Related Experiment Video
Updated: Feb 12, 2026

Dynamic Navigation for Dental Implant Placement
Published on: September 13, 2022
Do Ultra-Low Multidetector Computed Tomography Doses and Iterative Reconstruction Techniques Affect Subjective
Purpose:
To investigate whether ultra-low-dose multidetector computed tomography (MDCT) combined with the reconstruction techniques filtered backprojection (FBP), adaptive statistical iterative reconstruction (ASIR), or model-based iterative reconstruction (MBIR) alters the subjective classification of revised Lekholm and Zarb (LZ) bone types at prospective dental implant sites.
Materials And Methods:
Three cadavers underwent a reference MDCT examination using a standard dose volume (CT dose index [CTDIvol]: 29.4 mGy) and reconstructed with FBP in addition to five test protocols (LD1-LD5) using ultra-low doses (CTDIvol: 4.19, 2.64, 0.99, 0.53, and 0.29 mGy, respectively) and reconstructed with FBP, ASIR 50, ASIR 100, and MBIR. Transverse cross-sectional images of the jawbones were obtained, and three examiners subjectively classified the bone type in each image using the revised LZ classification. The bone type classifications obtained using the reference examination were compared with those obtained from the test protocols for each examiner, and kappa statistic was used to analyze the level of agreement between the reference and test protocols. The clinical significance of the differences was analyzed with Wilcoxon signed rank test.
Results:
Examiners 1 and 2 found moderate to strong agreement between the reference and test protocols, while Examiner 3 found strong to almost perfect agreement (P < .001). The Wilcoxon signed rank test did not demonstrate a clinical significance of the differences between the reference and test protocols for any of the three examiners.
Conclusion:
MDCT dose reductions of up to 99% did not significantly alter the subjective classification of bone at dental implant sites.
More Related Videos
Related Concept Videos
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Classification of Bones
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Imaging Studies III: Computed Tomography
Conserved Binding Sites
Binding sites are often located in large pockets, and if their location on a protein’s surface is unknown, it can be predicted using various approaches. The energetic method computationally...
Electron Microscope Tomography and Single-particle Reconstruction
Electron Tomography
Electron tomography can be performed either in TEM or STEM (scanning transmission...
Classification of Titrimetric Analysis Based on Reaction Types
Titrations between an acid and a base lead to neutralization reactions that form...

