Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study
The purpose of the present study was to compare the precision and reliability of voxel- and surface-based registration for computer-assisted assessment of the surgical accuracy and postoperative stability of segmental bimaxillary surgery. Three-dimensional translational and rotational measurements w...
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Elsevier
2024-03-01
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Series: | Advances in Oral and Maxillofacial Surgery |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147623000821 |
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author | Michael Boelstoft Holte Alexandru Diaconu Else Marie Pinholt |
author_facet | Michael Boelstoft Holte Alexandru Diaconu Else Marie Pinholt |
author_sort | Michael Boelstoft Holte |
collection | DOAJ |
description | The purpose of the present study was to compare the precision and reliability of voxel- and surface-based registration for computer-assisted assessment of the surgical accuracy and postoperative stability of segmental bimaxillary surgery. Three-dimensional translational and rotational measurements were performed by two observers using voxel- and surface-based registration. The precision and reliability of the measurements were calculated by the mean absolute differences (MAD) and intraclass correlation coefficients (ICC) at 95 % confidence intervals. A paired t-test or the non-parametric equivalent, Wilcoxon signed-rank test, was applied to statistically evaluate whether the precision of voxel- and surface-based registration was statistically significantly different (p < 0.05). Voxel-based registration had high precision (MAD <0.44 mm/0.92°) and excellent reliability, ICC [0.82–1.00]. The precision of surface-based registration was lower (MAD <0.56 mm/1.45°) and the reliability ranged from poor to excellent for the different bone segments, ICC [0.33–1.00]. Both registration techniques had high precision and excellent reliability for the assessment of the surgical accuracy, and the error margin of both techniques was clinical irrelevant. However, the increased precision of voxel-based registration was statistically significant (p < 0.05) for the maxillary segments and the chin, and the stability measurement error (ranging up to 1.58 mm and 4.46°) introduced by surface-based registration may be considered clinical relevant for these bone segments. Within the limitations of the present comparative study, voxel-based registration generally exhibited higher precision and reliability than surface-based registration for the surgical accuracy and postoperative stability assessment of segmental bimaxillary surgery. |
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id | doaj.art-0060e7a03a504c2188dc8587b61b8f75 |
institution | Directory Open Access Journal |
issn | 2667-1476 |
language | English |
last_indexed | 2024-03-07T23:04:42Z |
publishDate | 2024-03-01 |
publisher | Elsevier |
record_format | Article |
series | Advances in Oral and Maxillofacial Surgery |
spelling | doaj.art-0060e7a03a504c2188dc8587b61b8f752024-02-22T04:53:40ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762024-03-0113100470Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative studyMichael Boelstoft Holte0Alexandru Diaconu1Else Marie Pinholt23D Lab Denmark, Department of Oral and Maxillofacial Surgery, University Hospital of Southern Denmark, Esbjerg, Denmark; Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Finsensgade 35, 6700, Esbjerg, Denmark3D Lab Denmark, Department of Oral and Maxillofacial Surgery, University Hospital of Southern Denmark, Esbjerg, Denmark; Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Finsensgade 35, 6700, Esbjerg, Denmark3D Lab Denmark, Department of Oral and Maxillofacial Surgery, University Hospital of Southern Denmark, Esbjerg, Denmark; Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Finsensgade 35, 6700, Esbjerg, Denmark; Corresponding author. Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Finsensgade 35, 6700, Esbjerg, Denmark.The purpose of the present study was to compare the precision and reliability of voxel- and surface-based registration for computer-assisted assessment of the surgical accuracy and postoperative stability of segmental bimaxillary surgery. Three-dimensional translational and rotational measurements were performed by two observers using voxel- and surface-based registration. The precision and reliability of the measurements were calculated by the mean absolute differences (MAD) and intraclass correlation coefficients (ICC) at 95 % confidence intervals. A paired t-test or the non-parametric equivalent, Wilcoxon signed-rank test, was applied to statistically evaluate whether the precision of voxel- and surface-based registration was statistically significantly different (p < 0.05). Voxel-based registration had high precision (MAD <0.44 mm/0.92°) and excellent reliability, ICC [0.82–1.00]. The precision of surface-based registration was lower (MAD <0.56 mm/1.45°) and the reliability ranged from poor to excellent for the different bone segments, ICC [0.33–1.00]. Both registration techniques had high precision and excellent reliability for the assessment of the surgical accuracy, and the error margin of both techniques was clinical irrelevant. However, the increased precision of voxel-based registration was statistically significant (p < 0.05) for the maxillary segments and the chin, and the stability measurement error (ranging up to 1.58 mm and 4.46°) introduced by surface-based registration may be considered clinical relevant for these bone segments. Within the limitations of the present comparative study, voxel-based registration generally exhibited higher precision and reliability than surface-based registration for the surgical accuracy and postoperative stability assessment of segmental bimaxillary surgery.http://www.sciencedirect.com/science/article/pii/S2667147623000821Orthognathic surgeryComputer-assisted surgeryThree-dimensional imagingCone-beam computed tomographyMaxillary osteotomyMandibular osteotomy |
spellingShingle | Michael Boelstoft Holte Alexandru Diaconu Else Marie Pinholt Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study Advances in Oral and Maxillofacial Surgery Orthognathic surgery Computer-assisted surgery Three-dimensional imaging Cone-beam computed tomography Maxillary osteotomy Mandibular osteotomy |
title | Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study |
title_full | Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study |
title_fullStr | Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study |
title_full_unstemmed | Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study |
title_short | Computer-assisted assessment of segmental bimaxillary surgery using voxel- and surface-based registration: A comparative study |
title_sort | computer assisted assessment of segmental bimaxillary surgery using voxel and surface based registration a comparative study |
topic | Orthognathic surgery Computer-assisted surgery Three-dimensional imaging Cone-beam computed tomography Maxillary osteotomy Mandibular osteotomy |
url | http://www.sciencedirect.com/science/article/pii/S2667147623000821 |
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