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  • Title: Accuracy and reliability of linear cephalometric measurements from cone-beam computed tomography scans of a dry human skull.
    Author: Berco M, Rigali PH, Miner RM, DeLuca S, Anderson NK, Will LA.
    Journal: Am J Orthod Dentofacial Orthop; 2009 Jul; 136(1):17.e1-9; discussion 17-8. PubMed ID: 19577142.
    Abstract:
    INTRODUCTION: The purpose of this study was to determine the accuracy and reliability of 3-dimensional craniofacial measurements obtained from cone-beam computed tomography (CBCT) scans of a dry human skull. METHODS: Seventeen landmarks were identified on the skull. CBCT scans were then obtained, with 2 skull orientations during scanning. Twenty-nine interlandmark linear measurements were made directly on the skull and compared with the same measurements made on the CBCT scans. All measurements were made by 2 operators on 4 separate occasions. RESULTS: The method errors were 0.19, 0.21, and 0.19 mm in the x-, y- and z-axes, respectively. Repeated measures analysis of variance (ANOVA) showed no significant intraoperator or interoperator differences. The mean measurement error was -0.01 mm (SD, 0.129 mm). Five measurement errors were found to be statistically significantly different; however, all measurement errors were below the known voxel size and clinically insignificant. No differences were found in the measurements from the 2 CBCT scan orientations of the skull. CONCLUSIONS: CBCT allows for clinically accurate and reliable 3-dimensional linear measurements of the craniofacial complex. Moreover, skull orientation during CBCT scanning does not affect the accuracy or the reliability of these measurements.
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