Using Cone Beam Computed Tomography for Radiological Assessment Beyond Dento-maxillofacial Imaging: A Review of the Clinical Applications in other Anatomical Districts.

Cone beam computer tomography (CBCT) clinical outcome literature review non-standard anatomical districts radiological dose to the patient single- or multi-detector computer tomography

Journal

Current medical imaging
ISSN: 1573-4056
Titre abrégé: Curr Med Imaging
Pays: United Arab Emirates
ID NLM: 101762461

Informations de publication

Date de publication:
2023
Historique:
received: 22 11 2022
revised: 29 12 2022
accepted: 11 01 2023
medline: 5 6 2023
pubmed: 4 2 2023
entrez: 3 2 2023
Statut: ppublish

Résumé

Cone Beam Computed Tomography (CBCT) represents the optimal imaging solution for the evaluation of the maxillofacial and dental area when quantitative geometric and volumetric accuracy is necessary (e.g., in implantology and orthodontics). Moreover, in recent years, this technique has given excellent results for the imaging of lower and upper extremities. Therefore, significant interest has been increased in using CBCT to investigate larger and non-traditional anatomical districts. The purpose of this work is to review the scientific literature in Pubmed and Scopus on CBCT application beyond head districts by paying attention to image quality and radiological doses. The search for keywords was conducted in Pubmed and Scopus databases with no back-date restriction. Papers on applications of CBCT to head were excluded from the present work. From each considered paper, parameters related to image quality and radiological dose were extracted. An overall qualitative evaluation of the results extracted from each issue was done by comparing the conclusive remarks of each author regarding doses and image quality. PRISMA statements were followed during this process. The review retrieved 97 issues from 83 extracted papers; 46 issues presented a comparison between CBCT and Multi-Detector Computed Tomography (MDCT), and 51 reviewed only CBCT. The radiological doses given to the patient with CBCT were considered acceptable in 91% of cases, and the final image quality was found in 99%. CBCT represents a promising technology not only for imaging of the head and upper and lower extremities but for all the orthopedic districts. Moreover, the application of CBCT derived from C-arms (without the possibility of a 360 ° rotation range) during invasive investigations demonstrates the feasibility of this technique for non-standard anatomical areas, from soft tissues to vascular beds, despite the limits due to the incomplete rotation of the tube.

Sections du résumé

BACKGROUND
Cone Beam Computed Tomography (CBCT) represents the optimal imaging solution for the evaluation of the maxillofacial and dental area when quantitative geometric and volumetric accuracy is necessary (e.g., in implantology and orthodontics). Moreover, in recent years, this technique has given excellent results for the imaging of lower and upper extremities. Therefore, significant interest has been increased in using CBCT to investigate larger and non-traditional anatomical districts.
OBJECTIVE
The purpose of this work is to review the scientific literature in Pubmed and Scopus on CBCT application beyond head districts by paying attention to image quality and radiological doses.
METHODS
The search for keywords was conducted in Pubmed and Scopus databases with no back-date restriction. Papers on applications of CBCT to head were excluded from the present work. From each considered paper, parameters related to image quality and radiological dose were extracted. An overall qualitative evaluation of the results extracted from each issue was done by comparing the conclusive remarks of each author regarding doses and image quality. PRISMA statements were followed during this process.
RESULTS
The review retrieved 97 issues from 83 extracted papers; 46 issues presented a comparison between CBCT and Multi-Detector Computed Tomography (MDCT), and 51 reviewed only CBCT. The radiological doses given to the patient with CBCT were considered acceptable in 91% of cases, and the final image quality was found in 99%.
CONCLUSION
CBCT represents a promising technology not only for imaging of the head and upper and lower extremities but for all the orthopedic districts. Moreover, the application of CBCT derived from C-arms (without the possibility of a 360 ° rotation range) during invasive investigations demonstrates the feasibility of this technique for non-standard anatomical areas, from soft tissues to vascular beds, despite the limits due to the incomplete rotation of the tube.

Identifiants

pubmed: 36733238
pii: CMIR-EPUB-129238
doi: 10.2174/1573405619666230202122947
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

977-994

Informations de copyright

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.

Auteurs

Ivan Corazza (I)

Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Medical Physics Activities Coordination Centre, Bologna, Italy.

Emanuele Giannetti (E)

Cefla Sc, Imola, Italy.

Giancarlo Bonzi (G)

Cefla Sc, Imola, Italy.

Alessandro Lombi (A)

Department of Physics and Astronomy, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Giulia Paolani (G)

Medical Physics Specialization School, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Miriam Santoro (M)

Medical Physics Specialization School, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Maria Francesca Morrone (MF)

Medical Physics Specialization School, Alma Mater Studiorum University of Bologna, Bologna, Italy.

Margherita Zecchi (M)

Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Medical Physics Activities Coordination Centre, Bologna, Italy.

Pier Luca Rossi (PL)

Department of Physics and Astronomy, Alma Mater Studiorum University of Bologna, Bologna, Italy.

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