Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study

Background

The association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was to analyze the association of inferior nasal turbinate volume with the degree of nasal septal deviation (NSD).

Methods

A retrospective evaluation of the cone beam computed tomography (CBCT) scans of 412 patients was carried out to obtain 150 scans which were included in the study. The scans were categorized into three groups. Group 1 comprised of 50 scans of patients with no inferior turbinate hypertrophy (ITH) and no nasal septal deviation. Group 2 comprised of 50 scans of patients with ITH and no NSD; whereas Group 3 included 50 scans of patients with ITH and NSD. The total turbinate volume of inferior turbinates (bilateral) were determined by using Vesalius 3D software (PS-Medtech, Amsterdam, Netherlands).

Results

The intraclass correlation coefficient (ICC) between the volumetric estimations performed by the two radiologists was 0.82. There were no significant age and gender related changes in the total turbinate volume. Patients in Group 3 had significantly higher (p = 0.001) total turbinate volume compared to Group 2 and Group 1. There was a positive and significant correlation (r = 0.52, p = 0.002) between the degree of septal deviation and total turbinate volume. When the total turbinate volume of the patients with different types of septal deviation was compared in Group 3, a statistically significant difference (p = 0.001) was observed. Regression analysis revealed that the septal deviation angle (SDA) (p = 0.001) had a relationship with total turbinate volume. From the results of the study we can conclude that the total turbinate volume is higher in patients with nasal septal deviation. It can also be concluded that the septal deviation angle has a positive correlation with total turbinate volume. The data obtained from the study can be useful in post-surgical follow up and evaluation of patients with nasal septal deviation and hypertrophied inferior nasal turbinate.

Influence of 2D vs 3D imaging and professional experience on dental implant treatment planning

OBJECTIVES

This study investigated whether professional experience and type of image examination (panoramic radiography (PAN) or cone beam computed tomography (CBCT)) could influence the pre-surgical planning for dental implant treatment.

MATERIALS AND METHODS

Six dentists, from two different levels of experience (senior (Sr) and junior (Jr)) performed simulated pre-surgical planning by using PANs and after 1 month, by using CBCTs, considering implant length (IL), implant width (IW), need for bone graft (BG), and other surgical procedures (OP). Bland-Altman test and Kappa coefficient were used to identify agreements.

RESULTS

Bland-Altman test showed good agreement in the plans for inter-professional (i.e., Sr vs Jr) comparisons. Bland-Altman plots displayed intra-observer agreement (i.e., differences between PAN and CBCT), showing discrepancy between imaging modalities for IL and a tendency towards selecting larger dental implant options when using PAN and smaller options with CBCT. Kappa showed almost perfect (0.81-1.0) agreement between Jr and Sr for OP (PAN and CBCT). For BG, agreement was substantial (0.61-0.80) when planning was done with PAN and CBCT. Descriptive statistics showed evidence that when Jrs used CBCT, they no longer indicated the BG they had planned when they used PAN.

CONCLUSION

There were differences in the pre-surgical planning for treatment with dental implants depending on the professional experience and the type of imaging examination used.

CLINICAL RELEVANCE

Variation in dental implant planning can affect treatment time, cost, and morbidity in patients.

Sparse-view neutron-photon computed tomography: Object reconstruction and material discrimination

Taking into account the advantages of both neutron- and photon-based systems, we propose combined neutron-photon computed tomography (CT) under a sparse-view setting and demonstrate its performance for 3D object visualization and material discrimination. We use a high-performance regularization method for CT reconstruction by combining regularization based on total variation (TV) and curvelet transform in cone beam geometry. It is coupled with proposed 2D material signatures which is pairs of photon to neutron transmission ratios and neutron transmission values per object space voxels. Classification of materials is performed by association of a voxel signature with library signatures; and per object - by majority of voxels in the object. Representation of object-material pairs, for the model in our experiment, a complex scene with group of high-Z and low-Z materials, attains the reconstruction accuracy of 92.1% and the overall high-Z discrimination accuracy of object representation is 85%, and by about 7.5% higher discrimination accuracy than that with 1D signatures which are ratios of photon to neutron transmissions. With a relative noise level of 10%, the method yields the reconstruction accuracies of 87.2%. The analyses are performed in cone beam configuration, with Monte Carlo modeling of neutron-photon transport for the model of object geometry and material contents.

Comparison of digital volume tomography and high-resolution computed tomography in detecting superior semicircular canal dehiscence--a temporal bone study

CONCLUSION

In detecting a thin bony coverage of a superior semicircular canal (SSC), digital volume tomography (DVT) scans in Poeschl projection seem to be superior to high-resolution computed tomography (CT) scans. Still, a definite diagnosis of SSC dehiscence (SSCD) is not possible with any radiologic imaging technique.

OBJECTIVE

To compare CT and DVT to find out whether DVT is equal, better or worse in showing a thin bony layer on top of an SCC.

METHODS

In 11 human temporal bone specimens, the SSC was microscopically blue-lined leaving a thin bony coverage on top of it. All specimens were assessed with both high-resolution CT and DVT. After reconstructing the images in Stenvers and Poeschl projections, all images were evaluated by five independent examiners experienced in radiologic imaging of the temporal bone using a four-point ordinal scale, from 1 (distinct dehiscence) to 4 (distinct coverage).

RESULTS

The mean score for all CT scans was 2.58 compared with 3.22 for DVT scans (p = 0.000). Poeschl projection showed a mean score of 3.25 compared with 2.55 for Stenvers projection (p = 0.000). The best imaging modality was found to be DVT scans in Poeschl projections, with a mean score of 3.60.