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Fast three-dimensional superimposition of cone beam computed tomography for orthopaedics and orthognathic surgery evaluation

Published:April 30, 2015DOI:https://doi.org/10.1016/j.ijom.2015.04.001

      Abstract

      The aim of this study was to validate a method for fast three-dimensional (3D) superimposition of cone beam computed tomography (CBCT) in growing patients and adults (surgical cases). The sample consisted of CBCT scans of 18 patients. For 10 patients, as the gold standard, the spatial position of the pretreatment CBCT was reoriented, saved as a reoriented volume, and then superimposed on the original image. For eight patients, four non-growing and four growing, the pre- and post-treatment scans were superimposed. Fast voxel-based superimposition was performed, with registration at the anterior cranial base. This superimposition process took 10–15 s. The fit of the cranial base superimposition was verified by qualitative visualization of the semi-transparent axial, sagittal, and coronal cross-sectional slices of all corresponding anatomical structures. Virtual 3D surface models of the skull were generated via threshold segmentation, and superimposition errors in the reoriented models and the results of treatment for the treated cases were evaluated by 3D surface distances on colour-coded maps. The superimposition error of the spatial reorientation and for growing and non-growing patients was <0.5 mm, which is acceptable and clinically insignificant. The voxel-based superimposition method evaluated was reproducible in different clinical conditions, rapid, and applicable for research and clinical practice.

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      References

        • Kapila S.
        • Conley R.S.
        • Harrell Jr., W.E.
        The current status of cone beam computed tomography imaging in orthodontics.
        Dentomaxillofac Radiol. 2011; 40: 24-34
        • Weissheimer A.
        • Menezes L.M.
        • Sameshima G.T.
        • Enciso R.
        • Pham J.
        • Grauer D.
        Imaging software accuracy for 3-dimensional analysis of the upper airway.
        Am J Orthod Dentofacial Orthop. 2012; 142: 801-813
        • Grauer D.
        • Cevidanes L.S.
        • Proffit W.R.
        Working with DICOM craniofacial images.
        Am J Orthod Dentofacial Orthop. 2009; 136: 460-470
        • Cevidanes L.H.
        • Heymann G.
        • Cornelis M.A.
        • DeClerck H.J.
        • Tulloch J.F.
        Superimposition of 3-dimensional cone-beam computed tomography models of growing patients.
        Am J Orthod Dentofacial Orthop. 2009; 136: 94-99
        • Cevidanes L.H.
        • Motta A.
        • Proffit W.R.
        • Ackerman J.L.
        • Styner M.
        Cranial base superimposition for 3-dimensional evaluation of soft-tissue changes.
        Am J Orthod Dentofacial Orthop. 2010; 137: S120-S129
        • Cevidanes L.H.
        • Tucker S.
        • Styner M.
        • Kim H.
        • Chapuis J.
        • Reyes M.
        • et al.
        Three-dimensional surgical simulation.
        Am J Orthod Dentofacial Orthop. 2010; 138: 361-371
        • Cevidanes L.H.
        • Alhadidi A.
        • Paniagua B.
        • Styner M.
        • Ludlow J.
        • Mol A.
        • et al.
        Three-dimensional quantification of mandibular asymmetry through cone-beam computerized tomography.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111: 757-770
        • Cevidanes L.H.
        • Hajati A.K.
        • Paniagua B.
        • Lim P.F.
        • Walker D.G.
        • Palconet G.
        • et al.
        Quantification of condylar resorption in temporomandibular joint osteoarthritis.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 110: 110-117
        • Li G.
        • Xie H.
        • Ning H.
        • Capala J.
        • Arora B.C.
        • Coleman C.N.
        • et al.
        A novel 3D volumetric voxel registration technique for volume-view-guided image registration of multiple imaging modalities.
        Int J Radiat Oncol Biol Phys. 2005; 63: 261-273
        • Maes F.
        • Collignon A.
        • Vandermeulen D.
        • Marchal G.
        • Suetens P.
        Multimodality image registration by maximization of mutual information.
        IEEE Trans Med Imaging. 1997; 16: 187-198
        • Cevidanes L.H.
        • Bailey L.J.
        • Tucker Jr., G.R.
        • Styner M.A.
        • Mol A.
        • Phillips C.L.
        • et al.
        Superimposition of 3D cone-beam CT models of orthognathic surgery patients.
        Dentomaxillofac Radiol. 2005; 34: 369-375
        • Cevidanes L.H.
        • Styner M.A.
        • Proffit W.R.
        Image analysis and superimposition of 3-dimensional cone-beam computed tomography models.
        Am J Orthod Dentofacial Orthop. 2006; 129: 611-618
        • Choi J.
        • Mah J.
        A new method for superimposition of CBCT volumes.
        J Clin Orthod. 2010; 44: 303-312
        • Park S.B.
        • Yang Y.M.
        • Kim Y.I.
        • Cho B.H.
        • Jung Y.H.
        • Hwang D.S.
        Effect of bimaxillary surgery on adaptive condylar head remodeling: metric analysis and image interpretation using cone-beam computed tomography volume superimposition.
        J Oral Maxillofac Surg. 2012; 70: 1951-1959
        • Park S.B.
        • Yoon J.K.
        • Kim Y.I.
        • Hwang D.S.
        • Cho B.H.
        • Son W.S.
        The evaluation of the nasal morphologic changes after bimaxillary surgery in skeletal class III malocclusion by using the superimposition of cone-beam computed tomography (CBCT) volumes.
        J Craniomaxillofac Surg. 2012; 40: e87-e92
        • Alexandroni E.S.
        Utilizing voxel based superimposition to assess orthognathic surgical treatment.
        University of Southern California, Los Angeles2012
      1. DICOM digital imaging and communications in medicine.
        National Electrical Manufacturers Association (NEMA), Rosslyn, VA2011
        • De Clerck H.
        • Nguyen T.
        • de Paula L.K.
        • Cevidanes L.
        Three-dimensional assessment of mandibular and glenoid fossa changes after bone-anchored class III intermaxillary traction.
        Am J Orthod Dentofacial Orthop. 2012; 142: 25-31
        • Nguyen T.
        • Cevidanes L.
        • Cornelis M.A.
        • Heymann G.
        • de Paula L.K.
        • De Clerck H.
        Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction.
        Am J Orthod Dentofacial Orthop. 2011; 140: 790-798
        • Yushkevich P.A.
        • Piven J.
        • Hazlett H.C.
        • Smith R.G.
        • Ho S.
        • Gee J.C.
        • et al.
        User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability.
        Neuroimage. 2006; 31: 1116-1128
        • Chapuis J.
        • Schramm A.
        • Pappas I.
        • Hallermann W.
        • Schwenzer-Zimmerer K.
        • Langlotz F.
        • et al.
        A new system for computer-aided preoperative planning and intraoperative navigation during corrective jaw surgery.
        IEEE Trans Inf Technol Biomed. 2007; 11: 274-287
        • McCance A.M.
        • Moss J.P.
        • Fright W.R.
        • James D.R.
        • Linney A.D.
        A three dimensional analysis of soft and hard tissue changes following bimaxillary orthognathic surgery in skeletal III patients.
        Br J Oral Maxillofac Surg. 1992; 30: 305-312
        • Kawamata A.
        • Fujishita M.
        • Nagahara K.
        • Kanematu N.
        • Niwa K.
        • Langlais R.P.
        Three-dimensional computed tomography evaluation of postsurgical condylar displacement after mandibular osteotomy.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85: 371-376
        • Nada R.M.
        • Maal T.J.
        • Breuning K.H.
        • Bergé S.J.
        • Mostafa Y.A.
        • Kuijpers-Jagtman A.M.
        Accuracy and reproducibility of voxel based superimposition of cone beam computed tomography models on the anterior cranial base and the zygomatic arches.
        PLoS ONE. 2011; 6: e16520
        • Azeredo F.
        • de Menezes L.M.
        • Enciso R.
        • Weissheimer A.
        • de Oliveira R.B.
        Computed gray levels in multislice and cone-beam computed tomography.
        Am J Orthod Dentofacial Orthop. 2013; 144: 147-155
        • Lee R.J.
        • Weissheimer A.
        • Pham J.
        • Go L.
        • de Menezes L.M.
        • Redmond W.R.
        • et al.
        Three-dimensional monitoring of root movement during orthodontic treatment.
        Am J Orthod Dentofacial Orthop. 2015; 147: 132-142
        • Lee J.H.
        • Kim M.J.
        • Kim S.M.
        • Kwon O.H.
        • Kim Y.K.
        The 3D CT superimposition method using image fusion based on the maximum mutual information algorithm for the assessment of oral and maxillofacial surgery treatment results.
        Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 114: 167-174
        • Pluim J.P.
        • Maintz J.B.
        • Viergever M.A.
        Mutual-information-based registration of medical images: a survey.
        IEEE Trans Med Imaging. 2003; 22: 986-1004