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Oral Radiology
Published in: Oral Radiology 2/2020

01-04-2020 | Digital Volume Tomography | Original Article

Alternative cone-beam CT method for the analysis of mandibular condylar bone in patients with degenerative joint disease

Authors: I. Gumussoy, S. B. Duman

Published in: Oral Radiology | Issue 2/2020

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Abstract

Objective

The aim of this study was to investigate the use of 3D microstructural bone analysis in patients with degenerative joint disorder (DJD) to enhance the diagnostic capacity of cone beam computed tomography (CBCT) in the evaluation of bone tissue.

Methods

147 TMJ CBCT images of 88 participants were assessed with regard to DJD in the mandibular condyle. We divided each condyle into 3 groups (0, 1, 2) according to diagnosis of DJD: 0 indicates normal condyles (control individuals), 1 indicates mild erosive osteoarthritic change (EOC) and 2 indicates severe EOC. 3D fractal dimension (FD) was calculated on CBCT images of mandibular condyle and were compared with the radiographic diagnosis of patients.

Results

ANOVA test showed that there was statistically significant difference in FD values among each groups. The average FD value of group 0 was 1.971, group 1 was 1.918 and group 2 was 1.863. Lower FD values and more severe degenerative changes were seen in patient group 2. To evaluate the reliability of fractal analysis (FA) method, receiver operating characteristic (ROC) curve analysis was performed. Area under the curve (AUC) was 0.717 (p < 0.001).

Conclusion

This study provides a preliminary conclusion that fractal analysis may be a helpful tool to enhance the diagnostic capacity of CBCT in the evaluation of DJD.
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Metadata
Title
Alternative cone-beam CT method for the analysis of mandibular condylar bone in patients with degenerative joint disease
Authors
I. Gumussoy
S. B. Duman
Publication date
01-04-2020
Publisher
Springer Singapore
Published in
Oral Radiology / Issue 2/2020
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-019-00395-0

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