{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T22:48:22Z","timestamp":1786488502966,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The objective was to present an optimized imaging protocol for orofacial cleft (OFC) patients, which might be used as an international recommendation for OFC care programs. The present radiological protocol has been structured by the OFC team of the University Hospitals Leuven based on a combined approach of clinical experience and scientific evidence. The development was based on careful monitoring of the existing needs for radiological diagnosis by the involved disciplines. Needs were revised by expert consensus and radiological optimization. Effective doses were converted to panoramic equivalents (professional conversion) and background radiation (patient conversion). At the age of 6, a panoramic radiograph is taken for the evaluation of dental anomalies. For the preoperative planning of secondary alveolar bone, grafting a low\u2010resolution cone beam computer tomography (CBCT) of a limited field of the maxilla is taken at the age of 7 to 9. At the age of 10, 15, and 20, a low\u2010resolution CBCT of both jaws with the smallest possible field is taken serving as conventional, presurgical, and end of treatment records, respectively. Two\u2010dimensional images are reconstructed out of 3D ones. There are currently no international guidelines concerning the imaging protocol for OFC patients. It is clear that a multidisciplinary approach plays a key role in radiation hygiene. In this article, we presented an optimized imaging protocol for OFC patients based on European guidelines to accomplish the concepts of justification and optimization, which might be used as an international recommendation for OFC care programs.<\/jats:p>","DOI":"10.1002\/cre2.123","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T12:49:26Z","timestamp":1532522966000},"page":"152-157","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["An optimized imaging protocol for orofacial cleft patients"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8099-9322","authenticated-orcid":false,"given":"Dries","family":"De Mulder","sequence":"first","affiliation":[{"name":"Department of Oral Health Sciences\u2010Orthodontics, KU Leuven and Dentistry University Hospitals Leuven  Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Cadenas de Llano\u2010P\u00e9rula","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences\u2010Orthodontics, KU Leuven and Dentistry University Hospitals Leuven  Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Willems","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences\u2010Orthodontics, KU Leuven and Dentistry University Hospitals Leuven  Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhilde","family":"Jacobs","sequence":"additional","affiliation":[{"name":"OMFS IMPATH, Department of Imaging &amp; Pathology, Faculty of Medicine, University Leuven and Oral and Maxillofacial Surgery University Hospitals Leuven  Belgium"},{"name":"Department of Dental Medicine Karolinska Institutet  Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob Titiaan","family":"Dormaar","sequence":"additional","affiliation":[{"name":"OMFS IMPATH, Department of Imaging &amp; Pathology, Faculty of Medicine, University Leuven and Oral and Maxillofacial Surgery University Hospitals Leuven  Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Verdonck","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences\u2010Orthodontics, KU Leuven and Dentistry University Hospitals Leuven  Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,25]]},"reference":[{"issue":"1","key":"e_1_2_7_2_1","article-title":"Parameters for evaluation and treatment of patients with cleft lip\/palate or other craniofacial anomalies","volume":"30","author":"Auslander M","year":"1993","journal-title":"Cleft Palate Craniofacial Journal"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12154"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.2014suppl.g1.4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2012.39.5.477"},{"key":"e_1_2_7_6_1","unstructured":"European Commission. (2012).Radiation protection No. 172: Cone beam CT for dental and maxillofacial radiology (evidence\u2010based guidelines).http:\/\/www.sedentexct.eu\/files\/radiation_protection_172.pdf. Accessed 6 Oct 2017."},{"issue":"3","key":"e_1_2_7_7_1","first-page":"63","article-title":"The cervical vertebrae maturation stage method","volume":"23","author":"Gonzalez B.","year":"2012","journal-title":"International Journal of Orthodontics (Milwaukee, Wis.)"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/74941012"},{"issue":"5","key":"e_1_2_7_9_1","first-page":"254","article-title":"Dental cone beam CT and its justified use in oral health care","volume":"94","author":"Jacobs R.","year":"2011","journal-title":"JBR\u2010BTR"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2274-0"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2008.03.018"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-017-4012-9"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.11.002"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/rpd\/ncv057"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1088\/0031-9155\/59\/14\/3877"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20140059"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1054\/jcms.2001.0217"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/rpd\/ncs301"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2009.01587.x"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcre2.123","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T05:57:52Z","timestamp":1694843872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,25]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1002\/cre2.123"],"URL":"https:\/\/doi.org\/10.1002\/cre2.123","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,25]]},"assertion":[{"value":"2018-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}