Accuracy of reconstructed images from cone-beam computed tomography scans

Introduction: The aim of this study was to determine whether 2-dimensional (2D) images produced from cone-beam computed tomography (CBCT) images taken with an iCAT scanner (Imaging Sciences International, Hatfield, Pa) can substitute for traditional cephalograms. Methods: Lateral and frontal cephalograms were taken of a radiographic phantom with known dimensions. Landmarks on the 2D images were traced and measured manually by 2 examiners and then digitally in Dolphin 10 (Dolphin Imaging Sciences, Chats-worth, Calif) by the same examiners. A CBCT scan was taken of the phantom, and orthogonal and perspective projections were created from the scans. Frontal and lateral cephalograms were created by using the 3-dimensional function in Dolphin 10, digitized into Dolphin, and traced by the same 2 examiners. Linear measurements were compared to assess the accuracy of the generated images from the CBCT scans. Results: Measurements on the orthogonal projections were not significantly different from the actual dimensions of the phantom, and measurements on the perspective projections were highly correlated with those taken on standard 2D films. Conclusions: By constructing a perspective lateral cephalogram from a CBCT scan, one can replicate the inherent magnification of a conventional 2D lateral cephalogram with high accuracy. (Am J Orthod Dentofacial Orthop 2009;136:156.e1-156.e6)