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Influ?ncia da normaliza??o dos n?veis de cinza em tomografias computadorizadas Cone Beam e multislice na avalia??o da qualidade ?ssea

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Previous issue date: 2015-01-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This paper aims to investigate the influence of normalization in cone beam computed tomography (CBCT) and multislice computed tomography (MSCT) grey level to assess bone quality of recipient sites for dental implants. DICOM (Digital Imaging and Communications in Medicine) images from 37 bone sites (18 patients) were analyzed. CBCT was performed with 5 different CBCT devices and MSCT in a single multislice CT scanner. Measurements of mean grey level were performed in two regions of interest; ROI1 - alveolar bone (cortical and trabecular) and ROI2 - cancellous bone separately with 3 tested forms: no normalization (RAW), normalization of the whole image (ALL) and normalization of the region of interest only (ROI). Descriptive analysis with coefficient of variation (CV) and one-way ANOVA followed by Tukey was performed. For MSCT, ROI1 mean grey level slightly increased from 121.9+-17.13 (RAW) to 125.0+-15.74 (ALL) (p>0.05) and reduced to 104.8+-15.20 (ROI) (p<0.0001). CV varied from 14.05%, to 12.59% and 14.50%, respectively. ROI2 increased from 95.11+-13.96 (RAW) to 99.40+-13.62 (ALL) and 102.5+-17.86 (ROI) (p=0.0678). CV was 14.67% to 13.71% and 17.43%, respectively. In CBCT group, ROI1 meaningfully raise from 91.73+-32.17 (RAW) to 135.2+-36.06 (ALL) and 118.7+-18.65 (ROI) (p<0.0001), with CV decreasing from 35.06% to 26.68% and 15.71%, respectively. ROI2 was 81.23+-34.36, 115.3+-28.53 and 109.4+-17.47, respectively (p=0.0002), with a CV reducing from 42.30% (RAW) to 24.74% (ALL) and 15.97% (ROI). Therefore, the use of intensity normalization of CBCT and MSCT examinations was demonstrated on reducing discrepancies between different scanners and inter-exams variability in bone quality assessment for dental implants. / Este trabalho objetiva investigar a influ?ncia da normaliza??o dos n?veis de cinza em tomografias cone beam (CBCT) e multislice (MSCT). Imagens DICOM (Digital Imaging and Communications in Medicine) de 37 s?tios ?sseos (18 pacientes) foram analisadas. As tomografias CBCT foram realizadas em 5 diferentes aparelhos e as tomografias MSCT foram obtidas em um ?nico tom?grafo. As medi??es dos n?veis de cinza foram feitas em duas regi?es de interesse; ROI1 - osso alveolar (cortical e medular) e ROI2 - osso medular separadamente, de 3 formas distintas: sem normaliza??o (RAW), normaliza??o de toda a imagem (ALL) e normaliza??o da regi?o de interesse apenas (ROI). An?lise descritiva com coeficiente de varia??o (CV) e teste ANOVA seguido de Tukey foi realizado. Para as MSCT, a m?dia dos n?veis de cinza da ROI1 aumentaram levemente de 121,9+-17,13 (RAW) para 125,0+-15,74 (ALL) (p>0,05) e reduziram para 104,8+-15,20 (ROI) (p<0,0001). O CV variou de 14,05%, para 12,59% and 14,50%, respectivamente. Na ROI2 a m?dia aumentou de 95,11+-13,96 (RAW) para 99,40+-13,62 (ALL) e 102,5+-17,86 (ROI) (p=0,0678). O CV foi de 14,67% para 13,71% e 17,43%, respectivamente. No grupo CBCT, a m?dia de ROI1 aumentou significativamente de 91,73+-32,17 (RAW) para 135,2+-36,06 (ALL) e 118,7+-18,65 (ROI) (p<0,0001), com o CV diminuindo de 35,06% para 26,68% e 15,71%, respectivamente. A m?dia da ROI2 foi 81,23+-34,36, 115,3+-28,53 and 109,4+-17,47, respectivamente (p=0,0002), com um CV reduzindo de 42,30% (RAW) para 24,74% (ALL) e 15,97% (ROI). Desta forma, foi demonstrada a redu??o das discrep?ncias entre diferentes aparelhos e da variabilidade entre exames com a utiliza??o da normaliza??o de intensidade de exames CBCT e MSCT na avalia??o da qualidade ?ssea para implantes dentais.

Identiferoai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6296
Date12 January 2015
CreatorsSchneider, Danilo Renato
ContributorsShinkai, Rosemary Sadami Arai
PublisherPontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Odontologia, PUCRS, Brasil, Faculdade de Odontologia
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS
Rightsinfo:eu-repo/semantics/openAccess
Relation-8096554818733665164, 600, 600, 600, 600, 4673435736271820140, -2070498469879244349, 2075167498588264571

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