Observer reliability of three-dimensional cephalometric landmark identification on cone-beam computerized tomography.

Observer reliability of three-dimensional cephalometric landmark identification on cone-beam computerized tomography.
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DOI:
10.1016/j.tripleo.2008.05.039
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发表时间:
2009-02
期刊:
Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
影响因子:
--
通讯作者:
Tyndall D
Tyndall D
中科院分区:
其他
文献类型:
--
作者:
de Oliveira AE;Cevidanes LH;Phillips C;Motta A;Burke B;Tyndall D

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To evaluate reliability in 3D landmark identification using Cone-Beam CT. Twelve pre-surgery CBCTs were randomly selected from 159 orthognathic surgery patients. Three observers independently repeated three times the identification of 30 landmarks in the sagittal, coronal, and axial slices. A mixed effects ANOVA model estimated the Intraclass Correlations (ICC) and assessed systematic bias. The ICC was >0.9 for 86% of intra-observer assessments and 66% of inter-observer assessments. Only 1% of intra-observer and 3% of inter-observer coefficients were <0.45. The systematic difference among observers was greater in X and Z than in Y dimensions, but the maximum mean difference was quite small. Overall, the intra- and inter-observer reliability was excellent. 3D landmark identification using CBCT can offer consistent and reproducible data, if a protocol for operator training and calibration is followed. This is particularly important for landmarks not easily specified in all three planes of space.
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