Measurements used in the Eastman cephalometric analysis derived from 2D cephalometric lateral skull images are comparable to those derived from 3D CBCT images.
Despite the reduction in thyroid dose, cost-benefit considerations mean that the purchase of a thyroid shield is only recommended where a very high number of anterior oblique occlusal views are undertaken. Optimization efforts for this examination are better focussed on training in examination positioning.
The objective of this study was to determine whether the accuracy of measurement data from inverted greyscale digital cephalometric radiographs equals that obtained from conventional negative digital cephalometric radiographs. Fifty-five consecutively lateral cephalometric radiographs from a university orthodontic clinic obtained for treatment planning were used for this study. A 5 MB conventional negative 'bones white' and inverted greyscale 'bones black' TIFF digital image of each radiograph was produced. These were allocated a unique identifier and were analysed in random order by one clinician. Eighteen cephalometric landmarks were digitized using the Opal 2.1 package and the angles were calculated. The angular measurements were compared using two-sample t-tests (P < 0.05). The angular measurements from the conventional negative bones white and inverted greyscale bones black lateral cephalometric radiographs were neither statistically significantly different nor clinically different from each other. Therefore, measurements derived from conventional negative bones white and inverted greyscale bones black lateral cephalometric radiographs have a similar level of precision.
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