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MSCT versus CBCT: evaluation of high-resolution acquisition modes for dento-maxillary and skull-base imaging

  • Computed Tomography
  • Published:
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Abstract

Objectives

Our aim was to conduct a quantitative and qualitative evaluation of high-resolution skull-bone imaging for dentistry and otolaryngology using different architectures of recent X-ray computed tomography systems.

Material and methods

Three multi-slice computed tomography (MSCT) systems and one Cone-beam computed tomography (CBCT) system were used in this study. All apparatuses were tested with installed acquisition modes and proprietary reconstruction software enabling high-resolution bone imaging. Quantitative analyses were performed with small fields of view with the preclinical vmCT phantom, which permits to measure spatial resolution, geometrical accuracy, linearity and homogeneity. Ten operators performed visual qualitative analyses on the vmCT phantom images, and on dry human skull images.

Results

Quantitative analysis showed no significant differences between protocols in terms of linearity and geometric accuracy. All MSCT systems present a better homogeneity than the CBCT. Both quantitative and visual analyses demonstrate that CBCT acquisitions are not better than the collimated helical MSCT mode.

Conclusion

Our results demonstrate that current high-resolution MSCT protocols could exceed the performance of a previous generation CBCT system for spatial resolution and image homogeneity.

Key Points

Quantitative evaluation is a prerequisite for comparison of imaging equipment.

Bone imaging quality could be objectively assessed with a phantom and dry skull.

The current MSCT shows better image quality than a dental CBCT system.

CBCT remains a work-in-progress technology.

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Abbreviations

CBCT:

Cone-beam computed tomography

CT:

Computed tomography

FBP:

Filtered back projection

FOV:

Field of view

FPD:

Flat panel detector

MSCT:

Multi-slice computed tomography

MTF:

Modulation transfer function

ROI:

Regions of interest

SD:

Standard deviation

VOI:

Volumes of interest

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Acknowledgments

Authors are grateful to Drs J.-L. Dietemann, A. Gangi, M. Ohana, C. Roy, F. Veillon, for access to the different devices. The authors gratefully acknowledge all technologists from the University Hospital of Strasbourg who participated in this study. Authors warmly thank General Electric for the loan of the phantom used in this study.

The scientific guarantor of this publication is P.Choquet. The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article. The authors state that this work has not received any funding. No complex statistical methods were necessary for this paper. Institutional Review Board approval was not required because no living subjects were used in this study.

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Correspondence to Philippe Choquet.

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Dillenseger, JP., Matern, JF., Gros, CI. et al. MSCT versus CBCT: evaluation of high-resolution acquisition modes for dento-maxillary and skull-base imaging. Eur Radiol 25, 505–515 (2015). https://doi.org/10.1007/s00330-014-3439-8

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  • DOI: https://doi.org/10.1007/s00330-014-3439-8

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