Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography

Abstract Objective In cone-beam computed tomography (CBCT), voxel resolution and size directly affect image quality. This study aimed to analyze the effect of voxel resolution on the linear and volumetric measurements of tooth and pulp in three-dimensional images obtained with different voxel sizes...

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Main Authors: Melih Ozdede, Gulsun Akay, Ozge Karadag Atas, Emirhan Korhan Koc, Osman Yalcin, Kahraman Gungor
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-05259-6
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author Melih Ozdede
Gulsun Akay
Ozge Karadag Atas
Emirhan Korhan Koc
Osman Yalcin
Kahraman Gungor
author_facet Melih Ozdede
Gulsun Akay
Ozge Karadag Atas
Emirhan Korhan Koc
Osman Yalcin
Kahraman Gungor
author_sort Melih Ozdede
collection DOAJ
description Abstract Objective In cone-beam computed tomography (CBCT), voxel resolution and size directly affect image quality. This study aimed to analyze the effect of voxel resolution on the linear and volumetric measurements of tooth and pulp in three-dimensional images obtained with different voxel sizes and to test the repeatability of these measurements. Materials and methods CBCT images of 30 extracted single-rooted permanent teeth were obtained using 3 different voxel sizes (0.1-, 0.2-, 0.4-mm). Two observers performed volumetric and linear measurements of pulp and teeth using semi-automatic segmentation. The data were analyzed using descriptive and nonparametric tests. For interobserver reliability, the Wilcoxon signed test and Kendall’s tau correlation coefficient were used. The intraobserver repeatability was analyzed using the intraclass correlation coefficient. The significance level was set at 0.05. Results Friedman test showed no significant difference (p > 0.05) in volumetric measurements between different voxels in one of the observers, but a significant difference was found in the pulp volume measurement in the other (p < 0.001). The voxel sizes did not affect the linear measurements of both observers (p > 0.05). The interclass reliability (Wilcoxon signed test and Kendall’s tau correlation coefficient) and intraobserver repeatability (intraclass correlation coefficient) decreased as the voxel size increased for linear and volumetric measurements of tooth and pulp (p > 0.05). While the values indicated “good” and “excellent” reliability for all parameters measured on the 0.1- and 0.2-mm voxels, a few “moderate” reliability values were found on the 0.4-mm voxel. Conclusion Voxel sizes of 0.1- and 0.2-mm did not significantly affect linear and volumetric tooth measurements. When the voxel size increased, the reliability and repeatability decreased. To increase measurement reliability, the voxel size should be as small as possible.
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spelling doaj-art-811e910e010340ccaada32d6269c8a8b2024-12-08T12:47:54ZengBMCBMC Oral Health1472-68312024-12-012411910.1186/s12903-024-05259-6Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomographyMelih Ozdede0Gulsun Akay1Ozge Karadag Atas2Emirhan Korhan Koc3Osman Yalcin4Kahraman Gungor5Dept. of Dentomaxillofacial Radiology, Dokuz Eylül University Faculty of DentistryDept. of Dentomaxillofacial Radiology, Gazi University Faculty of DentistryDept. of Statistics, Faculty of Science, Hacettepe UniversityDept. of Dentomaxillofacial Radiology, Gazi University Faculty of DentistryDept. of Dentomaxillofacial Radiology, Gazi University Faculty of DentistryDept. of Dentomaxillofacial Radiology, Gazi University Faculty of DentistryAbstract Objective In cone-beam computed tomography (CBCT), voxel resolution and size directly affect image quality. This study aimed to analyze the effect of voxel resolution on the linear and volumetric measurements of tooth and pulp in three-dimensional images obtained with different voxel sizes and to test the repeatability of these measurements. Materials and methods CBCT images of 30 extracted single-rooted permanent teeth were obtained using 3 different voxel sizes (0.1-, 0.2-, 0.4-mm). Two observers performed volumetric and linear measurements of pulp and teeth using semi-automatic segmentation. The data were analyzed using descriptive and nonparametric tests. For interobserver reliability, the Wilcoxon signed test and Kendall’s tau correlation coefficient were used. The intraobserver repeatability was analyzed using the intraclass correlation coefficient. The significance level was set at 0.05. Results Friedman test showed no significant difference (p > 0.05) in volumetric measurements between different voxels in one of the observers, but a significant difference was found in the pulp volume measurement in the other (p < 0.001). The voxel sizes did not affect the linear measurements of both observers (p > 0.05). The interclass reliability (Wilcoxon signed test and Kendall’s tau correlation coefficient) and intraobserver repeatability (intraclass correlation coefficient) decreased as the voxel size increased for linear and volumetric measurements of tooth and pulp (p > 0.05). While the values indicated “good” and “excellent” reliability for all parameters measured on the 0.1- and 0.2-mm voxels, a few “moderate” reliability values were found on the 0.4-mm voxel. Conclusion Voxel sizes of 0.1- and 0.2-mm did not significantly affect linear and volumetric tooth measurements. When the voxel size increased, the reliability and repeatability decreased. To increase measurement reliability, the voxel size should be as small as possible.https://doi.org/10.1186/s12903-024-05259-6Cone-beam computed tomographyImage reconstructionReproducibility of resultsSegmentationTooth
spellingShingle Melih Ozdede
Gulsun Akay
Ozge Karadag Atas
Emirhan Korhan Koc
Osman Yalcin
Kahraman Gungor
Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
BMC Oral Health
Cone-beam computed tomography
Image reconstruction
Reproducibility of results
Segmentation
Tooth
title Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
title_full Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
title_fullStr Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
title_full_unstemmed Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
title_short Repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone-beam computed tomography
title_sort repeatability and effect of different voxel sizes on linear and volumetric tooth and pulp measurements using cone beam computed tomography
topic Cone-beam computed tomography
Image reconstruction
Reproducibility of results
Segmentation
Tooth
url https://doi.org/10.1186/s12903-024-05259-6
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AT osmanyalcin repeatabilityandeffectofdifferentvoxelsizesonlinearandvolumetrictoothandpulpmeasurementsusingconebeamcomputedtomography
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