Three-dimensional photography for the evaluation of facial profiles in obstructive sleep apnoea
Three-dimensional photography for the evaluation of facial profiles in obstructive sleep apnoea
复制标题
DOI：
10.1111/resp.13338
复制
发表时间：
2018-06-01
期刊：
影响因子：
6.9
通讯作者：
Chen, Ning-Hung
中科院分区：
文献类型：
--
作者：
Lin, Shih-Wei;Sutherland, Kate;Chen, Ning-Hung
背景与目的颅面结构是阻塞性睡眠呼吸暂停（OSA）综合征风险的重要决定因素。三维立体摄影测量（3dMD）是一种新的技术，可以量化颅面轮廓。本研究将3dMD捕获的OSA患者面部图像与三维计算机断层扫描（3-D CT）和二维数字摄影测量（2-D）进行比较。测量结果与OSA严重程度指标相关。方法对38例OSA患者进行数字摄影测量、3dMD和3d CT检查。分析了三种方法捕获的图像的距离、面积、角度和体积。结果3dMD捕获的所有测量值与三维CT测量值基本一致。二维数字摄影测量结果与三维CT结果不一致。下颌骨宽度、颈部周长和上颌体积测量结果与三种成像方法的OSA严重程度相关。下颌长度、面部宽度、双眼宽度、颈部宽度、颅底三角面积、颅底1区和颅中窝体积与OSA严重程度有良好的相关性，但与二维数字摄影测量无明显相关性。结论3dmd对OSA患者的颅面测量准确，与CT测量结果高度一致，同时避免了CT相关的辐射。
Background and objectiveCraniofacial structure is an important determinant of obstructive sleep apnoea (OSA) syndrome risk. Three-dimensional stereo-photogrammetry (3dMD) is a novel technique which allows quantification of the craniofacial profile. This study compares the facial images of OSA patients captured by 3dMD to three-dimensional computed tomography (3-D CT) and two-dimensional (2-D) digital photogrammetry. Measurements were correlated with indices of OSA severity.MethodsThirty-eight patients diagnosed with OSA were included, and digital photogrammetry, 3dMD and 3-D CT were performed. Distances, areas, angles and volumes from the images captured by three methods were analysed.ResultsAlmost all measurements captured by 3dMD showed strong agreement with 3-D CT measurements. Results from 2-D digital photogrammetry showed poor agreement with 3-D CT. Mandibular width, neck perimeter size and maxillary volume measurements correlated well with the severity of OSA using all three imaging methods. Mandibular length, facial width, binocular width, neck width, cranial base triangle area, cranial base area 1 and middle cranial fossa volume correlated well with OSA severity using 3dMD and 3-D CT, but not with 2-D digital photogrammetry.Conclusion3dMD provided accurate craniofacial measurements of OSA patients, which were highly concordant with those obtained by CT, while avoiding the radiation associated with CT.