THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY

KARAMAN, ANIL; Boyacioglu, Hayal; Güneri, Pelin; GOKMEN, Figen; şener, elif; özden yüce, meltem; Ulusoy, Ali Canberk; OZER, MEHMET ASIM

doi:10.7126/cumudj.1035066

THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY

Ali Canberk ULUSOY, (Ege Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız Diş Ve Çene Radyolojisi Anabilim Dalı, İzmir, Türkiye)

Elif ŞENER, (Ege Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız Diş Ve Çene Radyolojisi Anabilim Dalı, İzmir, Türkiye)

Meltem ÖZDEN YÜCE, (Ege Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız Diş Ve Çene Radyolojisi Anabilim Dalı, İzmir, Türkiye)

Mehmet Asım ÖZER, (Ege Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Anabilim Dalı, İzmir, Türkiye)

Anıl KARAMAN, (Ege Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız Diş Ve Çene Radyolojisi Anabilim Dalı, İzmir, Türkiye)

Figen GÖVSA, (Ege Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Anabilim Dalı, İzmir, Türkiye)

Hayal BOYACIOĞLU, (Ege Üniversitesi, Fen Fakültesi, İstatistik Bölümü, İstatistik Anabilim Dalı, İzmir, Türkiye)

Pelin GÜNERİ (Ege Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız Diş Ve Çene Radyolojisi Anabilim Dalı, İzmir, Türkiye)

Cumhuriyet Dental Journal

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Yıl: 2022 Cilt: 25 Sayı: Supplement Sayfa Aralığı: 1 - 6 Metin Dili: İngilizce DOI: 10.7126/cumudj.1035066 İndeks Tarihi: 17-01-2023

THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY

Öz:

Abstract: Objectives: The aim is to evaluate the contribution of 3D modeling data to the planning of the maxillofacial surgery and to determine the indications of 3D modeling. Materials and Methods: In this preliminary study, CBCT images of 2 patients with the Kodak 9000 3D (Kodak Carestream Health, Trophy, France) system were used. The segmentation procedures of the pathologies were performed manually, and was followed by the construction of the 3D models. A questionnaire was prepared by consensus of the research team, including the parameters which are critical in preoperative maxillofacial surgery planning. Five oral and maxillofacial surgeons independently evaluated both the traditional CBCT data and 3D model assisted data under the same viewing conditions. The extent of their decision change was scored using a 2 point Likert scale. Conventional (pre 3D model) versus 3D model assisted data (post 3D model) scores were analyzed. Pair-wise comparisons were completed using Fisher’s exact test (P < 0.05). Kappa was used to measure inter-observer agreement. Results: In both of the evaluation sessions (pre and post 3D model), operation time, defect size and complication risk factors showed the highest variation for both patients. The difference between the decision change proportions for the variables of pre and post 3D model sessions were not statistically significant (p>0.05). Except 2 observers with excellent agreement for both evaluations (p=0.036), the agreement rates were fair without statistical significance. Conclusions: The results confirmed that personalized 3D modeling constructed by CBCT data may lead to changes in surgical treatment planning protocol of complex cases.

Anahtar Kelime: 3D Modeling Cone-beam Computed Tomography Dental Radiology Maxillofacial Surgery Planning Questionnaire

Maksillofasiyal Cerrahide 3 Boyutlu Modellemenin Etkisi: Bir KİBT Ön Çalışması

Öz:

Amaç: Çalışmanın amacı, konik ışınlı bilgisayarlı tomografi (KIBT) kesitlerinin segmentasyonu sonucunda oluşturulan 3 boyutlu modellerin maksillofasiyal cerrahi planlamasına katkısını değerlendirmek ve 3 boyutlu modellemenin kullanım alanlarını belirlemektir. Yöntem: Bu ön çalışmada, Kodak 9000 3D (Kodak Carestream Health, Trophy, Fransa) KIBT cihazı kullanılarak çekilmiş 2 farklı hastanın görüntüleri kullanılmıştır. Görüntüler her kesitte değerlendirilerek segmentasyonu manuel olarak tamamlanmış ardından 3 boyutlu modellere çevrilmiştir. Cerrahi planlama açısından önemi sebebiyle seçilen 8 parametre kullanılarak araştırma ekibi tarafından gözlemci anketi oluşturulmuştur. Gözlemci olarak seçilen beş oral ve maksillofasiyal cerrah, aynı görüntüleme koşulları altında önce sadece geleneksel KIBT verilerini değerlendirerek, ardından ise 3 boyutlu model ile oluşturulan verileri bağımsız olarak inceleyerek aynı anketi iki kere doldurmuştur. Cerrahların karar verme mekanizmaları üç skorlu Likert ölçeği kullanılarak puanlanmış, geleneksel ve 3 boyutlu model kullanılarak yapılan planlama puanları karşılaştırılarak analiz edilmiştir. İki yöntemin karşılaştırılması için Fisher’s Exact testi, gözlemciler arası uyumu ölçmek için ise Kappa testi kullanılmıştır. Bulgular: Yöntemler karşılaştırıldığında (3 boyutlu model ve geleneksel yöntem), her iki hastada en çok değişkenlik gösteren faktörlerin operasyon süresi, defekt boyutu ve komplikasyon riski olduğu gözlendi. İki yöntem arasındaki karar verme mekanizması incelendiğinde, yöntemlerin sonuçlarının benzer olduğu görüldü. Gözlemciler arasındaki uyum değerlendirildiğinde ise yalnızca 2 gözlemci arasında tam bir uyumun olduğu gözlenmekle birlikte, diğerleri arasında istatistiksel olarak anlamlı olmayan orta düzeyde bir uyumun bulunduğu belirlendi. Sonuçlar: Çalışmanın sonuçları, KIBT verileriyle oluşturulan, kişiye özgü 3 boyutlu modellemenin karmaşık vakaların cerrahi tedavi planlama protokollerinde değişikliğe yol açabilir.

Anahtar Kelime: 3B Modelleme KIBT Maksillofasiyal Cerrahi Planlaması Dental Radyoloji Anket

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Ulusoy A, şener e, özden yüce m, OZER M, KARAMAN A, GOKMEN F, Boyacioglu H, Güneri P (2022). THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. , 1 - 6. 10.7126/cumudj.1035066
Chicago	Ulusoy Ali Canberk,şener elif,özden yüce meltem,OZER MEHMET ASIM,KARAMAN ANIL,GOKMEN Figen,Boyacioglu Hayal,Güneri Pelin THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. (2022): 1 - 6. 10.7126/cumudj.1035066
MLA	Ulusoy Ali Canberk,şener elif,özden yüce meltem,OZER MEHMET ASIM,KARAMAN ANIL,GOKMEN Figen,Boyacioglu Hayal,Güneri Pelin THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. , 2022, ss.1 - 6. 10.7126/cumudj.1035066
AMA	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. . 2022; 1 - 6. 10.7126/cumudj.1035066
Vancouver	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. . 2022; 1 - 6. 10.7126/cumudj.1035066
IEEE	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P "THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY." , ss.1 - 6, 2022. 10.7126/cumudj.1035066
ISNAD	Ulusoy, Ali Canberk vd. "THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY". (2022), 1-6. https://doi.org/10.7126/cumudj.1035066

APA	Ulusoy A, şener e, özden yüce m, OZER M, KARAMAN A, GOKMEN F, Boyacioglu H, Güneri P (2022). THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. Cumhuriyet Dental Journal , 25(Supplement), 1 - 6. 10.7126/cumudj.1035066
Chicago	Ulusoy Ali Canberk,şener elif,özden yüce meltem,OZER MEHMET ASIM,KARAMAN ANIL,GOKMEN Figen,Boyacioglu Hayal,Güneri Pelin THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. Cumhuriyet Dental Journal 25, no.Supplement (2022): 1 - 6. 10.7126/cumudj.1035066
MLA	Ulusoy Ali Canberk,şener elif,özden yüce meltem,OZER MEHMET ASIM,KARAMAN ANIL,GOKMEN Figen,Boyacioglu Hayal,Güneri Pelin THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. Cumhuriyet Dental Journal , vol.25, no.Supplement, 2022, ss.1 - 6. 10.7126/cumudj.1035066
AMA	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. Cumhuriyet Dental Journal . 2022; 25(Supplement): 1 - 6. 10.7126/cumudj.1035066
Vancouver	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY. Cumhuriyet Dental Journal . 2022; 25(Supplement): 1 - 6. 10.7126/cumudj.1035066
IEEE	Ulusoy A,şener e,özden yüce m,OZER M,KARAMAN A,GOKMEN F,Boyacioglu H,Güneri P "THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY." Cumhuriyet Dental Journal , 25, ss.1 - 6, 2022. 10.7126/cumudj.1035066
ISNAD	Ulusoy, Ali Canberk vd. "THE EFFECTS OF 3D MODELING ON PLANNING OF MAXILLOFACIAL SURGERY: A Preliminary CBCT STUDY". Cumhuriyet Dental Journal 25/Supplement (2022), 1-6. https://doi.org/10.7126/cumudj.1035066