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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Main Authors: Michael Boelstoft Holte, Alexandru Diaconu, Else Marie Pinholt
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Advances in Oral and Maxillofacial Surgery
Subjects:
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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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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