Abstract
Objectives
Cone-beam computed tomography (CBCT), despite its advantages, has some drawbacks, such as artifacts and movement of the patient during scanning may lead to motion artifacts (MAs). This retrospective study aimed to evaluate the MAs in three different CBCT devices and to analyze their relationship with age, the gender of the patients, and scanning times.
Methods
This study included 360 CBCT images from three institutions scanned in standing, sitting and supine positions. MAs presence, age, gender, and scanning times were recorded. Of the patients, 129 were scanned in standing position, 131 in sitting position, and 100 in supine position.
Results
MAs were found in 6.7% of patients in total; 8%, 7.6%, and 4% in standing, sitting, and supine positions, respectively. No statistically significant relationship was observed between MAs presence and patient position. The mean age of the patients with MAs was higher than patients without, in total and in standing positions. Scanning time showed no correlation with artifact presence.
Conclusions
Patient position is not related to MAs presence. The age of the patient is a factor in movement, and has a high impact in standing position. Although insignificant, MAs were less common in supine position than sitting and standing positions. Sitting and supine positioning might reduce motion artifacts in older patients.
Similar content being viewed by others
References
Kim JH, Arita ES, Pinheiro LR, Yoshimoto M, Watanabe PCA, Cortes ARG. Computed tomographic artifacts in maxillofacial surgery. J Craniofac Surg. 2018;29(1):e78–e80.
Salem D, Alshihri A, Arguello E, Jung RE, Mohmed HA, Friedland B. Volumetric analysis of allogenic and xenogenic bone substitutes used in maxillary sinus augmentations utilizing cone beam CT: a prospective randomized pilot study. Int J Oral Maxillofac Implants. 2019;34(4):920–6.
Akay G, Ozdede M, Gungor K. An evaluation of mesiodentes: a retrospective study with cone-beam computed tomography. Selcuk Dent J. 2018;5(3):203–11.
Ahmad M, Jenny J, Downie M. Application of cone beam computed tomography in oral and maxillofacial surgery. Aust Dent J. 2012;57:82–94.
Kwon SM, Baik HS, Jung HD, Jang W, Choi YJ. Diagnosis and surgical outcomes of facial asymmetry according to the occlusal cant and menton deviation. J Oral Maxillofac Surg. 2019;77(6):1261–75.
Zhao L, Wei Y, Xu T, Zhang B, Hu W, Chung KH. Changes in alveolar process dimensions following extraction of molars with advanced periodontal disease: a clinical pilot study. Clin Oral Implants Res. 2019;30(4):324–35.
Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics—a review. Int Endod J. 2015;48(1):3–15.
Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol. 1999;28(4):245–8.
Sukovic P. Cone beam computed tomography in craniofacial imaging. Orthod Craniofac Res. 2003;6:31–182.
Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin N Am. 2008;52(4):707–30.
De Cock J, Mermuys K, Goubau J, Van Petegem S, Houthoofd B, Casselman JW. Cone-beam computed tomography: a new low dose, high resolution imaging technique of the wrist, presentation of three cases with technique. Skelet Radiol. 2012;41(1):93–6.
Lee RD. Common image artifacts in cone beam CT [Internet] (2020). http://www.aadmrt.com/currents/lee_summer_08_print.htm.
Spin-Neto R, Mudrak J, Matzen LH, Christensen J, Gotfredsen E, Wenzel A. Cone beam CT image artefacts related to head motion simulated by a robot skull: visual characteristics and impact on image quality. Dentomaxillofac Radiol. 2013;42(2):32310645.
White SC, Pharoah MJ. Oral radiology, principles and interpretation. 7th ed. St. Louis: MO Mosby; 2014.
Donaldson K, O'Connor S, Heath N. Dental cone beam CT image quality possibly reduced by patient movement. Dentomaxillofac Radiol. 2013;42(2):91866873.
Schulze R, Heil U, Gross D, Bruellmann DD, Dranischnikow E, Schwanecke U, et al. Artefacts in CBCT: a review. Dentomaxillofac Radiol. 2011;40(5):265–73.
Nardi C, Taliani GG, Castellani A, De Falco L, Selvi V, Calistri L. Repetition of examination due to motion artifacts in horizontal cone beam CT: comparison among three different kinds of head support. J Int Soc Prev Community Dent. 2017;7(4):208–13.
Lee R, Azevedo B, Shintaku W, Noujeim M, Nummikoski P. Patient movement in three different CBCT units [abstract]. Oral Surg Oral Med Oral Pathol Oral Radio Endod. 2008;105(4):e55.
Nardi C, Borri C, Regini F, Calistri L, Castellani A, Lorini C, et al. Metal and motion artifacts by cone beam computed tomography (CBCT) in dental and maxillofacial study. Radiol Med. 2015;120(7):618–26.
Spin-Neto R, Matzen LH, Schropp L, Gotfredsen E, Wenzel A. Movement characteristics in young patients and the impact on CBCT image quality. Dentomaxillofac Radiol. 2016;45(4):20150426.
Spin-Neto R, Matzen LH, Schropp L, Gotfredsen E, Wenzel A. Factors affecting patient movement and re-exposure in cone beam computed tomography examination. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(5):572–8.
Spin-Neto R, Matzen LH, Schropp L, Liedke GS, Gotfredsen E, Wenzel A. Radiographic observers' ability to recognize patient movement during cone beam CT. Dentomaxillofac Radiol. 2014;43(4):20130449.
Yıldızer KE. Effect of patient anxiety on image motion artefacts in CBCT. BMC Oral Health. 2017;17(1):73.
Funding
None.
Author information
Authors and Affiliations
Contributions
Conceptualization: [EYK]; methodology: [EYK, OD, MO]; formal analysis and investigation: [EYK, OD, MO]; writing—original draft preparation: [EYK, OD, MO]; writing—review and editing: [EYK, OD, MO].
Corresponding author
Ethics declarations
Conflict of interest
Elif Yıldızer Keris, Oguzhan Demirel, and Melih Özdede declare that they have no conflict of interest.
Human rights statement
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for inclusion in the study.
Ethical approval
Ethical approval for the study was received from Pamukkale University Ethics Committee (Number: 60116787–020/39935; Date of approval: 12/06/2019). This study was performed by following the Declaration of Helsinki.
Informed consent
Informed consent was obtained from all patients for inclusion in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Yildizer Keris, E., Demirel, O. & Ozdede, M. Evaluation of motion artifacts in cone-beam computed tomography with three different patient positioning. Oral Radiol 37, 276–281 (2021). https://doi.org/10.1007/s11282-020-00446-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11282-020-00446-x