国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (6): 690-694.doi: 10.7518/gjkq.2018.06.012

• 论著 • 上一篇    下一篇

成人个别正常颌上气道不同软件三维测量的比较研究

孟怡彤,张晓东()   

  1. 沈阳军区总医院口腔科 沈阳 110000
  • 收稿日期:2018-03-28 修回日期:2018-08-06 出版日期:2018-11-01 发布日期:2018-11-15
  • 通讯作者: 张晓东
  • 作者简介:孟怡彤,硕士,Email: 1531685482@qq.com
  • 基金资助:
    辽宁省自然科学基金(2015020428)

Clinical study of three dimensional measurement of upper airway in adult individual normal occlusion with different softwares

Yitong Meng,Xiaodong Zhang()   

  1. Dept. of Stomatology, The General Hospital of Shenyang Military, Shenyang 110000, China
  • Received:2018-03-28 Revised:2018-08-06 Online:2018-11-01 Published:2018-11-15
  • Contact: Xiaodong Zhang
  • Supported by:
    This study was supported by Natural Science Foundation of Liaoning(2015020428)

摘要:

目的 研究3种软件测量上气道相同解剖部位的差异,并且分析3种测量软件的可靠性。方法 将48例个别正常志愿者的锥形束CT(CBCT)资料分别导入Mimics 17.0、Dolphin 11.8和Invivo 5.1中,测量上气道体积和横截面积,同一测试者分别使用同一种软件重复进行3次测量;采用SPSS 24.0统计软件进行组内相关系数(ICC)、配伍组方差分析,检验不同测量方法的可靠性和统计学差异。结果 个别正常的CBCT测量数据分别导入Mimics 17.0、Dolphin 11.8和Invivo 5.1中后,差异无统计学意义,且3种测量方法的可靠性均较高,Mimics、Dolphin、Invivo的ICC平均值分别为0.944、0.889、0.807。结论 3种测量软件的测量结果基本相同,且3种测量方法的可靠性均较高,其中Mimics的可靠性最高,Dolphin次之,而Invivo最低。

关键词: 个别正常, 上气道, 锥形束CT

Abstract:

Objective To study difference between the three different measurement softwares for the same anatomic location of the upper airway, and analyse the reliability of the three measurement softwares.Methods The cone beam CT (CBCT) data of 48 normal individual occlusion volunteers were transformed into Mimics 17.0, Dolphin 11.8, and Invivo 5.1, and measured the area and the volume of their airways. Each tester measured by the same software for 3 times. Calculated the intra-class correlation coefficient (ICC), two way analysis of variance in order by the utilization of SPSS 24.0 statistical software to test the reliability and the statistical significance of different measuring methods.Results Individual normal occlusion CBCT volunteers were introduced into Mimics 17.0, Dolphin 11.8 and Invivo 5.1, finding no significant differences between thress softwares, therefore, they are comparable. The average ICC values of Mimics, Dolphin, Invivo were 0.944, 0.889, 0.807.Conclusion The measuring results of Mimics 17.0, Dolphin 11.8, and Invivo 5.1 were basically the same, and the reliability of three softwares were all high, but Mimics repeatability was the highest, followed by Dolphin, while Invivo was the lowest.

Key words: individual normal occlusion, upper airway, cone beam CT

中图分类号: 

  • R78

表 1

3种软件中个别正常CBCT数据及其配伍组方差分析结果"

项目 Mimics平均值 Dolphin平均值 Invivo平均值 F P
V1/mm3 7 241.057 7 300.450 7 241.666 0.653 0.525
V2/mm3 7 893.055 7 920.550 7 875.000 0.602 0.398
V3/mm3 4 021.845 4 102.600 4 041.666 0.435 0.566
S1/mm2 523.720 521.362 525.483 0.206 0.794
S2/mm2 246.137 244.362 244.949 0.003 0.997
S3/mm2 242.487 240.625 241.077 0.104 0.896

表 2

3种软件同样测量项目3次测量结果的ICC检验结果"

项目 Mimics Dolphin Invivo
ICC 95%置信区间 ICC 95%置信区间 ICC 95%置信区间
下限 上限 下限 上限 下限 上限
V1 0.959 0.920 0.981 0.895 0.792 0.951 0.876 0.755 0.942
V2 0.978 0.956 0.990 0.936 0.875 0.970 0.787 0.580 0.901
V3 0.920 0.843 0.963 0.986 0.973 0.936 0.772 0.550 0.894
S1 0.939 0.880 0.972 0.938 0.878 0.971 0.765 0.536 0.891
S2 0.907 0.817 0.957 0.869 0.741 0.939 0.762 0.531 0.889
S3 0.913 0.828 0.959 0.865 0.734 0.937 0.845 0.695 0.928
S4 0.997 0.993 0.998 - - - - - -
S5 0.915 0.832 0.960 - - - - - -
S6 0.971 0.943 0.987 - - - - - -
S7 - - - 0.831 0.667 0.922 - - -
S8 - - - 0.863 0.730 0.936 - - -
S9 - - - 0.823 0.650 0.918 - - -
S10 - - - - - - 0.785 0.577 0.900
S11 - - - - - - 0.782 0.571 0.899
S12 - - - - - - 0.893 0.788 0.950
平均值 0.944 - - 0.889 - - 0.807 - -
[1] Watson RM Jr, Warren DW, Fischer ND . Nasal re-sistance, skeletal classification, and mouth breathing in orthodontic patients[J]. Am J Orthod, 1968,54(5):367-379.
doi: 10.1016/0002-9416(68)90305-9
[2] McNamara JA . Influence of respiratory pattern on craniofacial growth[J]. Angle Orthod, 1981,51(4):269-300.
[3] Sutthiprapaporn P, Tanimoto K, Ohtsuka M , et al. Posi-tional changes of oropharyngeal structures due to gravity in the upright and supine positions[J]. Dentomaxillofac Radiol, 2008,37(3):130-135.
doi: 10.1259/dmfr/31005700 pmid: 18316503
[4] Riley RW, Powell N, Guilleminault C . Current surgical concepts for treating obstructive sleep apnea syndrome[J]. J Oral Maxillofac Surg, 1987,45(2):149-157.
doi: 10.1016/0278-2391(87)90405-8 pmid: 3468216
[5] Celenk M, Farrell ML, Eren H , et al. Upper airway detection and visualization from cone beam image slices[J]. J Xray Sci Technol, 2010,18(2):121-135.
doi: 10.3233/XST-2010-0248 pmid: 20495240
[6] El H , Palomo JM. Measuring the airway in 3 dimensions: a reliability and accuracy study0[J]. Am J Orthod Dentofacial Orthop, 2010, 137(4 Suppl): S50.e1-S5. e 9; discussion S50-S52.
doi: 10.1016/j.ajodo.2009.12.027
[7] Weissheimer A, Menezes LM, Sameshima GT , et al. Imaging software accuracy for 3-dimensional analysis of the upper airway[J]. Am J Orthod Dentofacial Orthop, 2012,142(6):801-813.
doi: 10.1016/j.ajodo.2012.07.015 pmid: 23195366
[8] Schendel SA, Hatcher D . Automated 3-dimensional airway analysis from cone-beam computed tomography data[J]. J Oral Maxillofac Surg, 2010,68(3):696-701.
doi: 10.1016/j.joms.2009.07.040 pmid: 20171491
[9] Tiner BD, Van Sickels JE, Schmitz JP . Life-threatening, delayed hemorrhage after Le Fort I osteotomy requiring surgical intervention: report of two cases[J]. J Oral Maxillofac Surg, 1997,55(1):91-94.
doi: 10.1016/S0278-2391(97)90457-2 pmid: 8994476
[10] Guijarro-Martínez R, Swennen GR . Three-dimensional cone beam computed tomography definition of the anatomical subregions of the upper airway: a validation study[J]. Int J Oral Maxillofac Surg, 2013,42(9):1140-1149.
doi: 10.1016/j.ijom.2013.03.007 pmid: 23623785
[11] Guijarro-Martínez R, Swennen GR . Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature[J]. Int J Oral Maxillofac Surg, 2011,40(11):1227-1237.
doi: 10.1016/j.ijom.2011.06.017 pmid: 21764260
[12] Grauer D, Cevidanes LS, Proffit WR . Working with DICOM craniofacial images[J]. Am J Orthod Dento-facial Orthop, 2009,136(3):460-470.
doi: 10.1016/j.ajodo.2009.04.016 pmid: 2761026
[13] Lenza MG, Lenza MM, Dalstra M , et al. An analysis of different approaches to the assessment of upper airway morphology: a CBCT study[J]. Orthod Craniofac Res, 2010,13(2):96-105.
doi: 10.1111/j.1601-6343.2010.01482.x pmid: 20477969
[1] 杨雨楠,刘鹏,王虎,游梦. 上颌窦黏膜增厚的锥形束CT影像分析[J]. 国际口腔医学杂志, 2023, 50(3): 302-307.
[2] 尹茂运,张祎,胡敏. 正畸拔牙矫治对上气道影响的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 607-613.
[3] 吴文智,冯达兴,陈垂壮,周丽鹃. 海口地区下颌第一恒磨牙近中中央根管发生率及相关因素[J]. 国际口腔医学杂志, 2022, 49(4): 420-425.
[4] 叶泽林,刘璐,龙虎,游梦. 弯曲前牙的影像评价及治疗的研究进展[J]. 国际口腔医学杂志, 2022, 49(2): 173-181.
[5] 田浩楠,林敏,谢丛蔓,任嫒姝. 上颌腭侧阻生尖牙与寰椎后桥相关性的锥形束CT研究[J]. 国际口腔医学杂志, 2021, 48(5): 536-540.
[6] 施丹妮,杨鑫,吴建勇. 锥形束CT三维头影测量参考坐标系的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 398-404.
[7] 丁张帆,郭陟永,苗诚,李春洁,宣鸣,王晓毅,张壮. 基于锥形束CT的三维可视化技术在颌骨囊性病变手术中的应用[J]. 国际口腔医学杂志, 2021, 48(2): 180-186.
[8] 王奔,许喆桢,韦曦. 数字化微创技术在牙髓根尖周病学中的应用与进展[J]. 国际口腔医学杂志, 2021, 48(1): 110-118.
[9] 唐蓓,赵文俊,王虎,郑广宁,游梦. 根管超填导致下牙槽神经损伤2例[J]. 国际口腔医学杂志, 2020, 47(3): 293-296.
[10] 吕靖,彭静,栗璞. 双生子颅面深度和上气道宽度的遗传和环境因素研究[J]. 国际口腔医学杂志, 2020, 47(2): 175-181.
[11] 章婷婷,胡常红,彭燕,周文翘,张慧聪,刘蝶. 300例不同年龄段有牙颌人群上唇软组织侧貌的锥形束CT三维测量分析[J]. 国际口腔医学杂志, 2020, 47(2): 182-188.
[12] 王春林,刘从华,宋思吟,周丽淑,林丽佳. 运用锥形束CT诊断上下颌横向发育不调的研究进展[J]. 国际口腔医学杂志, 2020, 47(1): 121-124.
[13] 黎祺, 黄少宏. 岭南地区广府民系人群下颌第二恒磨牙牙根和根管形态的锥形束CT研究[J]. 国际口腔医学杂志, 2019, 46(6): 640-649.
[14] 陈玉,姜欢,刘楠,陆晨萌,唐中元,韩茹钰,胡敏. 正畸治疗对骨性Ⅱ类错畸形患者上气道及周围结构变化的影响[J]. 国际口腔医学杂志, 2019, 46(5): 578-584.
[15] 李天成,夏恺,邹淑娟,刘钧. 正畸治疗中拔牙对上气道影响的系统评价[J]. 国际口腔医学杂志, 2019, 46(2): 156-165.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .