Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions

Abstract The aim of this study was to evaluate CBCT exposure protocols and CBCT devices in terms of image quality for the detection of cracks and fine endodontic structures using 3 conditions of metallic artifacts. An anthropomorphic phantom containing teeth with cracks, isthmus, narrow canal, and a...

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Main Authors: Jáder Camilo Pinto, Karla de Faria Vasconcelos, André Ferreira Leite, Victor Aquino Wanderley, Ruben Pauwels, Matheus L. Oliveira, Reinhilde Jacobs, Mario Tanomaru-Filho
Format: Article
Language:English
Published: Nature Portfolio 2023-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-31099-5
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author Jáder Camilo Pinto
Karla de Faria Vasconcelos
André Ferreira Leite
Victor Aquino Wanderley
Ruben Pauwels
Matheus L. Oliveira
Reinhilde Jacobs
Mario Tanomaru-Filho
author_facet Jáder Camilo Pinto
Karla de Faria Vasconcelos
André Ferreira Leite
Victor Aquino Wanderley
Ruben Pauwels
Matheus L. Oliveira
Reinhilde Jacobs
Mario Tanomaru-Filho
author_sort Jáder Camilo Pinto
collection DOAJ
description Abstract The aim of this study was to evaluate CBCT exposure protocols and CBCT devices in terms of image quality for the detection of cracks and fine endodontic structures using 3 conditions of metallic artifacts. An anthropomorphic phantom containing teeth with cracks, isthmus, narrow canal, and apical delta was scanned using ten CBCT devices. A reference industrial CT image was used to detect and measure all structures. Three conditions were created: (1) metal-free, (2) ‘endo’ and (3) ‘implant’ with metallic objects placed next to the teeth of interest. For each condition, three protocols were selected: medium field of view (FOV) standard resolution, small FOV standard and high resolution. The results showed that only small FOV high-resolution metal-free images from two devices (A and H) were appropriate to visualize cracks. For fine structure identification, the best result was observed for small FOV high resolution. However, the visualization significantly worsened in the presence of metallic artefacts. The ability of CBCT images for visualizing cracks is restricted to certain CBCT devices. Once metallic artefacts are present, crack detection becomes unlikely. Overall, small FOV high-resolution protocols may allow detection of fine endodontic structures as long as there are no high-dense objects in the region of interest.
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spelling doaj.art-6d70e3b071c442ae9b7ad0f08d60e03b2023-03-22T11:11:22ZengNature PortfolioScientific Reports2045-23222023-03-0113111010.1038/s41598-023-31099-5Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditionsJáder Camilo Pinto0Karla de Faria Vasconcelos1André Ferreira Leite2Victor Aquino Wanderley3Ruben Pauwels4Matheus L. Oliveira5Reinhilde Jacobs6Mario Tanomaru-Filho7Department of Restorative Dentistry, São Paulo State University (UNESP), School of DentistryOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenAarhus Institute of Advanced Studies, Aarhus UniversityDivision of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of CampinasOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenDepartment of Restorative Dentistry, São Paulo State University (UNESP), School of DentistryAbstract The aim of this study was to evaluate CBCT exposure protocols and CBCT devices in terms of image quality for the detection of cracks and fine endodontic structures using 3 conditions of metallic artifacts. An anthropomorphic phantom containing teeth with cracks, isthmus, narrow canal, and apical delta was scanned using ten CBCT devices. A reference industrial CT image was used to detect and measure all structures. Three conditions were created: (1) metal-free, (2) ‘endo’ and (3) ‘implant’ with metallic objects placed next to the teeth of interest. For each condition, three protocols were selected: medium field of view (FOV) standard resolution, small FOV standard and high resolution. The results showed that only small FOV high-resolution metal-free images from two devices (A and H) were appropriate to visualize cracks. For fine structure identification, the best result was observed for small FOV high resolution. However, the visualization significantly worsened in the presence of metallic artefacts. The ability of CBCT images for visualizing cracks is restricted to certain CBCT devices. Once metallic artefacts are present, crack detection becomes unlikely. Overall, small FOV high-resolution protocols may allow detection of fine endodontic structures as long as there are no high-dense objects in the region of interest.https://doi.org/10.1038/s41598-023-31099-5
spellingShingle Jáder Camilo Pinto
Karla de Faria Vasconcelos
André Ferreira Leite
Victor Aquino Wanderley
Ruben Pauwels
Matheus L. Oliveira
Reinhilde Jacobs
Mario Tanomaru-Filho
Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
Scientific Reports
title Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
title_full Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
title_fullStr Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
title_full_unstemmed Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
title_short Image quality for visualization of cracks and fine endodontic structures using 10 CBCT devices with various scanning protocols and artefact conditions
title_sort image quality for visualization of cracks and fine endodontic structures using 10 cbct devices with various scanning protocols and artefact conditions
url https://doi.org/10.1038/s41598-023-31099-5
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