2012
DOI: 10.1563/aaid-joi-d-11-00130
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Accuracy of Cone Beam Computerized Tomography and a Three-Dimensional Stereolithographic Model in Identifying the Anterior Loop of the Mental Nerve: A Study on Cadavers

Abstract: The objective of this ex vivo cadaver study was to determine the accuracy of cone beam computerized tomography (CBCT) and a 3-dimensional stereolithographic (STL) model in identifying and measuring the anterior loop length (ANLL) of the mental nerve. A total of 12 cadavers (24 mental nerve plexus) were used for this study. Standardized CBCT scans of each mandible were obtained both with and without radiographic contrast tracer injected into the mental nerve plexus, and STL models of the two acquired CBCT image… Show more

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Cited by 28 publications
(18 citation statements)
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“…The results obtained in the Santana et al study (53) highlight the potential pitfalls associated with the large discordance between image interpretations performed by radiologists and the image processing steps required to generate a 3D printed modelnamely, segmentation and STL postprocessing. This is perhaps the most relevant concern of radiology practice clinicians who use 3D printing.…”
Section: Accuracy Of 3d Printed Model Versus Radiologic Image Measurementioning
confidence: 83%
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“…The results obtained in the Santana et al study (53) highlight the potential pitfalls associated with the large discordance between image interpretations performed by radiologists and the image processing steps required to generate a 3D printed modelnamely, segmentation and STL postprocessing. This is perhaps the most relevant concern of radiology practice clinicians who use 3D printing.…”
Section: Accuracy Of 3d Printed Model Versus Radiologic Image Measurementioning
confidence: 83%
“…Differences range from as little as 3.5% to as much as 23.8% of the tissue dimensions, with larger discrepancies observed for smaller (a few millimeters) tissues (Appendix E1A). In one such study performed by Santana et al (53), the difference between the cadaveric measurements and those performed on the CT images was an order of magnitude smaller than the difference between the cadaveric measurements and those performed on the STL models (2.4% versus 23.8%) ( Table 3). These results emphasize the caveat that the segmentation of tissues depicted on images, which is necessary to yield the STL model for 3D printing, is a major contributor to inaccuracies that must be critically addressed in future research.…”
Section: Accuracy Of 3d Printed Model Versus Cadaveric and Surgicallymentioning
confidence: 86%
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“…To our knowledge, no digital panoramic radiography studies have assessed impact of image magnification on the accuracy of measurements using various imaging software programs, including DICOM viewers. Yet, DICOM and other software programs have been used to examine the accuracy of CBCT measurements [6, 8, 9, 18]. Gaia et al [9] compared linear measurements in CBCT images using Vitrea 3.8.1 (Vital Images Inc., Plymouth, MN) viewer and the same open-source DICOM viewer OsiriX 1.2 64-bit (Pixmeo, Geneva, Switzerland) as the one used in the present in vitro study.…”
Section: Discussionmentioning
confidence: 99%
“…Error can be introduced at any stage of 3D printing, but mainly during image acquisition and segmentation (Figure 1) (6,(10)(11)(12). Most studies have examined the accuracy of 3D printing techniques by comparing linear measurements of the original object to the final 3D-printed model (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31).…”
Section: Introductionmentioning
confidence: 99%