Biomedical subjects

A Janhom

Publications and source records attributed to A Janhom.

6 recordsLinked to original sources

PubMed2006

Digital camera resolution and proximal caries detection.

OBJECTIVES: To evaluate the diagnostic accuracy of proximal caries detection from digitized film images captured by a digital camera at different resolution settings. METHODS: Twenty-five periapical radiographs of 50 premolar and 25 molar teeth were photographed using a digital camera, Sony Cyber-shot, DSC-S75 at three different resolution settings: 640 x 480, 1280 x 960 and 1600 x 1200. Seventy-five digital images were transferred to a computer, saved and opened using ACDSee software. In addition, a PowerPoint slide was made from each digital image. Five observers scored three groups of images (the films, the displayed 1:1 digital images on the ACDSee software, and the PowerPoint slides) for the existence of proximal caries using a 5-point confidence scale, and the depth of caries on a 4-point scale. Ground sections of the teeth were used as the gold standard. Az values under the receiver operating characteristic (ROC) curve of each group of images and at different resolutions were compared using the Friedman and Wilcoxon signed rank tests. Mean different values between the lesions' depth interpreted by the observers and that of the gold standard were analysed. RESULTS: Films showed the highest Az values. Only the 1280 x 960 images on the ACDSee software showed no significant difference of the Az value from the films (P=0.28). The digital images from three resolution settings on the PowerPoint slides showed no significant differences, either among each other or between them and the films. For caries depth, the 1280 x 960 images showed lower values of mean difference in enamel lesions compared with the other two resolution groups. CONCLUSIONS: This study showed that in order to digitize conventional films, it was not necessary to use the highest camera resolution setting to achieve high diagnostic accuracy for proximal caries detection. The 1280 x 960 resolution setting of the digital camera demonstrated comparable diagnostic accuracy with film and was adequate for digitizing radiographs for caries detection.

Bicuspid↗

PubMed2002

A comparison of two compression algorithms and the detection of caries.

OBJECTIVES: To assess the effect of two compression algorithms (JPEG and wavelet) on the detection of approximal caries. METHODS: Fifteen bitewing radiographs were generated using 100 posterior teeth mounted in blocks. The images were produced on conventional films (Ektaspeed Plus) and scanned at 300 d.p.i. Digital images were then compressed 9:1 with JPEG and wavelet methods. Nine observers detected the presence and depth of approximal caries recorded on a 5-point confidence scale and a 4-point depth scale from images viewed in random order. Histological examination provided the true depth of the lesions. Data were analysed by means of ANOVA. The null hypothesis was that there is no significant difference between the two compression algorithms and the original uncompressed images. RESULTS: JPEG performed significantly worse than the original and the wavelet algorithm (P<0.001) for the detection of dentinal lesions. However, no significant differences were found for the detection of sound surfaces, enamel lesions, and lesions up to the DEJ between JPEG-compressed images and each of the other two modalities. There was also no significant difference between the wavelet-compressed images and the original for all lesion depths. CONCLUSIONS: At a compression ratio of 9:1, there were no significant differences among the original images, JPEG and wavelet compressed images for the detection of enamel caries. JPEG-compressed images performed inferiorly to the original and wavelet-compressed images for the detection of dentinal lesions. Wavelet compression is a better choice than JPEG at the compression ratio investigated in this study.

Algorithms↗

PubMed2001

Scanning resolution and the detection of approximal caries.

OBJECTIVE: To determine a proper scanning resolution for digitizing bitewing radiographs in the detection of approximal caries. METHODS: Fifty-two premolars and 48 molars were mounted in blocks and imaged on conventional film (Ektaspeed Plus, Eastman-Kodak, Rochester, NY USA) simulating a bitewing projection. The 15 bitewing radiographs were then scanned with a flatbed scanner at three resolutions 150, 300 and 600 d.p.i. The digitized images were displayed in random order on a high-resolution cathode ray tube monitor. Ten observers assessed the caries status of 200 approximal surfaces. They scored lesion presence on a 5-point confidence scale and depth on a 3-point scale. The observer's scores were compared with the results from a histological examination. Data were analysed using analysis of variance, by calculating signed observer error, absolute observer error and observer confidence. RESULTS: Lesion depth had a significant effect on confidence of lesion recognition. The main effect of resolution and the interaction between resolution and lesion depth were significant. Pair-wise comparison showed a significant difference between resolutions in case of sound surfaces and surfaces with dentinal lesions for absolute error. The confidence increased as the resolution increased but no significant difference was found between 300 and 600 d.p.i. The best score for depth estimation was obtained at the 300 d.p.i. scanning resolution. CONCLUSIONS: When bitewing radiographs are scanned with a flatbed scanner, a resolution of 300 d.p.i. seems the best choice. At this resolution the digital file size is manageable without significant loss of the information necessary for caries diagnosis.

Absorptiometry, Photon↗

PubMed2000

Interaction between noise and file compression and its effect on the recognition of caries in digital imaging.

OBJECTIVES: To determine the interaction between image noise and file compression, with special emphasis on the accuracy of caries diagnosis. METHODS: Fifty-nine bitewing radiographs of patients were taken simultaneously with Ektaspeed Plus (Eastman-Kodak, Rochester, NY, USA) film without lead foil and the Digora storage phosphor system (Soredex, Helsinki, Finland). Three different levels of Gaussian noise were added to the original digital images which were then compressed with JPEG 53. Seven observers evaluated the presence and depth of caries lesions on selected approximal surfaces on a 5-point scale. The results of JPEG 27 compression from a previous study were also included. ROC analysis was used together with multivariate analysis of variance (MANOVA). RESULTS: JPEG 27 and 53 reduced the file size down to 7% and 4.6% of the original respectively. ROC curve analysis showed no significant difference between image conditions (original, JPEG 27, and JPEG 53) at the same noise level. JPEG 27 and 53 had larger Az scores than their original counterparts at the same noise level. However, MANOVA showed that for depth estimation of enamel lesions JPEG 53 resulted in a higher observer error. CONCLUSIONS: Both JPEG 53 and 27 could reduce some of the adverse effect of noise from the image by removing high spatial frequencies. JPEG 53, resulting in a compression ratio of 1:21, does not compromise the diagnostic performance in general. JPEG 53 compression may however affect the ability to detect enamel lesions.

Artifacts↗

PubMed1999

Effect of noise on the compressibility and diagnostic accuracy for caries detection of digital bitewing radiographs.

OBJECTIVES: To determine the effect of noise on the compressibility and the diagnostic accuracy for caries detection of digital bitewing radiographs. METHODS: Bitewing radiographs of patients were obtained with a storage phosphor (Digora, Soredex, Helsinki, Finland) and compressed at different JPEG compression levels (2, 27, 53 and 128). A just noticeable difference study was performed to select a compression level to study the added noise effect. Gaussian noise was added at low, medium, and high levels to both the original and compressed images. Seven observers examined the selected approximal surfaces to identify the caries depth. ROC analysis was performed together with ANOVA at P = 0.05. RESULTS: The compressibility of the images decreased as the noise level increased. ROC analysis revealed no significant difference between the original and compressed images within the same noise level (P > 0.06). With added noise compressed/decompressed images had a higher Az than the corresponding original images. CONCLUSIONS: JPEG compression at level 27 can be used without a significant deterioration in diagnostic accuracy. Compression at this level seemed to reduce the effect of noise to some extent.

Analysis of Variance↗

PubMed1998

A quantitative analysis of dental radiography quality assurance practices among North Carolina dentists.

OBJECTIVE: The purpose of this study was to assess the level of compliance with dental radiography quality assurance recommendations on the part of dental practitioners in the state of North Carolina and to determine whether the age of the practice was an influential factor affecting compliance. STUDY DESIGN: On-site survey inspections by state officials using measurement devices and questionnaires were used to assess x-ray machine parameters and gather information about quality assurance practices in private offices in the state of North Carolina. RESULTS: There were approximately three intraoral units per facility, with an average entrance skin exposure of 267 mR per bitewing radiograph. There were no significant differences associated with the age of the practice in quality assurance practices except with respect to the type of processor used: dentists who had been in practice for more than 20 years used manual processing more frequently than those who had been in practice for less than 20 years (p = 0.001). CONCLUSIONS: Most practices showed a high level of compliance with equipment function requirements. North Carolina dentists are making an effort to comply with the American Academy of Oral and Maxillofacial Radiology recommendations. However, the use of faster film and rectangular collimation was much less than expected. Only 9% of the participants reported using E-speed film exclusively, and only 7.33% reported using rectangular collimation.

Dentists↗