{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:09:21Z","timestamp":1790626161415,"version":"4.1.0"},"reference-count":62,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the intra- and inter-examiner reliability of multidetector computed tomography (MDCT) and cone-beam computed tomography (CBCT) using Amira and Dolphin software analyses for craniofacial\/airway measurements by six examiners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Five adults and one dry skull with CBCT and MDCT scan files were duplicated and randomly numbered. Six orthodontic residents imported these files into two software programs, oriented the images, set thresholds, and performed 26 measurements. Intra- and inter-examiner reliabilities were determined by using intraclass correlation coefficient (ICC) and presented with scatterplots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Variables including anterior nasal width, posterior nasal width, frontomaxillary suture right-to-left, inner nasal contour point right-to-left, and minimum cross-sectional area in the oropharynx showed \u201cmoderate\u201d to \u201csubstantial\u201d intra- or inter-examiner agreement. Amira provided relatively reliable airway assessment, while Dolphin showed standard deviations 10 to 30 times larger for volumetric airway measurements. MDCT scans significantly reduced airway volume\/area measurements compared to CBCT, except for intraoral airway volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Unreliable skeletal measurements and low reliability of Dolphin for airway analysis discourage using CT to quantitatively correlate changes in craniofacial structures with airway dimensions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/022124-131.1","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T20:02:05Z","timestamp":1727208125000},"page":"57-77","source":"Crossref","is-referenced-by-count":5,"title":["Reliability assessment of craniofacial and airway measurements: a comparative study between multidetector computed tomography and cone-beam computed tomography"],"prefix":"10.2319","volume":"95","author":[{"given":"Jui-Sheng","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Chih","family":"Hung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi-Yeh","family":"Hsieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Ying","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han-Cheng","family":"Tai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny Zwei-Chieng","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"issue":"1","key":"i1945-7103-95-1-57-b01","series-title":"Atlas Oral Maxillofac Surg Clin North Am","first-page":"1","article-title":"A comparison of maxillofacial CBCT and medical CT","volume":"20","author":"Angelopoulos","year":"2012","unstructured":"Angelopoulos\n              C,\n            \n            \n              Scarfe\n              WC,\n            \n            \n              Farman\n              AG.\n            \n          \n          A comparison of maxillofacial CBCT and medical CT. Atlas Oral Maxillofac Surg Clin North Am. 2012;20(1):1\u201317."},{"key":"i1945-7103-95-1-57-b02","series-title":"Contemporary Orthodontics","author":"Proffit","year":"2018","unstructured":"Proffit\n              WR.\n            \n          \n          Contemporary Orthodontics. 6th ed. Philadelphia, IL: Elsevier; 2018."},{"issue":"11","key":"i1945-7103-95-1-57-b03","series-title":"Int J Oral Maxillofac Surg","first-page":"1227","article-title":"Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature","volume":"40","author":"Guijarro-Mart\u00ednez","year":"2011","unstructured":"Guijarro-Mart\u00ednez\n              R,\n            \n            \n              Swennen\n              GR.\n            \n          \n          Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature. Int J Oral Maxillofac Surg. 2011;40(11):1227\u20131237."},{"issue":"4","key":"i1945-7103-95-1-57-b04","series-title":"Oncology","first-page":"173","article-title":"Dental cone beam computed tomography in children: clinical effectiveness and cancer risk due to radiation exposure","volume":"96","author":"De Felice","year":"2019","unstructured":"De Felice\n              F,\n            \n            \n              Di Carlo\n              G,\n            \n            \n              Saccucci\n              M,\n            \n            \n              Tombolini\n              V,\n            \n            \n              Polimeni\n              A.\n            \n          \n          Dental cone beam computed tomography in children: clinical effectiveness and cancer risk due to radiation exposure. Oncology. 2019;96(4):173-\u2013178."},{"issue":"1","key":"i1945-7103-95-1-57-b05","series-title":"Dentomaxillofac Radiol","first-page":"20140238","article-title":"CBCT-based bone quality assessment: are Hounsfield units applicable","volume":"44","author":"Pauwels","year":"2015","unstructured":"Pauwels\n              R,\n            \n            \n              Jacobs\n              R,\n            \n            \n              Singer\n              SR,\n            \n            \n              Mupparapu\n              M.\n            \n          \n          CBCT-based bone quality assessment: are Hounsfield units applicable? Dentomaxillofac Radiol. 2015;44(1):20140238."},{"issue":"1","key":"i1945-7103-95-1-57-b06","series-title":"Dentomaxillofac Radiol","first-page":"20210140","article-title":"Can gray values be converted to Hounsfield units? A systematic review","volume":"51","author":"Eguren","year":"2022","unstructured":"Eguren\n              M,\n            \n            \n              Holguin\n              A,\n            \n            \n              Diaz\n              K,\n            \n            et al.\n          \n          Can gray values be converted to Hounsfield units? A systematic review. Dentomaxillofac Radiol. 2022;51(1):20210140. 34148350"},{"issue":"1021","key":"i1945-7103-95-1-57-b07","series-title":"Br J Radiol","first-page":"20120135","article-title":"Variability of dental cone beam CT grey values for density estimations","volume":"86","author":"Pauwels","year":"2013","unstructured":"Pauwels\n              R,\n            \n            \n              Nackaerts\n              O,\n            \n            \n              Bellaiche\n              N,\n            \n            et al.\n          \n          Variability of dental cone beam CT grey values for density estimations. Br J Radiol. 2013;86(1021):20120135."},{"issue":"5","key":"i1945-7103-95-1-57-b08","series-title":"Dentomaxillofac Radiol","first-page":"245","article-title":"The reliability of computed tomography (CT) values and dimensional measurements of the oropharyngeal region using cone beam CT: comparison with multidetector CT","volume":"37","author":"Yamashina","year":"2008","unstructured":"Yamashina\n              A,\n            \n            \n              Tanimoto\n              K,\n            \n            \n              Sutthiprapaporn\n              P,\n            \n            \n              Hayakawa\n              Y.\n            \n          \n          The reliability of computed tomography (CT) values and dimensional measurements of the oropharyngeal region using cone beam CT: comparison with multidetector CT. 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Int J Oral Maxillofac Surg. 2017;46(3):296\u2013302."},{"issue":"4","key":"i1945-7103-95-1-57-b11","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"512","article-title":"Comparative localized linear accuracy of small-field cone-beam CT and multislice CT for alveolar bone measurements","volume":"105","author":"Loubele","year":"2008","unstructured":"Loubele\n              M,\n            \n            \n              Van Assche\n              N,\n            \n            \n              Carpentier\n              K,\n            \n            et al.\n          \n          Comparative localized linear accuracy of small-field cone-beam CT and multislice CT for alveolar bone measurements. 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Eur J Orthod. 23 2018;40(1):58\u201364."},{"issue":"39(5","key":"i1945-7103-95-1-57-b14","series-title":"Eur J Orthod","first-page":"489","article-title":"Reliability of upper pharyngeal airway assessment using dental CBCT: a systematic review","volume":"1","author":"Zimmerman","year":"2017","unstructured":"Zimmerman\n              JN,\n            \n            \n              Lee\n              J,\n            \n            \n              Pliska\n              BT.\n            \n          \n          Reliability of upper pharyngeal airway assessment using dental CBCT: a systematic review. Eur J Orthod. 12017;39(5):489-496."},{"issue":"3","key":"i1945-7103-95-1-57-b15","series-title":"Angle Orthod","first-page":"448","article-title":"Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders","volume":"82","author":"Pangrazio-Kulbersh","year":"2012","unstructured":"Pangrazio-Kulbersh\n              V,\n            \n            \n              Wine\n              P,\n            \n            \n              Haughey\n              M,\n            \n            \n              Pajtas\n              B,\n            \n            \n              Kaczynski\n              R.\n            \n          \n          Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. 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Mar 31 2022;12(4)."},{"issue":"4","key":"i1945-7103-95-1-57-b17","series-title":"Angle Orthod","first-page":"566","article-title":"Retrospective CBCT analysis of airway volume changes after bone-borne vs tooth-borne rapid maxillary expansion","volume":"89","author":"Kavand","year":"2019","unstructured":"Kavand\n              G,\n            \n            \n              Lagravere\n              M,\n            \n            \n              Kula\n              K,\n            \n            \n              Stewart\n              K,\n            \n            \n              Ghoneima\n              A.\n            \n          \n          Retrospective CBCT analysis of airway volume changes after bone-borne vs tooth-borne rapid maxillary expansion. 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Oncology. 2019;96(4):173-\u2013178."},{"issue":"1","key":"i1945-7103-95-1-57-b05","series-title":"Dentomaxillofac Radiol","first-page":"20140238","article-title":"CBCT-based bone quality assessment: are Hounsfield units applicable","volume":"44","author":"Pauwels","year":"2015","unstructured":"Pauwels\n              R,\n            \n            \n              Jacobs\n              R,\n            \n            \n              Singer\n              SR,\n            \n            \n              Mupparapu\n              M.\n            \n          \n          CBCT-based bone quality assessment: are Hounsfield units applicable? Dentomaxillofac Radiol. 2015;44(1):20140238."},{"issue":"1","key":"i1945-7103-95-1-57-b06","series-title":"Dentomaxillofac Radiol","first-page":"20210140","article-title":"Can gray values be converted to Hounsfield units? 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Dentomaxillofac Radiol. 2008;37(5):245\u2013251."},{"issue":"1","key":"i1945-7103-95-1-57-b09","series-title":"Imaging Sci Dent","first-page":"25","article-title":"Evaluation of accuracy of 3D reconstruction images using multi-detector CT and cone-beam CT","volume":"42","author":"Kim","year":"2012","unstructured":"Kim\n              M,\n            \n            \n              Huh\n              KH,\n            \n            \n              Yi\n              WJ,\n            \n            \n              Heo\n              MS,\n            \n            \n              Lee\n              SS,\n            \n            \n              Choi\n              SC.\n            \n          \n          Evaluation of accuracy of 3D reconstruction images using multi-detector CT and cone-beam CT. 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