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Accuracy of mandibular cross-sectional imaging with tuned- aperture computed tomography (TACT), iteratively
H Liang1, D A Tyndall, J B Ludlow
1Department of Diagnostic Sciences, Baylor College of Dentistry, Dallas, TX 75266-0677, USA. hliang@tambcd.edu
Objective:
This study was designed to compare 5 modalities with respect to accuracy in mandibular cross-sectional imaging. The modalities tested were tuned-aperture computed tomography (TACT), iteratively reconstructed TACT, multidirectional tomography, linear tomography, and transverse panoramic tomography.
Study Design:
Twenty sites were selected from 3 dry human mandibles, and cross-sectional views were imaged through use of each of the 5 modalities. A quantitative analysis included measurements of 2 linear distances; a qualitative study included image evaluation by 6 observers. A nested mixed analysis of variance model was used to control for mandibles and locations within mandibles for the quantitative analysis; the Cochran-Mantel-Haenszel test was used for the qualitative analysis.
Results:
There was a significant difference in measurement error for maximum height but not for width. There was also a significant difference in qualitative image evaluation results.
Conclusions:
Of the 5 modalities tested, the narrow-layer multidirectional tomographic technique produced the greatest diagnostic accuracy and quality in cross-sectional imaging. The transverse panoramic tomographic technique produced the least diagnostic accuracy and quality. Linear tomography, TACT, and iteratively reconstructed TACT were intermediate in accuracy and quality.
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