Metal artifact reduction using common dental materials

2021 ◽  
pp. 20210302
Author(s):  
Nicole V Hinchy ◽  
Nina K Anderson ◽  
Mina Mahdian

Objectives To determine the effect of different dental lab materials on cone beam computed tomography (CBCT) metal artifact at different resolutions. Methods A total of seven common dental lab materials were molded to a dental sextant of four extracted, restored teeth. In addition to base alone (control), each material was scanned using the Carestream 9600 CBCT unit at three resolutions – 0.3 mm, 0.15 mm, and 0.075 mm – at manufacturer established exposure parameters. A single, representative axial view of each trial was evaluated for metal artifact both quantitatively by histogram analysis and qualitatively by profile plot analysis in ImageJ. Results No statistically significant differences between the control and the dental materials were found; however, post-hoc tests showed significance between Blu-mousse® and polyvinyl siloxane with dental materials and control, predominantly in lower resolutions. Conclusions The current study provides initial evidence on the influence of dental materials have on CBCT metal artifact as described by beam hardening, photon starvation, scatter, and noise, especially at lower resolutions. Blu-Mousse® and polyvinyl siloxane reduced the perceived beam hardening and photon starvation artifact the greatest, relative to other materials, at all three resolutions and lower resolutions, respectively.

2018 ◽  
Vol 24 (3) ◽  
pp. 303-308 ◽  
Author(s):  
Yukiko Enomoto ◽  
Keita Yamauchi ◽  
Takahiko Asano ◽  
Katharina Otani ◽  
Toru Iwama

Background and purpose C-arm cone-beam computed tomography (CBCT) has the drawback that image quality is degraded by artifacts caused by implanted metal objects. We evaluated whether metal artifact reduction (MAR) prototype software can improve the subjective image quality of CBCT images of patients with intracranial aneurysms treated with coils or clips. Materials and methods Forty-four patients with intracranial aneurysms implanted with coils (40 patients) or clips (four patients) underwent one CBCT scan from which uncorrected and MAR-corrected CBCT image datasets were reconstructed. Three blinded readers evaluated the image quality of the image sets using a four-point scale (1: Excellent, 2: Good, 3: Poor, 4: Bad). The median scores of the three readers of uncorrected and MAR-corrected images were compared with the paired Wilcoxon signed-rank and inter-reader agreement of change scores was assessed by weighted kappa statistics. The readers also recorded new clinical findings, such as intracranial hemorrhage, air, or surrounding anatomical structures on MAR-corrected images. Results The image quality of MAR-corrected CBCT images was significantly improved compared with the uncorrected CBCT image ( p < 0.001). Additional clinical findings were seen on CBCT images of 70.4% of patients after MAR correction. Conclusion MAR software improved image quality of CBCT images degraded by metal artifacts.


2020 ◽  
Author(s):  
Fatemeh Salemi ◽  
Mohamad Reza Jamalpour ◽  
Amir Eskandarloo ◽  
Leili Tapak ◽  
Narges Rahimi

UNSTRUCTURED This study aimed to assess the efficacy of metal artifact reduction (MAR) algorithm of two cone-beam computed tomography (CBCT) systems for detection of peri-implant fenestration and dehiscence. Thirty-six titanium implants were placed in bone blocks of bovine ribs. Fenestration and dehiscence were created in the buccal bone around implants using a round bur. The bone blocks were then mounted in a wax rim to simulate the mandible. CBCT images were obtained using Cranex 3D and ProMax 3D CBCT systems with and without MAR algorithm before and after creation of defects. Two experienced radiologists observed the images twice with a 2-week interval. Data were analyzed using SPSS software version 22.The Kappa coefficient of agreement, the area under the receiver operating characteristic (ROC) curve, sensitivity, specificity, accuracy of different imaging modalities were calculated and analyzed. According to the kappa statistics, the intra- and inter-observer agreements were higher for images without the MAR algorithm compared with those with the MAR algorithm. In both CBCT systems, use of MAR algorithm decreased the area under the ROC curve and subsequently the diagnostic accuracy for detection of fenestration and dehiscence. The sensitivity, specificity and accuracy of both CBCT systems were higher in absence of the MAR algorithm. The specificity of ProMax 3D for detection of fenestration was equal with/without the MAR algorithm. Although CBCT is suitable for detection of peri-implant defects, application of the MAR algorithm does not enhance the detection of peri-implant fenestration and dehiscence.


2020 ◽  
Vol 46 (8) ◽  
pp. 1067-1073 ◽  
Author(s):  
Lucas de Paula Lopes Rosado ◽  
Fernanda Bulhões Fagundes ◽  
Deborah Queiroz Freitas ◽  
Matheus Lima Oliveira ◽  
Frederico Sampaio Neves

Sign in / Sign up

Export Citation Format

Share Document