PMID- 29537303 OWN - NLM STAT- MEDLINE DCOM- 20180918 LR - 20230928 IS - 0250-832X (Print) IS - 1476-542X (Electronic) IS - 0250-832X (Linking) VI - 47 IP - 5 DP - 2018 Jul TI - An ex vivo study of automated motion artefact correction and the impact on cone beam CT image quality and interpretability. PG - 20180013 LID - 10.1259/dmfr.20180013 [doi] LID - 20180013 AB - OBJECTIVES: To assess the impact of head motion artefacts and an automated artefact-correction system on cone beam CT (CBCT) image quality and interpretability for simulated diagnostic tasks. METHODS: A partially dentate human skull was mounted on a robot simulating four types of head movement (anteroposterior translation, nodding, lateral rotation, and tremor), at three distances (0.75, 1.5, and 3 mm) based on two movement patterns (skull returning/not returning to the initial position). Two diagnostic tasks were simulated: dental implant planning and detection of a periapical lesion. Three CBCT units were used to examine the skull during the movements and no-motion (control): Cranex 3Dx (CRA), Orthophos SL 3D (ORT), and X1 without (X1(wo)) and with (X1(wi)) an automated motion artefact-correction system. For each diagnostic task, 88 examinations were performed. Three observers, blinded to unit and movement, scored image quality: presence of stripe artefacts (present/absent), overall unsharpness (present/absent), and image interpretability (interpretable/non-interpretable). kappa statistics assessed interobserver agreement, and descriptive statistics summarized the findings. RESULTS: Interobserver agreement for image interpretability was good (average kappa = 0.68). Regarding dental implant planning, X1(wi) images were interpretable by all observers, while for the other units mainly the cases with tremor were non-interpretable. Regarding detection of a periapical lesion, besides tremor, most of the 3 mm movements based on the "not returning" pattern were also non-interpretable for CRA, ORT, and X1(wo). For X1(wi), two observers scored 1.5 mm tremor and one observer scored 3 mm tremor as non-interpretable. CONCLUSIONS: The automated motion artefact-correction system significantly enhanced CBCT image quality and interpretability. FAU - Spin-Neto, Rubens AU - Spin-Neto R AD - 1 Oral Radiology, Department of Dentistry and Oral Health, Aarhus University , Aarhus , Denmark. FAU - Matzen, Louise H AU - Matzen LH AD - 1 Oral Radiology, Department of Dentistry and Oral Health, Aarhus University , Aarhus , Denmark. FAU - Schropp, Lars W AU - Schropp LW AD - 1 Oral Radiology, Department of Dentistry and Oral Health, Aarhus University , Aarhus , Denmark. FAU - Sorensen, Thomas S AU - Sorensen TS AD - 2 3Shape , Copenhagen , Denmark. FAU - Wenzel, Ann AU - Wenzel A AD - 1 Oral Radiology, Department of Dentistry and Oral Health, Aarhus University , Aarhus , Denmark. LA - eng PT - Journal Article DEP - 20180322 PL - England TA - Dentomaxillofac Radiol JT - Dento maxillo facial radiology JID - 7609576 MH - *Artifacts MH - Cone-Beam Computed Tomography/*methods MH - *Head Movements MH - Humans MH - In Vitro Techniques MH - Models, Anatomic MH - Radiographic Image Enhancement/*methods PMC - PMC6196041 EDAT- 2018/03/15 06:00 MHDA- 2018/09/19 06:00 PMCR- 2019/07/01 CRDT- 2018/03/15 06:00 PHST- 2018/03/15 06:00 [pubmed] PHST- 2018/09/19 06:00 [medline] PHST- 2018/03/15 06:00 [entrez] PHST- 2019/07/01 00:00 [pmc-release] AID - 10.1259/dmfr.20180013 [doi] PST - ppublish SO - Dentomaxillofac Radiol. 2018 Jul;47(5):20180013. doi: 10.1259/dmfr.20180013. Epub 2018 Mar 22.