Are collimated low-dose digital radiographs valid for performing Delaire's architectural analysis?

Stamm, Thomas; Meier, N.; Hohoff, Ariane; Meyer, Ulrich; Heinecke, A.; Joos, Ulrich

doi:10.1054/ijom.2002.0437

Cited by 2 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For reasons of radiation protection, many modern cephalograms do not depict the whole neurocranium and are therefore not suitable for the implementation of a whole-skull analysis such as the Delaire analysis. Various suggestions have been made in the literature on how to integrate the Delaire analysis into modern diagnostics, such as using the uncollimated areas in Digital Luminescence Radiography [ 33 , 34 ], reconstructing lateral cephalograms from computed tomography (CT) -scans [ 35 ] or transitioning Delaire’s concept into a three-dimensional version based on CT-scans [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Cephalometric analyses for cleft patients: a statistical approach to compare the variables of Delaire’s craniofacial analysis to Bergen analysis

2021

View full text Add to dashboard Cite

Objectives Cephalometric analyses using lateral craniofacial radiographs are common diagnostic procedures for evaluating skeletal patterns. However, in patients with pronounced abnormalities like cleft lip and palate, standard cephalometric analyses and landmarks may not be suitable. This study aims to clarify whether the inclusion of landmarks less compromised by the cleft defect or located outside the cleft area results in a different cephalometric assessment of the viscerocranium. Delaire’s whole-skull analysis and Bergen analysis were examined for similarities and underlying common observations. Materials/methods Based on the cephalometric evaluation of 217 patients with different types of non-syndromal cleft formation, Delaire and Bergen analysis were compared using three statistical methods: correlation analysis, factor analysis, and cluster analysis. Reproducibility was assessed by Bland–Altman plots, intraclass correlation coefficients, mean absolute differences, and coefficients of variability. Results Although Delaire analysis and Bergen analysis are based on different concepts and landmarks, a majority of corresponding variables was found. Certain aspects of craniofacial base relation and craniospinal articulation are only assessed by Delaire analysis. All but one variable showed very good reproducibility. Conclusions The inclusion of landmarks less compromised by or located outside the cleft area does not result in variables that provide a different assessment of the viscerocranial area. Clinical Relevance The findings contradict the concept of invalidity of landmarks compromised by the cleft defect or located within the affected cleft area. Within the scope of its viscerocranial field of view, Bergen analysis appears to be on a par with Delaire analysis in the diagnosis of cleft patients.

show abstract

Section: Discussionmentioning

confidence: 99%