The Application and Accuracy of Feature Matching on Automated Cephalometric Superimposition
Abstract Background: The aim of this study was to establish a computer-aided automated method for cephalometric superimposition and evaluate the accuracy of this method based on free-hand tracing. Methods: 28 pairs of pre-treatment (T1) and post-treatment (T2) cephalograms were selected. Structural superimpositions of the cranial base, maxilla and mandible were independently completed by three operators performing traditional hand tracing methods and by computerized automation using the feature matching method. To quantitatively evaluate the differences between the two methods, the manually superimposed patterns were digitized. In addition to registering automated and manual superimposition to digital T1 films, landmark distances between corresponding automated and manual T2 cephalometric landmarks were measured, and differences in manual superimposition among the operators were calculated. Results: The T2 landmark differences in hand tracing between the operators ranged from 0.61 mm to 1.65 mm for the three types of superimposition. There were no significant differences in accuracy between manual and automated superimposition (p > 0.05). Conclusions: Computer-aided cephalometric superimposition provides comparably accurate results to those of traditional hand tracing and will provide a powerful tool for academic research in the era of digital cephalograms and big data. Trial registration: The clinical trial has been registered in April 1st 2016, the registration number is ChiCTR1800017694, URL is: http://www.chictr.org.cn/showproj.aspx?proj=29144