Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review

Background So far, several techniques have been recommended for the assessment of craniofacial changes through skeletal tissue superimposition, but the evidence that supports them remains unexplored. The purpose of the present study is to assess the available literature on skeletal-tissue superimpos...

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Main Authors: Daniel Dinh-Phuc Mai, Sven Stucki, Nikolaos Gkantidis
Format: Article
Language:English
Published: PeerJ Inc. 2020-06-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9263.pdf
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author Daniel Dinh-Phuc Mai
Sven Stucki
Nikolaos Gkantidis
author_facet Daniel Dinh-Phuc Mai
Sven Stucki
Nikolaos Gkantidis
author_sort Daniel Dinh-Phuc Mai
collection DOAJ
description Background So far, several techniques have been recommended for the assessment of craniofacial changes through skeletal tissue superimposition, but the evidence that supports them remains unexplored. The purpose of the present study is to assess the available literature on skeletal-tissue superimpositions of serial craniofacial CT or CBCT images used to detect morphological changes. Materials and Methods Medline (via Pubmed), EMBASE, Google Scholar, Cochrane Library, Open Grey and Grey Literature Report were searched (last search: 17.11.2019) using specific terms that fulfilled the requirements of each database in the context of the study aim. Hand searches were also performed. The outcomes of interest were the accuracy, precision, or agreement between skeletal-tissue superimposition techniques to assess changes in the morphology of craniofacial structures. Studies of any design with sample size ≥3 were assessed by two authors independently. The study protocol was registered in PROSPERO (ID: CRD42019143356). Results Out of 832 studies, fifteen met the eligibility criteria. From the 15 included studies, 12 have shown high total risk of bias, one low risk of bias, and two studies have shown unclear risk of bias. Thirteen out of the 15 studies showed high applicability concerns, two unclear and no study had low applicability concerns. There was high heterogeneity among studies regarding the type of participants, sample size, growth status, machines, acquisition parameters, superimposition techniques, assessment techniques and outcomes measured. Fourteen of them were performed on Cone Beam Computed Tomography (CBCT) and one on Computed Tomography (CT) derived 3D models. Most of the studies (eleven) used voxel-based registration, one landmark-based registration and three studies compared different registration techniques, which include the surface-based registration. Concerning the area of interest, nine studies focused on the anterior cranial base and certain facial structures, four on maxillary structures and four on mandibular structures. Non-growing participants were included in six studies, growing in eight, whereas one study had both. Conclusion Most of the available studies had methodological shortcomings and high applicability concerns. At the moment, certain voxel-based and surface-based superimpositions seem to work properly and to be superior to landmark-based superimposition. However, further research in the field is required to develop and properly validate these techniques on different samples, through high quality studies with low applicability concerns.
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spelling doaj.art-e09a3af7e0f1471daf10a5ec571b91712023-12-02T23:45:25ZengPeerJ Inc.PeerJ2167-83592020-06-018e926310.7717/peerj.9263Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic reviewDaniel Dinh-Phuc Mai0Sven Stucki1Nikolaos Gkantidis2Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, SwitzerlandDepartment of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, SwitzerlandDepartment of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, SwitzerlandBackground So far, several techniques have been recommended for the assessment of craniofacial changes through skeletal tissue superimposition, but the evidence that supports them remains unexplored. The purpose of the present study is to assess the available literature on skeletal-tissue superimpositions of serial craniofacial CT or CBCT images used to detect morphological changes. Materials and Methods Medline (via Pubmed), EMBASE, Google Scholar, Cochrane Library, Open Grey and Grey Literature Report were searched (last search: 17.11.2019) using specific terms that fulfilled the requirements of each database in the context of the study aim. Hand searches were also performed. The outcomes of interest were the accuracy, precision, or agreement between skeletal-tissue superimposition techniques to assess changes in the morphology of craniofacial structures. Studies of any design with sample size ≥3 were assessed by two authors independently. The study protocol was registered in PROSPERO (ID: CRD42019143356). Results Out of 832 studies, fifteen met the eligibility criteria. From the 15 included studies, 12 have shown high total risk of bias, one low risk of bias, and two studies have shown unclear risk of bias. Thirteen out of the 15 studies showed high applicability concerns, two unclear and no study had low applicability concerns. There was high heterogeneity among studies regarding the type of participants, sample size, growth status, machines, acquisition parameters, superimposition techniques, assessment techniques and outcomes measured. Fourteen of them were performed on Cone Beam Computed Tomography (CBCT) and one on Computed Tomography (CT) derived 3D models. Most of the studies (eleven) used voxel-based registration, one landmark-based registration and three studies compared different registration techniques, which include the surface-based registration. Concerning the area of interest, nine studies focused on the anterior cranial base and certain facial structures, four on maxillary structures and four on mandibular structures. Non-growing participants were included in six studies, growing in eight, whereas one study had both. Conclusion Most of the available studies had methodological shortcomings and high applicability concerns. At the moment, certain voxel-based and surface-based superimpositions seem to work properly and to be superior to landmark-based superimposition. However, further research in the field is required to develop and properly validate these techniques on different samples, through high quality studies with low applicability concerns.https://peerj.com/articles/9263.pdfCone-Beam Computed TomographyComputed TomographyHeadSuperimposition3D imaging
spellingShingle Daniel Dinh-Phuc Mai
Sven Stucki
Nikolaos Gkantidis
Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
PeerJ
Cone-Beam Computed Tomography
Computed Tomography
Head
Superimposition
3D imaging
title Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
title_full Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
title_fullStr Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
title_full_unstemmed Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
title_short Assessment of methods used for 3-dimensional superimposition of craniofacial skeletal structures: a systematic review
title_sort assessment of methods used for 3 dimensional superimposition of craniofacial skeletal structures a systematic review
topic Cone-Beam Computed Tomography
Computed Tomography
Head
Superimposition
3D imaging
url https://peerj.com/articles/9263.pdf
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