[논문]Can ultra-low-dose computed tomography reliably diagnose and classify maxillofacial fractures in the clinical routine?

Gerlig Widmann; Marcel Dangl; Elisa Lutz; Bernhard Fleckenstein; Vincent Offermanns; Eva-Maria Gassner; Wolfgang Puelacher; Lukas Salbrechter

doi:10.5624/isd.20220190

Can ultra-low-dose computed tomography reliably diagnose and classify maxillofacial fractures in the clinical routine? 원문보기

Imaging science in dentistry, v.53 no.1, 2023년, pp.69 - 75

Gerlig Widmann (Department of Radiology, Medical University of Innsbruck) , Marcel Dangl (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck) , Elisa Lutz (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck) , Bernhard Fleckenstein (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck) , Vincent Offermanns (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck) , Eva-Maria Gassner (Department of Radiology, Medical University of Innsbruck) , Wolfgang Puelacher (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck) , Lukas Salbrechter (Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck)

Abstract ▼ AI-Helper

Purpose: Maxillofacial trauma predominantly affects young adults between 20 and 40 years of age. Although radioprotection is a legal requirement, the significant potential of dose reduction in computed tomography (CT) is still underused in the clinical routine. The objective of this study was to evaluate whether maxillofacial fractures can be reliably detected and classified using ultra-low-dose CT. Materials and Methods: CT images of 123 clinical cases with maxillofacial fractures were classified by two readers using the AOCOIAC software and compared with the corresponding results from post-treatment images. In group 1, consisting of 97 patients with isolated facial trauma, pre-treatment CT images at different dose levels (volumetric computed tomography dose index: ultra-low dose, 2.6 mGy; low dose, <10 mGy; and regular dose, <20 mGy) were compared with post-treatment cone-beam computed tomography (CBCT). In group 2, consisting of 31 patients with complex midface fractures, pre-treatment shock room CT images were compared with post-treatment CT at different dose levels or CBCT. All images were presented in random order and classified by 2 readers blinded to the clinical results. All cases with an unequal classification were re-evaluated. Results: In both groups, ultra-low-dose CT had no clinically relevant effect on fracture classification. Fourteen cases in group 2 showed minor differences in the classification code, which were no longer obvious after comparing the images directly to each other. Conclusion: Ultra-low-dose CT images allowed the correct diagnosis and classification of maxillofacial fractures. These results might lead to a substantial reconsideration of current reference dose levels.

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참고문헌 (21)

1 Kraft A Abermann E Stigler R Zsifkovits C Pedross F Kloss F Craniomaxillofacial trauma: synopsis of 14,654 cases with 35,129 injuries in 15 years Craniomaxillofac Trauma Reconstr 2012 5 41 50 23449961
2 Wick MC Dallapozza C Lill M Grundtman C Chemelli-Steingruber IE Rieger M The pattern of acute injuries in patients from alpine skiing accidents has changed during 2000-2011: analysis of clinical and radiological data at a level I trauma center Arch Orthop Trauma Surg 2013 133 1367 1373 23892556

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3 Wick MC Weiss RJ Lill M Jaschke W Rieger M The “Innsbruck Emergency Algorithm” avoids the underdiagnosis of blunt cervical vascular injuries Arch Orthop Trauma Surg 2010 130 1269 1274 20169352

상세보기
4 Widmann G Dalla Torre D Hoermann R Schullian P Gassner EM Bale R Ultralow-dose computed tomography imaging for surgery of midfacial and orbital fractures using ASIR and MBIR Int J Oral Maxillofac Surg 2015 44 441 446 25680629

상세보기
5 Schegerer A Loose R Heuser LJ Brix G Diagnostic reference levels for diagnostic and interventional X-ray procedures in Germany: update and handling Rofo 2019 191 739 751 30665250

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6 Widmann G Al-Ekrish AA Ultralow dose MSCT imaging in dental implantology Open Dent J 2018 12 87 93 29492174

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7 Al-Ekrish AA Alfadda SA Tamimi D Alfaleh W Hörmann R Puelacher W Do ultra-low multidetector computed tomography doses and iterative reconstruction techniques affect subjective classification of bone type at dental implant sites? Int J Prosthodont 2018 31 465 470 29590663

상세보기
8 Widmann G Juranek D Waldenberger F Schullian P Dennhardt A Hoermann R Influence of ultra-low-dose and iterative reconstructions on the visualization of orbital soft tissues on maxillofacial CT AJNR Am J Neuroradiol 2017 38 1630 1635 28596194
9 Boice JD Jr Welcome to the Fiftieth Annual Meeting of the NCRP: achievements of the past 50 years and addressing the needs of the future Health Phys 2015 108 111 114 25551489

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10 Silva AC Lawder HJ Hara A Kujak J Pavlicek W Innovations in CT dose reduction strategy: application of the adaptive statistical iterative reconstruction algorithm AJR Am J Roentgenol 2010 194 191 199 20028923
11 Al-Ekrish AA Alzahrani A Zaman MU Alfaleh W Hörmann R Widmann G Assessment of potential reduction in multidetector computed tomography doses using FBP and SAFIRE for detection and measurement of the position of the inferior alveolar canal Oral Surg Oral Med Oral Pathol Oral Radiol 2020 129 65 71.e7 31636033

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12 Al-Ekrish AA Al-Shawaf R Schullian P Al-Sadhan R Hörmann R Widmann G Validity of linear measurements of the jaws using ultralow-dose MDCT and the iterative techniques of ASIR and MBIR Int J Comput Assist Radiol Surg 2016 11 1791 1801 27255542

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13 Al-Ekrish AA Al-Shawaf R Alfaleh W Hörmann R Puelacher W Widmann G Comparability of dental implant site ridge measurements using ultra-low-dose multidetector row computed tomography combined with filtered back-projection, adaptive statistical iterative reconstruction, and model-based iterative reconstruction Oral Radiol 2019 35 280 286 30484207
14 Al-Ekrish AA Alfadda SA Ameen W Hörmann R Puelacher W Widmann G Accuracy of computer-aided design models of the jaws produced using ultra-low MDCT doses and ASIR and MBIR Int J Comput Assist Radiol Surg 2018 13 1853 1860 29909528

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15 Widmann G Fasser M Schullian P Zangerl A Puelacher W Kral F Substantial dose reduction in modern multi-slice spiral computed tomography (MSCT)-guided craniofacial and skull base surgery Rofo 2012 184 136 142 22274855
16 Duan X Wang J Christner JA Leng S Grant KL McCollough CH Dose reduction to anterior surfaces with organ-based tube-current modulation: evaluation of performance in a phantom study AJR Am J Roentgenol 2011 197 689 695 21862813
17 Sakai Y Kitamoto E Okamura K Takarabe S Shirasaka T Mikayama R Low-radiation dose scan protocol for preoperative imaging for dental implant surgery using deep learning-based reconstruction in multidetector CT Oral Radiol 2022 38 517 526 35091858

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18 Hofmann E Schmid M Lell M Hirschfelder U Cone beam computed tomography and low-dose multislice computed tomography in orthodontics and dentistry: a comparative evaluation on image quality and radiation exposure J Orofac Orthop 2014 75 384 398 25158951
19 Kyriakou Y Kolditz D Langner O Krause J Kalender W Digital volume tomography (DVT) and multislice spiral CT (MSCT): an objective examination of dose and image quality Rofo 2011 183 144 153 20922645
20 Veldhoen S Schöllchen M Hanken H Precht C Henes FO Schön G Performance of cone-beam computed tomography and multidetector computed tomography in diagnostic imaging of the midface: a comparative study on phantom and cadaver head scans Eur Radiol 2017 27 790 800 27169574

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21 Widmann G Al-Shawaf R Schullian P Al-Sadhan R Hörmann R Al-Ekrish AA Effect of ultra-low doses, ASIR and MBIR on density and noise levels of MDCT images of dental implant sites Eur Radiol 2017 27 2225 2234 27655306

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Can ultra-low-dose computed tomography reliably diagnose and classify maxillofacial fractures in the clinical routine? 원문보기

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