PACS框架内的CBCT图像牙科后处理模块的临床运用探索

doi:10.12337/zgkqzzxzz.2025.02.008

中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (1): 40-46.DOI: 10.12337/zgkqzzxzz.2025.02.008

PACS框架内的CBCT图像牙科后处理模块的临床运用探索

郑昊¹, 潘笑², 林梓桐³

¹南京大学医学院附属口腔医院南京大学口腔医学研究所南京市口腔医院信息科 210008,江苏;
²南京大学医学院附属口腔医院南京大学口腔医学研究所南京市口腔医院预防口腔科 210008,江苏;
³南京大学医学院附属口腔医院南京大学口腔医学研究所南京市口腔医院口腔颌面医学影像科 210008,江苏

收稿日期:2024-04-10 出版日期:2025-02-28 发布日期:2025-02-24
通讯作者: 林梓桐,Email：linzitong710@163.com,电话：025-83620350
作者简介:郑昊,高级工程师,研究方向：计算机技术、智慧医院建设;林梓桐,主任医师,研究方向：CBCT影像智能化管理及CBCT影像人工智能技术
基金资助:
南京大学中国医院改革发展研究院课题项目（NDYG2023013）; 南京大学医学院附属口腔医院“3456”骨干人才资助项目（0222M509）; 南京大学医学院附属口腔医院2015学科带头人后备人才资助项目（0223A204）

Exploration of the clinic application of dental post-processing module of cone beam CT images within the picture archiving and communication system (PACS)

Zheng Hao¹, Pan Xiao², Lin Zitong³

¹Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Department of Information, Nanjing Stomatological Hospital, Nanjing 210008, China;
²Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Department of Preventive Dentistry, Nanjing Stomatological Hospital, Nanjing 210008, China;
³Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Nanjing 210008, China

Received:2024-04-10 Online:2025-02-28 Published:2025-02-24
Contact: Lin Zitong, Email: linzitong710@163.com, Tel: 0086-25-83620350
Supported by:
Project of China Hospital Reform and Development Research Institute, Nanjing University (NDYG2023013)；“3456”Cultivation Program For Junior Talents of Nanjing Stomatological School, Medical School of Nanjing University (022M509); “2015”Cultivation Program for Reserve Talents for Academic Leaders of Nanjing Stomatological School, Medical School of Nanjing University (0223A204)

摘要/Abstract

摘要： 目的探索医学影像存档与通信系统（picture archiving and communication system,PACS）框架内的锥形束CT（cone beam CT,CBCT）牙科处理模块在种植患者图像后处理及分析测量中的作用。方法研发内嵌于PACS的牙科后处理模块（包括曲面重组和连续多轴牙科重建）。选取南京市口腔医院3种CBCT设备共计270例种植患者的CBCT图像,由1名影像科医师进行种植区域图像重建及骨量测量。方法 1为使用上传至PACS的医学数字成像与通信（digital imaging and communications in medicine,DICOM）数据使用该牙科处理模块进行图像重建及骨量测量,方法2为使用各CBCT设备刻录生成的光盘数据并使用光盘自带的图像后处理软件进行图像重建及骨量测量。计算2种方法的时长并进行统计学分析,统计2种方法骨量测量结果的一致性,同时对使用2种方法的影像科医技人员及种植科医师共计10人开展问卷调查,评估2种方法的使用满意度。结果 3种CBCT设备使用2种方法的图像上传/刻录、图像打开时长、图像后处理时长及总时长均具有显著的统计学差异,方法1所耗时长较方法2明显缩短（P<0.001）,2种方法骨量测量结果具有良好的一致性。使用者满意度的问卷调查表明方法1优于方法2（P<0.001）。结论内嵌于PACS的图像后处理模块适用于种植患者CBCT图像后处理及测量分析,可显著提升临床工作效率。

关键词: 医学影像存档与通信系统, 锥形束CT, 曲面重组, 连续多轴牙科重建

Abstract: Objective To explore the clinical application of a dental post-processing module for cone beam CT (CBCT) images embedded within the picture archiving and communication system (PACS) for preoperative implant evaluation. Methods A PACS-embedded dental post-processing module, including curved planar reformation (CPR) and continuous multi-axis dental reconstruction, was developed. A total of 270 CBCT images from implant patients in our hospital (scanned using three different CBCT systems, 90 cases per system) were analyzed by a radiologist for bone volume assessment. Method1 used CBCT digital imaging and communication in medicine (DICOM) data uploaded to PACS, applying the embedded dental post-processing module for reconstruction and measurement. Method2 utilized CD-ROM data exported from each CBCT device along with the corresponding built-in image processing software. The durations of image upload, opening, post-processing, and total time for both methods were recorded and statistically analyzed. Consistency in bone volume measurements was assessed, and a questionnaire on user satisfaction was completed by 10 radiologists and implantologists. Results Significant differences in image processing times were observed between the two methods for all three CBCT systems. Method1 significantly reduced total processing time compared to Method2 (P<0.001), with consistent bone volume measurement results between the two methods. User satisfaction surveys indicated that Method1 was superior to Method2 (P<0.001). Conclusion The PACS-embedded post-processing module is suitable for CBCT image analysis and measurement in implant patients, significantly enhancing clinical efficiency.

Key words: Picture archiving and communication system (PACS), Cone beam computed tomography (CBCT), Curve planar reformation (CPR), Continuous multi-axis dental reconstruction

郑昊,潘笑,林梓桐. PACS框架内的CBCT图像牙科后处理模块的临床运用探索[J]. 中国口腔种植学杂志, 2025, 30(1): 40-46. DOI: 10.12337/zgkqzzxzz.2025.02.008

Zheng Hao, Pan Xiao, Lin Zitong. Exploration of the clinic application of dental post-processing module of cone beam CT images within the picture archiving and communication system (PACS)[J].Chinese Journal of Oral Implantology, 2025, 30(1): 40-46.DOI: 10.12337/zgkqzzxzz.2025.02.008.

参考文献

[1] 付昕. 医学影像科信息系统设计与实现 [D].石家庄:河北科技大学, 2019.
Fu X.The design and implementation of information system in medical imaging department[D].Shijiazhuang: Hebei University of Science and Technology, 2019.
[2] 蔡书存. 信息化对PACS系统以及临床诊断的辅助应用[J].影像研究与医学应用,2021,5(13):231-232. DOI: 10.3969/j.issn.2096-3807.2021.13.114.
Cai SC.Application of information technology to PACS system and clinical diagnosis[J].J Imag Res Med,2021,5(13):231-232. DOI: 10.3969/j.issn.2096-3807.2021.13.114.
[3] 乔艳丽, 张旭. 医院数字化建设中PACS系统的建设[J]. 电子技术与软件工程, 2021, 203(9): 3-4.
Qiao YL, Zhang X.The construction of PACS system in hospital digitalization[J].Electron Technol & Software Engineer, 2021, (9): 3-4.
[4] Kaasalainen T, Ekholm M, Siiskonen T, et al.Dental cone beam CT: an updated review[J]. Phys Med, 2021,88:193-217. DOI: 10.1016/j.ejmp.2021.07.007.
[5] Issrani R, Prabhu N, Sghaireen MG, et al.Cone-beam computed tomography: a new tool on the horizon for forensic dentistry[J]. Int J Environ Res Public Health, 2022,19(9):5352.DOI: 10.3390/ijerph19095352.
[6] Mladenovic R, Milosavljevic M, Stanisic D, et al.Importance of artificial intelligence in the analysis of children's CBCT imaging by dental students[J]. J Dent Educ, 2023,87(Suppl 1):S914-S916. DOI: 10.1002/jdd.13060.
[7] Patel S, Brown J, Pimentel T, et al.Cone beam computed tomography in endodontics - a review of the literature[J]. Int Endod J, 2019,52(8):1138-1152. DOI: 10.1111/iej.13115.
[8] Kanitsar A, Fleischmann D, Wegenkittl R, et al.CPR - curved planar reformation[C]// IEEE Visualization Conference.2002:37-44.DOI: 10.1109/VISUAL.2002.1183754.
[9] 何锦涛, 田苗, 石盼. 基于X射线成像设备和PACS的医学影像技术实验室建设的设想[J].科技视界, 2020, (31):44-45. DOI: 10.19694/j.cnki.issn2095-2457.2020.31.17.
He JT, Tian M, Shi P.A proposal for the construction of a medical imaging technology laboratory based on X-ray imaging equipment and PACS[J].Sci Technol Vision,2020,(31):44-45. DOI: 10.19694/j.cnki.issn2095-2457.2020.31.17.
[10] 田军章, 江桂华, 郑丽吟, 等. 基于医学影像存储与传输系统的交互式CT影像教学模块的开发与实践[J].中华放射学杂志, 2002,36(3):276-278. DOI: 10.3760/j.issn:1005-1201.2002.03.022.
Tian JZ, Jiang GH, Zheng LY,et al.Development and practice of interactive teaching model of CT image based on PACS[J].Chin J Radiol,2002,36(3):276-278. DOI: 10.3760/j.issn:1005-1201.2002.03.022.
[11] Meyer-Ebrecht D.Picture archiving and communication systems (PACS) for medical application[J]. Int J Biomed Comput, 1994,35(2):91-124. DOI: 10.1016/0020-7101(94)90061-2.

PACS框架内的CBCT图像牙科后处理模块的临床运用探索

Exploration of the clinic application of dental post-processing module of cone beam CT images within the picture archiving and communication system (PACS)

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