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Surgical and Radiologic Anatomy
Published in: Surgical and Radiologic Anatomy 1/2016

01-01-2016 | Original Article

Morphological concordance between CBCT and MDCT: a paranasal sinus-imaging anatomical study

Authors: J. Demeslay, S. Vergez, E. Serrano, P. Chaynes, P. Cantet, B. Chaput, G. de Bonnecaze

Published in: Surgical and Radiologic Anatomy | Issue 1/2016

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Abstract

Purpose

Cone-beam computed tomography (CBCT) is an imaging technique, first developed for use during oral and pre-implant surgery. In sinonasal surgery, CBCT might represent a valuable tool for anatomical research given its high spatial resolution and low irradiation dose. However, clinical and anatomical evidence pertaining to its efficacy is lacking. This study assessed the morphological concordance between CBCT and multislice detector computed tomography (MDCT) in the context of sinonasal anatomy.

Methods

We performed an anatomical study using 15 fresh cadaver heads. Each head underwent both CBCT and MDCT. Two independent reviewers evaluated 26 notable anatomical landmarks. The primary outcome was the overall morphological concordance between the two imaging techniques. Secondary objectives included assessment of inter-rater agreement and comparison of the radiation doses received by different parts of the anatomy.

Results

Overall morphological concordance between the two imaging techniques was excellent (>98 %); the inter-rater agreement for CBCT was approximately 97 %, which is highly similar to MDCT, but achieved using a significantly decreased irradiation dose.

Conclusion

Our preliminary study indicates that CBCT represents a valid, reproducible, and safe technique for the identification of relevant sinonasal anatomical structures. Further research, particularly in pathological contexts, is required.
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Metadata
Title
Morphological concordance between CBCT and MDCT: a paranasal sinus-imaging anatomical study
Authors
J. Demeslay
S. Vergez
E. Serrano
P. Chaynes
P. Cantet
B. Chaput
G. de Bonnecaze
Publication date
01-01-2016
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 1/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1509-5

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