–849. https://doi.org/10.2319/010711-5.1 CrossRefPubMedPubMedCentral

36.

Fuyamada M, Shibata M, Nawa H, Yoshida K, Kise Y, Katsumata A, Ariji E, Goto S (2014) Reproducibility of maxillofacial landmark identification on three-dimensional cone-beam computed tomography images of patients with mandibular prognathism: comparative study of a tentative method and traditional cephalometric analysis. Angle Orthod 84(6):966–973. https://doi.org/10.2319/111313-836.1 CrossRefPubMedPubMedCentral

37.

Ludlow JB, Gubler M, Cevidanes L, Mol A (2009) Precision of cephalometric landmark identification: cone-beam computed tomography vs conventional cephalometric views. Am J Orthod Dentofac Orthop 136(3):312 e311–312 e310; discussion 312–313. https://doi.org/10.1016/j.ajodo.2008.12.018 CrossRef

38.

de Oliveira AE, Cevidanes LH, Phillips C, Motta A, Burke B, Tyndall D (2009) Observer reliability of three-dimensional cephalometric landmark identification on cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107(2):256–265. https://doi.org/10.1016/j.tripleo.2008.05.039 CrossRefPubMed

39.

Theodorakou C, Walker A, Horner K, Pauwels R, Bogaerts R, Jacobs R, Consortium SP (2012) Estimation of paediatric organ and effective doses from dental cone beam CT using anthropomorphic phantoms. Br J Radiol 85(1010):153–160. https://doi.org/10.1259/bjr/19389412 CrossRefPubMedPubMedCentral

40.

Sedlacik J, Kutzner D, Khokale A, Schulze D, Fiehler J, Celik T, Gareis D, Smeets R, Friedrich RE, Heiland M, Assaf AT (2016) Optimized 14 + 1 receive coil array and position system for 3D high-resolution MRI of dental and maxillomandibular structures. Dentomaxillofac Radiol 45(1):20150177. https://doi.org/10.1259/dmfr.20150177 CrossRefPubMed

41.

Li GN, M.; Paul, D.; Lauer, L.. (2011) MSVAT-SPACE for fast metal implants imaging. Proc Intl Soc Mag Reson Med 19:3171

42.

Eggers G, Rieker M, Kress B, Fiebach J, Dickhaus H, Hassfeld S (2005) Artefacts in magnetic resonance imaging caused by dental material. MAGMA 18(2):103–111. https://doi.org/10.1007/s10334-005-0101-0 CrossRefPubMed

Titel: In vivo reliability of 3D cephalometric landmark determination on magnetic resonance imaging: a feasibility study
verfasst von: Alexander Juerchott
Christian Freudlsperger
Sebastian Zingler
Muhammad Abdullah Saleem
Johann M. E. Jende
Christopher J. Lux
Martin Bendszus
Sabine Heiland
Tim Hilgenfeld
Publikationsdatum: 27.07.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2020
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-03015-7

Neu im Fachgebiet Zahnmedizin

19.04.2024 | Vorhofflimmern | Nachrichten

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

In vivo reliability of 3D cephalometric landmark determination on magnetic resonance imaging: a feasibility study

Abstract

Objective

Materials and methods

Results

Conclusions

Clinical relevance

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objective

Materials and methods

Results

Conclusions

Clinical relevance

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2020

Evaluation of palatal support tissues for placement of orthodontic mini-implants in mouth breathers with high-narrow palates versus nose breathers with normal palates: a retrospective study

Effect of various polymerization protocols on the cytotoxicity of conventional and self-adhesive resin-based luting cements

A 2-year clinical evaluation of direct and semi-direct resin composite restorations in non-carious cervical lesions: a randomized clinical study

Novel 20% doxycycline-loaded PLGA nanospheres as adjunctive therapy in chronic periodontitis in type-2 diabetics: randomized clinical, immune and microbiological trial

Bleaching gel mixed with MI Paste Plus reduces penetration of H2O2 and damage to pulp tissue and maintains bleaching effectiveness

Optimizing mandibular sagittal split of large maxillomandibular advancements for obstructive sleep apnea: patient and surgical factors

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter