{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T05:33:54Z","timestamp":1769751234962,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this ex vivo study was to assess the performance of photon\u2010counting detector computed tomography (PCD\u2010CT) compared with cone\u2010beam computed tomography (CBCT) at equivalent radiation doses for detecting and evaluating mandibular and dental anatomical structures in porcine cadavers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This intermodal comparative study evaluated imaging protocols at three radiation dose levels (high: 360\u2009\u03bcSv, standard: 145\u2009\u03bcSv, low: 20\u2009\u03bcSv) in six porcine cadaver heads, analyzing 12 CBCT and 18 PCD\u2010CT volumes. Two blinded observers assessed image quality, artifact susceptibility, and diagnostic interpretability using a 5\u2010point Likert scale (5 = highest, 1 = lowest). Statistical analysis included descriptive statistics and interobserver reliability, assessed by weighted kappa (\u03ba) analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PCD\u2010CT either matched or outperformed CBCT at standard\u2010 and low\u2010dose protocols, demonstrating superior anatomy coverage, density, contrast, and less artifact susceptibility. High\u2010 and standard\u2010dose protocols achieved perfect scores 5 (SD\u2009=\u20090). At low\u2010dose levels, PCD\u2010CT showed slightly lower scores but still outperformed CBCT. PCD\u2010CT showed minimal artifacts, with no significant artifacts in high and standard doses. Inter\u2010 and intra\u2010reader reliability was higher for PCD\u2010CT (\u03ba: 0.694\u20131;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to CBCT (0.55\u20130.916;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with the difference being largest at low doses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PCD\u2010CT outperforms CBCT in diagnostic interpretability and artifact reduction across various radiation dose levels, offering a promising alternative for dentomaxillofacial imaging that aligns with the ALADAIP principle.<\/jats:p>\n                  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