Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner

This study aimed to assess the measurement precision of a three-dimensional (3D) scanner that detects the geometric shape as surface data and to investigate the differences between two-dimensional (2D) and 3D evaluations in infants with deformational plagiocephaly. Using the 3D scanner that can perf...

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Main Authors: Risa Kato, Nobuhiko Nagano, Shin Hashimoto, Katsuya Saito, Hiroshi Miyabayashi, Takanori Noto, Ichiro Morioka
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/6/788
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author Risa Kato
Nobuhiko Nagano
Shin Hashimoto
Katsuya Saito
Hiroshi Miyabayashi
Takanori Noto
Ichiro Morioka
author_facet Risa Kato
Nobuhiko Nagano
Shin Hashimoto
Katsuya Saito
Hiroshi Miyabayashi
Takanori Noto
Ichiro Morioka
author_sort Risa Kato
collection DOAJ
description This study aimed to assess the measurement precision of a three-dimensional (3D) scanner that detects the geometric shape as surface data and to investigate the differences between two-dimensional (2D) and 3D evaluations in infants with deformational plagiocephaly. Using the 3D scanner that can perform both 2D and 3D evaluations, we calculated cranial asymmetry (CA) for the 2D evaluation, and the anterior symmetry ratio (ASR) and posterior symmetry ratio (PSR) for the 3D evaluation. Intra- and inter-examiner precision analyses revealed that the coefficients of the variation measurements were extremely low (<1%) for all variables, except CA (5%). In 530 infants, the coincidence rate of CA severity by the 2D evaluation and the 3D evaluation was 83.4%. A disagreement on severity was found between 2D and 3D evaluations in 88 infants (16.6%): 68 infants (12.8%) were assessed as severe by 2D evaluation and mild by the 3D evaluation, while 20 infants (3.8%) were evaluated as mild by 2D and severe by 3D evaluation. Overall, the 2D evaluation identified more infants as severe than the 3D evaluation. The 3D evaluation proved more precise than the 2D evaluation. We found that approximately one in six infants differed in severity between 2D and 3D evaluations.
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spelling doaj.art-fc5946564c234536a10c3a871ad65e5a2023-11-23T16:04:47ZengMDPI AGChildren2227-90672022-05-019678810.3390/children9060788Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional ScannerRisa Kato0Nobuhiko Nagano1Shin Hashimoto2Katsuya Saito3Hiroshi Miyabayashi4Takanori Noto5Ichiro Morioka6Department of Pediatrics and Child Health, Nihon University School of Medicine, Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-8610, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-8610, JapanDepartment of Pediatrics, Kasukabe Medical Center, Saitama 344-8588, JapanDepartment of Pediatrics, Kasukabe Medical Center, Saitama 344-8588, JapanDepartment of Pediatrics, Kasukabe Medical Center, Saitama 344-8588, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-8610, JapanDepartment of Pediatrics and Child Health, Nihon University School of Medicine, Oyaguchi-kamimachi, Itabashi-ku, Tokyo 173-8610, JapanThis study aimed to assess the measurement precision of a three-dimensional (3D) scanner that detects the geometric shape as surface data and to investigate the differences between two-dimensional (2D) and 3D evaluations in infants with deformational plagiocephaly. Using the 3D scanner that can perform both 2D and 3D evaluations, we calculated cranial asymmetry (CA) for the 2D evaluation, and the anterior symmetry ratio (ASR) and posterior symmetry ratio (PSR) for the 3D evaluation. Intra- and inter-examiner precision analyses revealed that the coefficients of the variation measurements were extremely low (<1%) for all variables, except CA (5%). In 530 infants, the coincidence rate of CA severity by the 2D evaluation and the 3D evaluation was 83.4%. A disagreement on severity was found between 2D and 3D evaluations in 88 infants (16.6%): 68 infants (12.8%) were assessed as severe by 2D evaluation and mild by the 3D evaluation, while 20 infants (3.8%) were evaluated as mild by 2D and severe by 3D evaluation. Overall, the 2D evaluation identified more infants as severe than the 3D evaluation. The 3D evaluation proved more precise than the 2D evaluation. We found that approximately one in six infants differed in severity between 2D and 3D evaluations.https://www.mdpi.com/2227-9067/9/6/788anterior symmetry ratiocranial asymmetryhead deformityplagiocephalyposterior symmetry ratio
spellingShingle Risa Kato
Nobuhiko Nagano
Shin Hashimoto
Katsuya Saito
Hiroshi Miyabayashi
Takanori Noto
Ichiro Morioka
Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
Children
anterior symmetry ratio
cranial asymmetry
head deformity
plagiocephaly
posterior symmetry ratio
title Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
title_full Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
title_fullStr Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
title_full_unstemmed Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
title_short Three-Dimensional versus Two-Dimensional Evaluations of Cranial Asymmetry in Deformational Plagiocephaly Using a Three-Dimensional Scanner
title_sort three dimensional versus two dimensional evaluations of cranial asymmetry in deformational plagiocephaly using a three dimensional scanner
topic anterior symmetry ratio
cranial asymmetry
head deformity
plagiocephaly
posterior symmetry ratio
url https://www.mdpi.com/2227-9067/9/6/788
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