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Validating cone-beam computed tomography for peri-implant bone morphometric analysis

Identifieur interne : 001586 ( Main/Exploration ); précédent : 001585; suivant : 001587

Validating cone-beam computed tomography for peri-implant bone morphometric analysis

Auteurs : Yan Huang [Belgique, République populaire de Chine] ; Jeroen Van Dessel [Belgique] ; Maarten Depypere [Belgique] ; Mostafa Ezeldeen [Belgique] ; Alexandru Andrei Iliescu [Roumanie] ; Emanuela Dos Santos [Brésil] ; Ivo Lambrichts [Belgique] ; Xin Liang [République populaire de Chine] ; Reinhilde Jacobs [Belgique]

Source :

RBID : PMC:4472132

Abstract

Cone-beam computed tomography (CBCT) has been recently used to analyse trabecular bone structure around dental implants. To validate the use of CBCT for three-dimensional (3D) peri-implant trabecular bone morphometry by comparing it to two-dimensional (2D) histology, 36 alveolar bone samples (with implants n=27 vs. without implants n=9) from six mongrel dogs, were scanned ex vivo using a high-resolution (80 µm) CBCT. After scanning, all samples were decalcified and then sectioned into thin histological sections (∼6 μm) to obtain high contrast 2D images. By using CTAn imaging software, bone morphometric parameters including trabecular number (Tb.N), thickness (Tb.Th), separation (Tb.Sp) and bone volume fraction (BV/TV) were examined on both CBCT and corresponding histological images. Higher Tb.Th and Tb.Sp, lower BV/TV and Tb.N were found on CBCT images (P<0.001). Both measurements on the peri-implant trabecular bone structure showed moderate to high correlation (r=0.65–0.85). The Bland–Altman plots showed strongest agreement for Tb.Th followed by Tb.Sp, Tb.N and BV/TV, regardless of the presence of implants. The current findings support the assumption that peri-implant trabecular bone structures based on high-resolution CBCT measurements are representative for the underlying histological bone characteristics, indicating a potential clinical diagnostic use of CBCT-based peri-implant bone morphometric characterisation.


Url:
DOI: 10.1038/boneres.2014.10
PubMed: 26273522
PubMed Central: 4472132


Affiliations:


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<p>Cone-beam computed tomography (CBCT) has been recently used to analyse trabecular bone structure around dental implants. To validate the use of CBCT for three-dimensional (3D) peri-implant trabecular bone morphometry by comparing it to two-dimensional (2D) histology, 36 alveolar bone samples (with implants
<italic>n</italic>
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<italic>vs.</italic>
without implants
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=9) from six mongrel dogs, were scanned
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using a high-resolution (80 µm) CBCT. After scanning, all samples were decalcified and then sectioned into thin histological sections (∼6 μm) to obtain high contrast 2D images. By using CTAn imaging software, bone morphometric parameters including trabecular number (Tb.N), thickness (Tb.Th), separation (Tb.Sp) and bone volume fraction (BV/TV) were examined on both CBCT and corresponding histological images. Higher Tb.Th and Tb.Sp, lower BV/TV and Tb.N were found on CBCT images (
<italic>P</italic>
<0.001). Both measurements on the peri-implant trabecular bone structure showed moderate to high correlation (
<italic>r</italic>
=0.65–0.85). The Bland–Altman plots showed strongest agreement for Tb.Th followed by Tb.Sp, Tb.N and BV/TV, regardless of the presence of implants. The current findings support the assumption that peri-implant trabecular bone structures based on high-resolution CBCT measurements are representative for the underlying histological bone characteristics, indicating a potential clinical diagnostic use of CBCT-based peri-implant bone morphometric characterisation.</p>
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