Selecting regions of interest on intraoral radiographs for the prediction of bone mineral density

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Selecting regions of interest on intraoral radiographs for the prediction of bone mineral density

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Publication Article, other
Title Selecting regions of interest on intraoral radiographs for the prediction of bone mineral density
Author(s) Geraets, Wil GM ; Verheij, Johannes GC ; van der Stelt, Paul ; Horner, Keith ; Lindh, Christina ; Nicopoulou-Karayianni, Katy ; Jacobs, Reinhilde ; Marjanovic, Elizabeth ; Adams, Judith ; Devlin, Hugh
Date 2008
English abstract
OBJECTIVES: A previous study showed that the trabecular pattern on dental radiographs correlates with femoral and spinal bone mineral density (BMD). The objective of this study was to determine if the correlation is affected by the size and location of the region of interest (ROI). METHODS: In a European research project on osteoporosis, BMD was measured at the left hip and the lumbar spine of 525 women. From all subjects, intraoral radiographs were made of the premolar region in the upper and lower jaws. Two ROIs were indicated manually on each scanned image. The smallest region involved only trabecular bone and the largest also included parts of the neighbouring teeth. The ROIs were subjected to automatic image analysis, yielding 26 measurements per ROI. Stepwise linear regression was used to predict femoral and spinal BMD. RESULTS: Inner and outer regions predicted BMD equally well. The radiographs of lower and upper jaw also predicted BMD equally well. Combining inner and outer regions did not improve the prediction of femoral and spinal BMD, but combining lower and upper jaws did. CONCLUSIONS: This study shows that it is possible to include parts of neighbouring teeth in the ROI used to assess the trabecular pattern and predict BMD. This simplifies the process of selecting the ROIs because no efforts have to be made to exclude neighbouring teeth. Combining ROIs of lower and upper jaws significantly improves the prediction of BMD.
Host/Issue Dento maxillo facial radiology;7
Volume 37
ISSN 0250-832X
Pages 375-9
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/6789 (link to this page)

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