OBJECTIVES: This study aimed at evaluating incidence/degree of metal/motion artifacts and CT-dose-index in oral/maxillofacial examinations using Cone-Beam-CT. METHODS: Interferences caused by metal and motion artifacts were evaluated in 500 patients aged from 6 to 81 years, in dental arches, maxillofacial and splanchocranium Cone-Beam-CT exams. The interferences was divided into four progressive degrees (G0-G3) related to the possibility to answer the clinical query. The parameters considered were field-of-view, scan time, patient's age, and anatomical area. Furthermore volumetric CT-dose-index was measured. RESULTS: In the presence of metal artifacts the clinical query was always answered (G3 = 0). No artifacts (G0) were found in all cases when metal was beyond 5 cm from interest site and in 18.4% when metal was inside this distance. Beam hardening and photon starvation due to implants, restoration and orthodontic therapies achieved 56.2% G1 and 25.4% G2. Motion artifacts were more frequent in under ten (31.5%) and over sixty (82.2%), and in mandible analysis (inferior arch 59.5%, both arches 47.3%). Moreover, their incidence and intensity were influenced by scan time (49.1% at 36 s) but not by field-of-view. Mean volumetric CT-dose-index of all patients was mGy 9.11 (mGy 3.62, 5.78, 8.89, and 13.07 at 18, 24, 26, and 36 s, respectively). CONCLUSIONS: In our series Cone-Beam-CT diagnostic evaluation was never inhibited by metal artifacts and only in 1.9% of the cases by motion artifacts, always with a very low CT-dose-index.
OBJECTIVES: This study aimed at evaluating incidence/degree of metal/motion artifacts and CT-dose-index in oral/maxillofacial examinations using Cone-Beam-CT. METHODS: Interferences caused by metal and motion artifacts were evaluated in 500 patients aged from 6 to 81 years, in dental arches, maxillofacial and splanchocranium Cone-Beam-CT exams. The interferences was divided into four progressive degrees (G0-G3) related to the possibility to answer the clinical query. The parameters considered were field-of-view, scan time, patient's age, and anatomical area. Furthermore volumetric CT-dose-index was measured. RESULTS: In the presence of metal artifacts the clinical query was always answered (G3 = 0). No artifacts (G0) were found in all cases when metal was beyond 5 cm from interest site and in 18.4% when metal was inside this distance. Beam hardening and photon starvation due to implants, restoration and orthodontic therapies achieved 56.2% G1 and 25.4% G2. Motion artifacts were more frequent in under ten (31.5%) and over sixty (82.2%), and in mandible analysis (inferior arch 59.5%, both arches 47.3%). Moreover, their incidence and intensity were influenced by scan time (49.1% at 36 s) but not by field-of-view. Mean volumetric CT-dose-index of all patients was mGy 9.11 (mGy 3.62, 5.78, 8.89, and 13.07 at 18, 24, 26, and 36 s, respectively). CONCLUSIONS: In our series Cone-Beam-CT diagnostic evaluation was never inhibited by metal artifacts and only in 1.9% of the cases by motion artifacts, always with a very low CT-dose-index.
Authors: Rubens Spin-Neto; Louise H Matzen; Lars Schropp; Erik Gotfredsen; Ann Wenzel Journal: Dentomaxillofac Radiol Date: 2016-02-26 Impact factor: 2.419
Authors: Rodrigo Delgadillo; John C Ford; Matthew C Abramowitz; Alan Dal Pra; Alan Pollack; Radka Stoyanova Journal: Strahlenther Onkol Date: 2020-08-21 Impact factor: 3.621
Authors: Rubens Spin-Neto; Louise H Matzen; Lars W Schropp; Thomas S Sørensen; Ann Wenzel Journal: Dentomaxillofac Radiol Date: 2018-03-22 Impact factor: 2.419