Relationship between density variability and imaging volume size in cone-beam computerized tomographic scanning of the maxillofacial region: an in vitro study

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Akitoshi KatsumataRobert P Langlais

Abstract

In limited-volume cone-beam computerized tomography (CBCT) imaging, projection data discontinuity caused by maxillofacial hard tissue structures outside the reconstructed volume are reported to affect the density value of the hard and soft tissue structures within the volume. The intensity of this effect is purported to be related to the size of the imaging volume. The aim of this study was to characterize the effect of the size of the scanned volume on density values in vitro. Test objects were positioned in a custom phantom in the following 4 patterns: bimandible and vertebrae, bimandible, left mandible and vertebrae, and left mandible. We used a newly developed flat panel detector CBCT system (Alphard Vega; Asahi Roentgen, Kyoto, Japan) to acquire scans of the left molar region using cylindrical volumes of approximately 5, 10, 15, and 20 cm in diameter and height. The density values of the mandible and the adjacent soft tissue regions were analyzed. Highest density variability was observed in the smallest-volume (5 cm) scans. Density variability increased when more objects were included outside the area being imaged. Fewer effects were noted in CBCT scans of larger (10, 15, and 20 cm) volumes. Larger-volume CBCT scans may yi...Continue Reading

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