Olszewski, Raphaël
[UCL]
Tanesy, Olivier
Cosnard, Guy
[UCL]
Zech, Francis
[UCL]
Reychler, Hervé
[UCL]
PURPOSE: The aim of this paper was to measure the reproducibility of osseous landmark identification from two recently described three-dimensional (3D) cephalometric analyses: 3D-ACRO and 3D-Swennen analyses. The study population consisted of 13 patients examined with spiral 3D computed tomography (CT). We used a previously validated low-dose CT protocol. For each analysis, 22 cephalometric reference landmarks were identified on 3D CT surface renderings. Forty-four reference landmarks were identified per patient. Two series of identifications were performed by two independent observers. In total, 3432 imaging measurements were completed. The intra-observer reconstructed mean log was 1.210+/-1.042mm for the 3D-ACRO analysis, and 1.311+/-1.042mm for 3D-Swennen analysis (comparison: p=0.17 NS). The inter-observer reconstructed mean log was 1.799+/-1.037mm for the 3D-ACRO analysis, and 2.465+/-1.036mm for 3D-Swennen analysis (comparison: p=0.000000002). The difference between the intra- and inter-observer reconstructed mean logs were 1.486+/-1.057mm for 3D-ACRO and 1.880+/-1.056mm for 3D-Swennen analysis. In conclusions: 3D-ACRO analysis was significantly more reproducible than 3D-Swennen analysis (p=0.0027) due to the use of a majority of highly reproducible cephalometric landmarks. Finally, we propose a classification scheme and exclusion criteria for reference landmarks used in 3D cephalometrics, based on inter-observer reproducibility and anatomical reality.
Bibliographic reference |
Olszewski, Raphaël ; Tanesy, Olivier ; Cosnard, Guy ; Zech, Francis ; Reychler, Hervé. Reproducibility of osseous landmarks used for computed tomography based three-dimensional cephalometric analyses.. In: Journal of Cranio-Maxillofacial Surgery, Vol. 38, no. 3, p. 214-221 (2010) |
Permanent URL |
http://hdl.handle.net/2078.1/22761 |