Accuracy of linear measurements using low dose cone beam computed tomography protocol versus direct skull linear measurements: An in vitro study

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Background: Cone beam computed tomography (CBCT) imaging has been widely used for different dental applications over the last few years. It delivers a high dose of radiation compared to conventional imaging modalities. This study aimed to compare the accuracy of linear measurements conducted using a low dose CBCT protocol in comparison with direct skull linear measurements. Methods: Ten dry human skulls were included in the study. 12 linear measurements were measured directly on each skull between 23 chosen anatomical landmarks using a digital calliper. Radio-opaque markers were then glued on these anatomical landmarks. Each skull was then scanned using low dose CBCT protocol operated at 90 kVp, 7.1 mA, for 9 sec. Results: There was no statistically significant difference in the accuracy of linear measurements conducted using the low dose CBCT protocol when compared with direct linear measurements. Relative Dahlberg Error value ranged from 0.8% to 1.9%. Conclusion: Reducing mAs using a low dose CBCT protocol does not affect the accuracy of linear measurements used in craniofacial imaging tasks as compared with those taken directly on the skull by a digital calliper.

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