Total views : 66

The Accuracy of Cone Beam Computed Tomographybased Registration and Multislice Computed Tomography-based Registration for Oral and Maxillofacial Surgery: A Systematic Review


  • Oral and Maxillofacial Radiology Department, Faculty of Oral and Dental Medicine, Cairo University, Egypt


Objectives: Advances in medical imaging technologies have paved the way for facilitating great challenges in the field of oral and maxillofacial surgery. Medical image registration has become an essential step for a variety of procedures. The goal of this review is to systematically try to answer the following question: Is CBCT based registration and MSCT based registration reliable for maxillofacial surgery? Methods: The PubMed databases, the Lilacs databases and the Chochrane library for systematic reviews were searched till 1 June 2016. Results: The search yielded ten articles evaluating MSCT and CBCT registration techniques after application of certain exclusion criteria. Conclusion: Only one study was comparing the accuracy of CBCT and MSCT registration (markers) for image guided surgery, two studies evaluating CBCT landmark registration technique, four studies evaluating CBCT voxel based registration technique one study comparing the accuracy of CBCT surface based registration and voxel based registration and one study comprised two parts: evaluation of CBCT landmark registration and CBCT voxel based registration.


Cone Beam Computed Tomography, Maxillofacial Surgery- Review, Multislice Computed Tomography, Registration- Image Fusion- Oral

Full Text:

 |  (PDF views: 58)


  • Mani VRS, Arivazhagan S. Survey of Medical Image Registration. Journal of Biomedical Engineering and Technology. 2013; 1(2):8-25.
  • Schilling J, Gomes LCR, Benavides E, Nguyen T, Paniagua B, Styner M, Boen, Gonçalves JR, Cevidanes LHS. Regional 3D superimposition to assess temporomandibular joint condylar morphology. Dentomaxillofac Radiol. 2014;43(1).Crossref PMid:24170802 PMCid:PMC3887483
  • Costin H, Rotariu Cr. Registration of Multimodal Medical Images Computer Science Journal of Moldova. 2009; 17(3):1-102.
  • Maes F, Vandermeulen D, Suetens P. Medical Image Registration Using Mutual Information. Proceedings of the IEEE. 2003 Oct; 91(10):1-24. Crossref
  • Oliveira FP, Tavares JM. Medical Image Registration: A Review. Computer Methods in Biomechanics and Biomedical Engineering. 2014; 17(2):73-93. Crossref PMid:22435355
  • Pappas IP, Styner M, Malik P, Remonda L, Caversaccio M. Automatic Method to Assess Local CT–MR Imaging Registration Accuracy on Images of the Head. AJNR Am J Neuroradiol. 2005 Jan; 26(1):137-44. PMid:15661715
  • Crum WR, Griffin LD, Hill DL, Hawkes DJ. Zen and the art of medical image registration: Correspondence Homology and Quality. Neuroimage. 2003 Nov; 20(3):1425-37.Crossref PMid:14642457
  • Sonka M, Fitzepatrick JM. Handbook of medical imaging.Volume 2. Medical image processing and analysis. Chapter 8. ([2nd ed]), Spie- The international society of optical engineering: USA. 2004. p. 449-506.
  • Cevidanes LH, Oliveira AE, Grauer D, Styner, Proffit WR.Clinical application of 3D imaging for assessment of treatment outcomes. Semin Orthod. 2011b Mar 1; 17(1):72-80.Crossref PMid:21516170 PMCid:PMC3079925
  • Shekhar R, Zagrodsky V, Castro-Pareja CR, Walimbe V, Jagadeesh JM. High-speed registration of three-and fourdimensional medical images by using voxel similarity.Radiographics. 2003 Nov-Dec; 23(6):1673-81. Crossref PMid:14615572
  • Ciernik IF, Dizendorf E, Baumert BG, Reiner B, Burger C, Davis JB, Lütolf UM, Steinert HC, Von Schulthess GK.Radiation treatment planning with an integrated positron emission and computer tomography (PET/CT): a feasibility study. Int J Radiat Oncol Biol Phys. 2003; 57:853-63.Crossref
  • Emami B, Sethi A, Petruzzelli GJ. Influence of MRI on target volume delineation and IMRT planning in nasopharyngeal carcinoma. Int J Radiat Oncol Biol Phys. 2003; 57:481-8. Crossref
  • Lavely WC, Scarfone C, Cevikalp H, Li R, Byrne DW, Cmelak AJ, Dawant B, Price RR, Hallahan DE, Fitzpatrick JM. Phantom validation of coregistration of PET and CT for image-guided radiotherapy. Med Phys. 2004; 31:108392. Crossref PMid:15191296
  • Li G, Xie H, Ning H, Citrin D, Capala J, Maass-Moreno R, Guion P, Arora B, Coleman N, Camphausen K, Miller RW.Accuracy of 3D volumetric image registration based on CT, MR and PET/CT phantom experiments. J Appl Clin Med Phys. 2008 Jul 9; 9(4):27-81. Crossref
  • Buschang PH, Gandini LG Jr. Mandibular skeletal growth and modelling between 10 and 15 years of age. Eur J Orthod. 2002; 24:69-79. Crossref
  • Cevidanes LH, Heymann G, Cornelis MA, DeClerck HJ, Tulloch JF. Superimposition of 3-dimensional cone-beam computed tomography models of growing patients. Am J Orthod Dentofacial Orthop. 2009 Jul; 136(1):94-9. Crossref PMid:19577154 PMCid:PMC2750893
  • Cevidanes LH, Bailey LJ, Tucker GR Jr, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Superimposition of 3D cone-beam CT models of orthognathic surgery patients.Dentomaxillofac Radiol. 2005 Nov; 34(6):369-75. Crossref PMid:16227481 PMCid:PMC3552302
  • Cevidanes LH, Motta A, Proffit WR, Ackerman JL, Styner M. Cranial base superimposition for 3-dimensional evaluation of soft-tissue changes. Am J Orthod Dentofacial Orthop. 2010 Apr; 137(4):120-9. Crossref PMid:20381752 PMCid:PMC2859472
  • Porciúncula GM, Koerich L, Eidson L, Gandini Junior LG, GonçalvesJR. Can conebeam computed tomography superimposition help orthodontists better understand relapse in surgicalpatients? Am J Orthod Dentofacial Orthop. 2014 Nov; 146(5):641-54. Crossref PMid:25439215
  • da Motta AT, de Assis Ribeiro Carvalho F, Oliveira AE, Cevidanes LH, de Oliveira Almeida MA. Superimposition of 3D cone-beam CT models in orthognathic surgery. Dental Press J Orthod. 2010 Mar 1; 15(2):39-41. PMid:21814624 PMCid:PMC3147288
  • Cevidanes LH, Bailey LJ, Tucker SF, Styner MA, Mol A, Phillips CL, Proffit WR, Turvey T. Three-dimensional conebeam computed tomography for assessment of mandibular changes
  • Chen J, Li S, Fang S. Quantification of tooth displacement from cone-beam computed tomography images. Am J Orthod Dentofacial Orthop. 2009 Sep; 136(3):393-400.Crossref PMid:19732674
  • Gerig G, Jomier M, Chakos MV. A new validation tool for assessing and improving 3D object segmentation. Med Image Comput Comput Assist Interv Int Conf Med Image Comput Comput Assist Interv. 2001; 22(08):516-28. Crossref
  • Loubele M. Geometrical and dosimetrical aspects of low-dose CT in dentomaxillofacial radiology. PhD thesis, Katholieke Universiteit Leuven, Biomedische Wetenschappen en Wetenschap en Technologie; 2008.
  • Schulze RK, Berndt D, d’Hoedt B. On cone-beam computed tomography artifacts induced by titanium implants Clin Oral Implants Res. 2010 Jan; 21(1):100-7. Crossref PMid:19845706
  • Ye N, Long H, Xue J, Wang S, Yang X, Lai W. Integration accuracy of laserscanned dental models into maxillofacial cone beam computed tomography images of different voxel sizes with different segmentation threshold settings.Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Jun; 117(6):780-6. Crossref PMid:24767699
  • Uechi J, Okayama M, Shibata T, Muguruma T, Hayashi K, Endo K, Mizoguchi I. A novel method for the 3-dimensional simulation of orthognathic surgery by using a multimodal image-fusion technique. Am J Orthod Dentofacial Orthop.2006 Dec; 130(6):786-98. Crossref PMid:17169742
  • Gateno J, Xia JJ, Teichgraeber JF, Christensen AM, Lemoine JJ, Liebschner MA, Gliddon MJ, Briggs ME: Clinical feasibility of Computer-Aided Surgical Simulation (CASS) in the treatment of complex cranio-maxillofacial deformities.Journal of Oral and Maxillofacial Surgery 2007 Apr; 65(4):728-34. Crossref PMid:17368370
  • Kim BC, Lee CE, Park W, Kang SH, Zhengguo P, Yi CK, Lee SH. Integration accuracy of digital dental models and 3dimensional computerized tomography images by sequentialpointand surfacebased markerless registration.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Sep; 110(3):370-8. Crossref PMid:20591700
  • Swennen GR, Mollemans W, De Clercq C, Abeloos J, Lamoral P, Lippens F, Neyt N, Casselman J, Schutyser F. A cone-beam computed tomography triple scan procedure to obtain a threedimensional augmented virtual skullmodel appropriate for orthognathicsurgery planning. J Craniofac Surg. 2009 Mar; 20(2):297-307. Crossref PMid:19276829
  • Stevens DR, Flores-Mir C, Nebbe B, Raboud DW, Heo G, Major PW. Validity, reliability, and reproducibility of paster vs digital study models: comparison of peer assessment rating and Bolton analysis and their constituent measurements. Am J Orthod Dentofac Orthop. 2006 Jun; 129(6):794-803. Crossref PMid:16769498
  • Cevidanes LH, Alhadidi A, Paniagua B, Styner M, Ludlow J, Mol A, Turvey T, Proffit WR, Rossouw PE. Three dimensional quantification of mandibular asymmetry through conebeam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011a Jun; 111(6):757-70.Crossref PMid:21497527 PMCid:PMC3095695
  • Nkenke E, Zachow S, Benz M, Maier T, Veit K, Kramer M, Benz S, Häusler G, Neukam FW, Lell M. Fusion of computed tomography data and optical 3D images of the dentition for streak artefact correction in the simulation of orthognathic surgery. Dentomaxillofac Radiol. 2004 Jul; 33(4):226-32. Crossref PMid:15533975
  • Choi JY, Song KG, Baek SH. Virtual model surgery and wafer fabrication for orthognathic surgery. Int J Oral Maxillofac Surg. 2009 Dec; 38(12):1306-10. Crossref PMid:19596555
  • Swennen GR, Barth EL, Eulzer C, Schutyser F. The use of a new 3D splint and double CT scan procedure to obtain an accurate anatomic virtual augmented model of the skull.Int J Oral Maxillofac Surg. 2007 Feb; 36(2):146-52. Crossref PMid:17208409
  • Rangel FA, Maal TJ, Bergé SJ, Kuijpers-Jagtman AM.Integration of digital dental casts in cone-beam computed tomography scans. ISRN Dent. 2012; 2012:949-86. Crossref 37. Grauer D, Cevidanes LS, Proffit WR. Working with DICOM craniofacial images. Am J Orthod Dentofacial Orthop. 2009 Sep; 136(3):460-70. Crossref PMid:19732681 PMCid:PMC2761026
  • Rangel FA, Maal TJ, Bergé SJ, Vlijmen OJv, Plooij JM, Schutyser F, Kuijpers-Jagtman AM. Integration of digital dental casts in 3-dimensional facial photographs. Am J Orthod Dentofac Orthop. 2008 Dec; 134(6): 820-6. Crossref PMid:19061810
  • Ackerman JL, Proffit WR, Sarver DM, Ackerman MB, Kean MR. Pitch, roll, and yaw: describing the spatial orientation of dentofacial traits. Am J Orthod Dentofacial Orthop.2007 Mar; 131(3):305-10. Crossref PMid:17346584
  • Nahm KY, Kim Y, Choi YS, Lee J, Kim SH, Nelson G.Accurate registration of conebeam computed tomography scans to three dimensional facial photographs. Am J Orthod Dentofacial Orthop. 2014 Feb; 145(2):256-64.Crossref PMid:24485741
  • McCance AM, Moss JP, Fright WR, James DR, Linney AD. A three dimensional analysis of soft and hard tissue changes following bimaxillary orthognathic surgery in skeletal III patients. Br J Oral Maxillofac Surg. 1992; 30:305-12. Crossref
  • McCance AM, Moss JP, Fright WR, James DR, Linney AD.A three-dimensional analysis of bone and soft tissue to bone ratio of movements in 17 Skeletal II patients following orthognathic surgery. Eur J Orthod. 1993; 15:97-106.Crossref PMid:8500542
  • Morris DO, Illing HM, Lee RT. A prospective evaluation of Bass, Bionator and Twin Block appliances. Part II — the soft tissues. Eur J Orthod. 1998; 20:663-84. Crossref PMid:9926634
  • Ismail SF, Moss JP, Hennessy R. Three-dimensional assessment of the effects of extraction and nonextraction orthodontic treatment on the face. Am J Orthod Dentofac Orthop. 2002; 121:244-56. Crossref
  • McCance AM, Moss JP, Fright WR, Linney AD, James DR. Three-dimensional analysis techniques-Part 1: three dimensional soft-tissue analysis of 24 adult cleft palate patients following Le Fort I maxillary advancement: a preliminary report. Cleft Palate Craniofac J. 1997; 34:36-45.Crossref
  • Hajeer MY, Millett DT, Ayoub AF, Siebert JP. Applications of 3D imaging in orthodontics: Part I. J Orthod. 2004 Mar; 31(1):62-70. Crossref PMid:15071154
  • Ayoub AF, Xiao Y, Khambay B, Siebert JP, Hadley D.Towards building a photo-realistic virtual human face for craniomaxillofacial diagnosis and treatment planning. Int J Oral Maxillofac Surg. 2007 May; 36(5):423-8. Crossref PMid:17428638
  • Ayoub AF, Siebert P, Moos KF, Wray D, Urquhart C, Niblett TB. A vision based three dimensional capture system for maxillofacial assessment and surgical planning. Br J Oral Maxillofac Surg. 1998; 36:353-7. Crossref
  • Hajeer MY, Ayoub AF, Millett DT, Bock M, Siebert JP.Three-dimensional imaging in orthognathic surgery: the clinical application of a new method. Int J Adult Orthodon Orthognath Surg. 2002; 17:318-30. PMid:12593004
  • Bolandzadeh N, Bischof W, Flores-Mir C, Boulanger P. Multimodal registration of threedimensional maxillodental cone beam CT and photogrammetry data over
  • time. Dentomaxillofac Radiol. 2013; 42(2). Crossref PMid:22842636 PMCid:PMC3699013
  • Khambay B, Nebel JC, Bowman J, Walker F, Hadley DM, Ayoub A. 3D stereophotogrammetric image superimposition onto 3D CT scan images: The future of orthognathic surgery. A pilot study. Int J Adult Orthodon Orthognath Surg. 2002; 17:331-41. PMid:12593005
  • Chapuis J, Schramm A, Pappas I, Hallermann W, Schwenzer-Zimmerer K, Langlotz F, Caversaccio M. A new system for computer-aided preoperative planning and intraoperative navigation during corrective jaw surgery.IEEE Trans Inf Technol Biomed. 2007 May; 11(3):274-87.Crossref PMid:17521077
  • Schicho K, Figl M, Seemann R, Ewers R, Lambrecht JT, Wagner A, Watzinger F, Baumann A, Kainberger F, Fruehwald J, Klug C. Accuracy of treatment planning based on stereolithography in computer assisted surgery. Med Phys. 2006 Sep; 33(9):3408-17. Crossref PMid:17022237
  • Marmulla R, Hassfeld S, Lüth T, Mühling J. Laser-scanbased navigation in cranio-maxillofacial surgery. J Craniomaxillofac Surg. 2003 Oct; 31(5):267-77. Crossref
  • Eggers G, Mühling J, Marmulla R. Image-to-patient registration techniques in head surgery. Int J Oral Maxillofac Surg. 2006 Dec; 35(12):1081-95. Crossref PMid:17095191
  • Bettschart C, Kruse A, Matthews F, Zemann W, Obwegeser JA, Grätz KW, Lübbers HT. Point-to-point registration with mandibulo-maxillary splint in open and closed jaw position. Evaluation of registration accuracy for computeraided surgery of the mandible. J Craniomaxillofac Surg.2012 Oct; 40(7):592-8. Crossref PMid:22079336
  • Dang H, Otake Y, Schafer S, Stayman JW, Kleinszig G, Siewerdsen JH. Robust methods for automatic imageto-world registration in cone-beam CT interventional guidance. Med Phys. 2012 Oct; 39(10):6484-98. Crossref PMid:23039683 PMCid:PMC3477200
  • Eggers G, Klein J, Welzel T, Mühling J. Geometric accuracy of digital volume tomography and conventional computed tomography. Br J Oral Maxillofac Surg. 2008 Dec; 46(8):639-44. Crossref PMid:18490090
  • Widmann G, Stoffner R, Bale R. Errors and error management in image-guidedcraniomaxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 May; 107(5):701-15. Crossref PMid:19426922
  • Collyer J. Stereotactic navigation in oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 2010 Mar; 48(2):79-83.Crossref PMid:20061072
  • Maksimov D, Hesser J, Brockmann C, Jochum S, Dietz T, Schnitzer A, Düber C, Schoenberg SO, Diehl S.Graph-matching based CTA. IEEE Transactions on Medical Imaging, 2009 Dec; 28(12):1940-54. Crossref PMid:19574161
  • Brockmann C, Jochum S, Hesser J, Maksimov D, Schnitzer A, Weiss C, Diezler P, Schoenberg SO, Diehl S. Graphmatchingbased computed tomography angiography inperipheral arterial occlusive disease. Clin Imaging. 2010 Sep-Oct; 34(5):367-74. Crossref PMid:20813301
  • Tsuji Y, Takahashi N, Fletcher JG, Hough DM, McMenomy BP, Lewis DM, Vege SS, Chari ST, McCollough CH, Grant KL, Klotz E. Subtraction color map of contrast-enhanced and unenhanced CT for the prediction of pancreatic necrosis in early stage of acute pancreatitis. AJR Am J Roentgenol.
  • Apr; 202(4):349-56. Crossref PMid:24660733
  • Tan IL, van Schijndel RA, Pouwels PJ, Adèr HJ, Barkhof F. Serial isotropic three-dimensional fast FLAIR imaging: using image registration and subtraction to reveal active multiple sclerosis lesions. AJR Am J Roentgenol. 2002 Sep; 179(3):777-82. Crossref PMid:12185063
  • Elsen PA, Pol E-J D, Viergever M A.Medical image matching - A review with classification. IEEE Engineering in Medicine and Biology Magazine, 1993; 12(1):26-39.Crossref
  • Maintz, JBA, Viergever MA. A survey of medical image registration. Medical Image Analysis, Review. 1998 Mar; 2(1):1-36.
  • Isambert A, Bonniaud G, Lavielle F, Malandain G, Lefkopoulos D. A phantom study ofthe accuracy of CT, MR and PET image registrations with a block matchingbased algorithm. Cancer Radiother. 2008 Dec; 12(8):800-8.Crossref PMid:18571453
  • Risholm P, Golby AJ, Wells W 3rd. Multimodal image registration for preoperative planning and imageguided neurosurgical procedures. Neurosurg Clin NAm. 2011 Apr; 22(2):197-206. Crossref PMid:21435571 PMCid:PMC3080117
  • Hajnal JV, Hill DLG, Hawkes DJ. Medical Image Registration. Chapter 2 and 3. [3rd ed].CRC Press. Boca Raton London New York Washington DC; 2001. p.12-67. Crossref
  • Gendrin C, Markelj P, Pawiro SA, Spoerk J, Bloch C, Weber C, Figl M, Bergmann H, Birkfellner W, Likar B, Pernus F. Validation for 2D/3D registration II: The comparison of intensity and gradient-based merit functions using a new gold standard data set. Med Phys.2011 Mar; 38(3):1491-502. Crossref PMid:21520861 PMCid:PMC3089767
  • Nada RM, Maal TJ, Breuning KH, Bergé SJ, Mostafa YA, Kuijpers-Jagtman AM. Accuracy and reproducibility of voxel based superimposition of cone beam computed tomography models on the anterior cranial base and the zygomatic arches. PLoS One. 2011 Feb 9; 6(2). Crossref
  • Almukhtar A, Ju X, Khambay B, McDonald J, Ayoub A.Comparison of the Accuracy of Voxel Based Registration and Surface Based Registration for 3D Assessment of Surgical Change following Orthognathic Surgery.PLoS One. 2014 Apr 2; 9(4). Crossref PMid:24695577 PMCid:PMC3973674
  • Pelizzari CA, Chen GT, Spelbring DR, Weichselbaum RR, Chen CT. Accurate three-dimensional registration of CT, PET, and/or MR images of brain. J Comput Assist Tomogr.1989 Jan-Feb; 13(1):20-6. Crossref PMid:2492038
  • Tai K, Park JH, Mishima K, Hotokezaka H. Using Superimposition of 3-Dimensional Cone-Beam Computed Tomography Images with Surface-Based Registration in Growing Patients. J Clin Pediatr Dent. 2010; 34(4):361-7.Crossref PMid:20831142
  • Baik HS, Kim SY. Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning. Am J Orthod Dentofacial Orthop.2010; 138:167-78. Crossref PMid:20691358
  • Carvalho Fde A, Cevidanes LH, da Motta AT, Almeida MA, Phillips C. Three-dimensional assessment of mandibular advancement 1 year after surgery.Am J Orthod Dentofacial Orthop. 2010 Apr; 137(4).PMid:20381760
  • Sgouros S, Natarajan K, Hockley AD, Goldin JH, Wake M.Skull base growth in childhood. Pediatr Neurosurg. 1999; 31:259-68. Crossref PMid:10681681
  • Choi JH, Mah J. A New Method for Superimposition of CBCT Volumes. J Clin Orthod. 2010 May; 44(5):303-12.PMid:20831099
  • Lee JH, Kim MJ, Kim SM, Kwon OH, Kim YK. The 3D CT superimposition method using image fusion based on the maximum mutual information algorithm for the assessment of oral and maxillofacial surgery treatment results.Oral Surg Oral Med Oral pathol Oral radiol. 2012; 114:167– 74. Crossref PMid:22776729
  • Gu Y, McNamara JA Jr. Cephalometric superimpositions.Angle Orthod. 2008 Nov; 78(6):967-76. Crossref PMid:18947269
  • De Cock J, Mermuys K, Goubau J, Van Petegem S, Houthoofd B, Casselman JW. Cone-beam computed tomography: A new low dose high resolution imaging technique of the wrist presentation of three cases with technique. Skeletal Radiol. 2012 Jan; 41(1):93-6.Crossref PMid:21603872
  • Rangel FA, Maal TJ, Bergé SJ, Kuijpers-Jagtman AM.Integration of digital dental casts in cone-beam computed tomography scans. ISRN Dent; 2012. Crossref PMid:23050159 PMCid:PMC3461639


  • »

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.