Cone Beam Local Tomography

Methods, systems and processes for providing efficient image reconstruction using local cone beam tomography which provide a reduced level of artifacts without suppressing the strength of the useful features; and in a dynamic case provide reconstruction of objects that are undergoing a change during the scan. An embodiment provides a method of reconstructing an image fiom cone beam data provided by at least one detector. The method includes collecting CB projection data of an object, storing the CB projection data in a memory; and reconstructing the image from the local CB projection data. In the reconstructing step, a co~hinztiono f derivat:l.;es of the CB projection data that will result in suppressing the artifacts are found. The combination of derivatives includes collecting cone beam data that represents a collection of integrals that represent the object

Gray value measurement for the evaluation of local alveolar bone density around impacted maxillary canine teeth using cone beam computed tomography

To investigate whether any relationship between local alveolar bone density and maxillary canine impaction using gray values from cone beam computed tomography. The cone beam computed tomography images of 151 patients were retrospectively evaluated. Maxillary canine was defined as an impacted tooth when root formation was complete and the patient?s age older than 13 or the other side of the maxillary canine has completely erupted. Similarly, complete eruption was defined as the tooth in its expected occlusion and position. Using the cone beam computed tomography software, the region of interest which was 5 mm2 in area, was placed in the trabecular bone on cross sectional cone beam computed tomography images and the gray value measurements were recorded. After measuring the gray values of all the teeth, the images were grouped according to the field of view size. Comparison of the gray values of impacted and non-impacted teeth was made between images with the same field of view size. A total of 151 patients, 101 (66.9%) female and 50 (33.1%) male, were included in the study. The mean age of the patients was 24.94 ±13.9. In images with a 40X40 field of view, the gray values of the impacted canine teeth were higher than the gray values of the non-impacted ones and statistically significant difference was found between them (p=0.003). However no statistically significant difference was found between the gray values of impacted and non-impacted canine teeth in 60x60 and 100x50 field of view (p=0.197, p=0.170, respectively). We suggest using the smallest field of view size when evaluating bone density using gray values from cone beam computed tomography images and we support the idea that the local increased bone density may influence on impaction

Cone beam CT of the musculoskeletal system : clinical applications

Objectives: The aim of this pictorial review is to illustrate the use of CBCT in a broad spectrum of musculoskeletal disorders and to compare its diagnostic merit with other imaging modalities, such as conventional radiography (CR), Multidetector Computed Tomography (MDCT) and Magnetic Resonance Imaging. Background: Cone Beam Computed Tomography (CBCT) has been widely used for dental imaging for over two decades. Discussion: Current CBCT equipment allows use for imaging of various musculoskeletal applications. Because of its low cost and relatively low irradiation, CBCT may have an emergent role in making a more precise diagnosis, assessment of local extent and follow-up of fractures and dislocations of small bones and joints. Due to its exquisite high spatial resolution, CBCT in combination with arthrography may be the preferred technique for detection and local staging of cartilage lesions in small joints. Evaluation of degenerative joint disorders may be facilitated by CBCT compared to CR, particularly in those anatomical areas in which there is much superposition of adjacent bony structures. The use of CBCT in evaluation of osteomyelitis is restricted to detection of sequestrum formation in chronic osteomyelitis. Miscellaneous applications include assessment of (symptomatic) variants, detection and characterization of tumour and tumour-like conditions of bone. Teaching Points: Review the spectrum of MSK disorders in which CBCT may be complementary to other imaging techniques. Compare the advantages and drawbacks of CBCT compared to other imaging techniques. Define the present and future role of CBCT in musculoskeletal imaging

Thickness of the buccal bone wall and root angulation in the maxilla and mandible: an approach to cone beam computed tomography

Background: The objective of this paper is to anatomically describe the bone morphology in the maxillary and mandibular tooth areas, which might help in planning post-extraction implants. Methods: CBCT images (Planmeca ProMax 3D) of 403 teeth (208 upper teeth and 195 lower teeth) were obtained from 49 patients referred to the Dental School of Seville from January to December 2014. The thickness of the facial wall was measured at the crest, point A, 4mm below, point B, and at the apex, point C. The second parameter was the angle formed between the dental axis and the axis of the basal bone. Results: A total of 403 teeth were measured. In the maxilla, 89.4% of incisors, 93.94% of canines, 78% of premolars and 70.5% of molars had a buccal bone wall thickness less than the ideal 2mm. In the mandible, 73.5% of incisors, 49% of canines, 64% of premolars and 53% of molars had <1mm buccal bone thickness as measured at point B. The mean angulation in the maxilla was 11.67±6.37° for incisors, 16.88±7.93° for canines, 13.93±8.6° for premolars, and 9.89±4.8° for molars. In the mandible, the mean values were 10.63±8.76° for incisors, 10.98±7.36° for canines, 10.54±5.82° for premolars and 16.19±11.22° for molars. Conclusions: The high incidence of a buccal wall thickness of less than 2mm in over 80% of the assessed sites indicates the need for additional regeneration procedures, and several locations may also require custom abutments to solve the angulation problems for screw-retained crowns

Extracting respiratory signals from thoracic cone beam CT projections

Patient respiratory signal associated with the cone beam CT (CBCT) projections is important for lung cancer radiotherapy. In contrast to monitoring an external surrogate of respiration, such signal can be extracted directly from the CBCT projections. In this paper, we propose a novel local principle component analysis (LPCA) method to extract the respiratory signal by distinguishing the respiration motion-induced content change from the gantry rotation-induced content change in the CBCT projections. The LPCA method is evaluated by comparing with three state-of-the-art projection-based methods, namely, the Amsterdam Shroud (AS) method, the intensity analysis (IA) method, and the Fourier-transform based phase analysis (FT-p) method. The clinical CBCT projection data of eight patients, acquired under various clinical scenarios, were used to investigate the performance of each method. We found that the proposed LPCA method has demonstrated the best overall performance for cases tested and thus is a promising technique for extracting respiratory signal. We also identified the applicability of each existing method.Comment: 21 pages, 11 figures, submitted to Phys. Med. Bio

Effect of time lapse on the diagnostic accuracy of cone beam computed tomography for detection of vertical root fractures

Accurate and early diagnosis of vertical root fractures (VRFs) is imperative to prevent extensive bone loss and unnecessary endodontic and prosthodontic treatments. The aim of this study was to assess the effect of time lapse on the diagnostic accuracy of cone beam computed tomography (CBCT) for VRFs in endodontically treated dog’s teeth. Forty-eight incisors and premolars of three adult male dogs underwent root canal therapy. The teeth were assigned to two groups: VRFs were artificially induced in the first group (n=24) while the teeth in the second group remained intact (n=24). The CBCT scans were obtained by NewTom 3G unit immediately after inducing VRFs and after one, two, three, four, eight, 12 and 16 weeks. Three oral and maxillofacial radiologists blinded to the date of radiographs assessed the presence/absence of VRFs on CBCT scans. The sensitivity, specificity and accuracy values were calculated and data were analyzed using SPSS v.16 software and ANOVA. The total accuracy of detection of VRFs immediately after surgery, one, two, three, four, eight, 12 and 16 weeks was 67.3%, 68.7%, 66.6%, 64.6%, 64.5%, 69.4%, 68.7%, 68% respectively. The effect of time lapse on detection of VRFs was not significant (p>0.05). Overall sensitivity, specificity and accuracy of CBCT for detection of VRFs were 74.3%, 62.2%, 67.2% respectively. Cone beam computed tomography is a valuable tool for detection of VRFs. Time lapse (four months) had no effect on detection of VRFs on CBCT scans. © 2016, Associacao Brasileira de Divulgacao Cientifica. All rights reserved

High resolution computed tomography at the Ghent University: measuring, visualizing and analyzing the internal structure of objects with sub-micron precision.

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Stokes tomography of radio pulsar magnetospheres. I. Linear polarization

Polarimetric studies of pulsar radio emission traditionally concentrate on how the Stokes vector (I, Q, U, V) varies with pulse longitude, with special emphasis on the position angle (PA) swing of the linearly polarized component. The interpretation of the PA swing in terms of the rotating vector model is limited by the assumption of an axisymmetric magnetic field and the degeneracy of the output with respect to the orientation and magnetic geometry of the pulsar; different combinations of the latter two properties can produce similar PA swings. This paper introduces Stokes phase portraits as a supplementary diagnostic tool with which the orientation and magnetic geometry can be inferred more accurately. The Stokes phase portraits feature unique patterns in the I-Q, I-U, and Q-U planes, whose shapes depend sensitively on the magnetic geometry, inclination angle, beam and polarization patterns, and emission altitude. We construct look-up tables of Stokes phase portraits and PA swings for pure and current-modified dipole fields, filled core and hollow cone beams, and two empirical linear polarization models, L/I = \cos \theta_0 and L/I = \sin \theta_0, where \theta_0 is the colatitude of the emission point. We compare our look-up tables to the measured phase portraits of 24 pulsars in the European Pulsar Network online database. We find evidence in 60% of the objects that the radio emission region may depart significantly from low altitudes, even when the PA swing is S-shaped and/or the pulse-width-period relation is well satisfied. On the other hand, the data are explained adequately if the emission altitude exceeds ~10% of the light cylinder radius. We conclude that Stokes phase portraits should be analysed concurrently with the PA swing and pulse profiles in future when interpreting radio pulsar polarization data.Comment: 60 pages, 58 figures, submitted to MNRAS, accepted 13 Oct 201