中国口腔种植学杂志2025，Vol.30Issue(1)：40-46,7.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
Exploration of the clinic application of dental post-processing module of cone beam CT images within the picture archiving and communication system(PACS)
摘要
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.Method 1 used CBCT digital imaging and communication in medicine(DICOM)data uploaded to PACS,applying the embedded dental post-processing module for reconstruction and measurement.Method 2 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.Method 1 significantly reduced total processing time compared to Method 2(P<0.001),with consistent bone volume measurement results between the two methods.User satisfaction surveys indicated that Method 1 was superior to Method 2(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.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Key words
Picture archiving and communication system(PACS)/Cone beam computed tomography(CBCT)/Curve planar reformation(CPR)/Continuous multi-axis dental reconstruction引用本文复制引用
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):40-46,7.基金项目
南京大学中国医院改革发展研究院课题项目(NDYG2023013) （NDYG2023013）
南京大学医学院附属口腔医院"3456"骨干人才资助项目(0222M509) （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) Project of China Hospital Reform and Development Research Institute,Nanjing University(NDYG2023013) （0223A204）
"3456"Cultivation Program For Junior Talents of Nanjing Stomatological School,Medical School of Nanjing University(022M509) （022M509）
"2015"Cultivation Program for Reserve Talents for Academic Leaders of Nanjing Stomatological School,Medical School of Nanjing University(0223A204) （0223A204）
