<abstract xmlns="http://www.w3.org/1999/xhtml">

<italic>Objective</italic>: The purpose of this retrospective radiographic study was to determine the reliability and reproducibility of skeletal and dental measurements of lateral cephalograms created from a computerised tomography (CT) scan compared with conventional and digital lateral cephalograms.
<italic>Methods</italic>: CT and conventional lateral cephalograms of the same patients were obtained from university archives. The lateral cephalometric radiographs of 30 patients were manually traced. The radiographs were subsequently scanned and traced using Dolphin Imaging software version 11 (Dolphin Imaging, Chatsworth, CA, USA). The CT-created lateral cephalograms were also traced using the same software. Sixteen (10 angular and 6 linear) measurements were performed. Cephalometric measurements obtained from conventional, digital and CT-created cephalograms were statistically compared using repeated measures analysis of variance (ANOVA). Statistical significance was set at the <italic>p</italic> &lt; 0.05 level of confidence.
<italic>Results</italic>: The intra-rater reliability test for each method showed high values (r > 0.90) except for mandibular length which had a correlation of 0.82 for the CT-created cephalogram. Five measurements (N-A-Pog, N-S, ANS-PNS, Co-ANS and Co-Gn) were found to be significantly different between the CT-created and conventional cephalograms and three measurements (SNB, ANB, and /1-MP) were found to be significantly different between the CT-created and digital cephalograms.
<italic>Conclusions</italic>: There are statistically-significant differences in measurements produced using a traditional manual analysis, a direct digital analysis or a 3D CT-derived cephalometric analysis of orthodontic patients. These differences are, on average, small but because of individual variation, may be of considerable clinical significance in some patients.
</abstract>

Objective: The purpose of this retrospective radiographic study was to determine the reliability and reproducibility of skeletal and dental measurements of lateral cephalograms created from a computerised tomography (CT) scan compared with conventional and digital lateral cephalograms.
Methods: CT and conventional lateral cephalograms of the same patients were obtained from university archives. The lateral cephalometric radiographs of 30 patients were manually traced. The radiographs were subsequently scanned and traced using Dolphin Imaging software version 11 (Dolphin Imaging, Chatsworth, CA, USA). The CT-created lateral cephalograms were also traced using the same software. Sixteen (10 angular and 6 linear) measurements were performed. Cephalometric measurements obtained from conventional, digital and CT-created cephalograms were statistically compared using repeated measures analysis of variance (ANOVA). Statistical significance was set at the p < 0.05 level of confidence.
Results: The intra-rater reliability test for each method showed high values (r > 0.90) except for mandibular length which had a correlation of 0.82 for the CT-created cephalogram. Five measurements (N-A-Pog, N-S, ANS-PNS, Co-ANS and Co-Gn) were found to be significantly different between the CT-created and conventional cephalograms and three measurements (SNB, ANB, and /1-MP) were found to be significantly different between the CT-created and digital cephalograms.
Conclusions: There are statistically-significant differences in measurements produced using a traditional manual analysis, a direct digital analysis or a 3D CT-derived cephalometric analysis of orthodontic patients. These differences are, on average, small but because of individual variation, may be of considerable clinical significance in some patients.

Measurements from conventional, digital and CT-derived cephalograms: a comparative study

Department of Orthodontics, Faculty of Dental Medicine

Department of Orthodontics and Oral Facial Genetics

Department of Pediatric Dentistry and Orthodontics, College of Dentistry

Department of Orthodontics, Faculty of Dentistry

Australasian Orthodontic Journal

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective: The purpose of this retrospective radiographic study was to determine the reliability and reproducibility of skeletal and dental measurements of lateral cephalograms created from a computerised tomography (CT) scan compared with conventional and digital lateral cephalograms.
Methods: CT and conventional lateral cephalograms of the same patients were obtained from university archives. The lateral cephalometric radiographs of 30 patients were manually traced. The radiographs were subsequently scanned and traced using Dolphin Imaging software version 11 (Dolphin Imaging, Chatsworth, CA, USA). The CT-created lateral cephalograms were also traced using the same software. Sixteen (10 angular and 6 linear) measurements were performed. Cephalometric measurements obtained from conventional, digital and CT-created cephalograms were statistically compared using repeated measures analysis of variance (ANOVA). Statistical significance was set at the p  0.90) except for mandibular length which had a correlation of 0.82 for the CT-created cephalogram. Five measurements (N-A-Pog, N-S, ANS-PNS, Co-ANS and Co-Gn) were found to be significantly different between the CT-created and conventional cephalograms and three measurements (SNB, ANB, and /1-MP) were found to be significantly different between the CT-created and digital cephalograms.
Conclusions: There are statistically-significant differences in measurements produced using a traditional manual analysis, a direct digital analysis or a 3D CT-derived cephalometric analysis of orthodontic patients. These differences are, on average, small but because of individual variation, may be of considerable clinical significance in some patients.

Objective: The purpose of this retrospective radiographic study was to determine the reliability and reproducibility of skeletal and dental measurements of...

Measurements from conventional, digital and CT-derived cephalograms: a comparative study

Published Online: Aug 01, 2023

Page range: 232 - 239

Received: Jan 01, 2012

Accepted: Oct 01, 2012

DOI: https://doi.org/10.2478/aoj-2012-0022

© 2012 Ahmed Ghoneima et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.