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Updated: Mar 14, 2026

Measuring the Complete-arch Distortion of an Optical Dental Impression
Published on: May 30, 2019
Contrast reference values in panoramic radiographic images using an arch-form phantom stand.
Jae-Myung Shin1, Chena Lee2, Jo-Eun Kim2
1Department of Oral and Maxillofacial Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
This study established contrast reference values (CRVs) for panoramic radiography by analyzing phantom images. These values help determine diagnostic image quality for different jaw regions.
Area of Science:
- Dental Radiology
- Medical Imaging
- Image Quality Assessment
Background:
- Panoramic radiography is crucial for dental diagnostics.
- Standardized image quality assessment is needed for reliable interpretation.
- Contrast Reference Values (CRVs) provide objective measures for image quality.
Purpose of the Study:
- To determine appropriate contrast reference values (CRVs) for panoramic radiography.
- To compare contrast measurements between phantom and clinical images.
- To establish diagnostic adequacy thresholds for image quality.
Main Methods:
- Phantom contrast was measured using pit visibility and contrast-to-noise ratio (CNR).
- Five tissue-equivalent materials (porcelain, aluminum, PTFE, POM, PMMA) were used.
- Panoramic radiographs of a contrast phantom in different jaw regions were analyzed.
Main Results:
- CRVs were determined for incisor, premolar, molar, and temporomandibular joint (TMJ) regions.
- Specific CNR-based CRVs were reported for various materials across different regions.
- Values ranged from 13.95 for porcelain in the anterior region to -0.43 for PTFE in the TMJ region.
Conclusions:
- CRVs were successfully determined for distinct anatomical regions of the jaw.
- The study utilized CNR and pit visibility in phantom images to establish these values.
- These CRVs aid in assessing the diagnostic quality of panoramic radiographs.
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