전산화단층사진을 이용한 3차원 영상에서 정중시상기준평면 설정에 관한 연구
Validity of midsagittal reference planes constructed in 3D CT images
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본 연구는 두개악안면 3차원 입체영상을 이용한 진단 시 유용한 정중시상기준평면 설정에 도움이 되고자 시행되었다. 임상검사를 통하여 안면이 좌우 대칭으로 보이는 성인 정상교합자를 대상으로 두경부 전산화단층사진을 촬영하고 컴퓨터 프로그램을 이용하여 3차원 입체영상으로 재구성하였다. 두개의 정중시상부에 위치하는 Cg, ANS, PNS, Ba, Op 등의 계측점과 Po, Or로 구성된 FH plane을 이용하여 6개의 정중시상기준평면(Cg-ANS-Ba, Cg-ANS-Op, Cg-PNS-Ba, Cg-PNS-Op, FH⊥(Cg, Ba), FH⊥(Cg, Op))을 설정하고, 좌우 대칭성의 Z, Fr, Fs, Zy, Mx, Ms 등 6쌍의 계측점을 선정한 후, 설정된 정중시상기준평면에서부터 각 계측점까지의 좌측 및 우측 거리를 계측하고 t-검정을 통하여 유의차를 검정하는 한편, 좌우 차이값의 정도를 설정된 기준평면간에 비교하였다. 또한 정중시상기준평면 설정의 재현도를 알아보기 위하여 정중시상기준평면의 설정에 사용된 계측점을 2주 간격으로 재계측하고 비교 분석한 결과, 본 연구에서 사용된 모든 정중시상기준평면이 두개악안면의 3차원적 분석 시 기준평면으로 사용될 수 있으며 특히, Cg와 ANS를 포함한 정중시상기준평면이 보다 타당함을 시사하였다. (대치교정지 2007;37(3): 182-91)
Abstract
Objective: The purpose of this study was to evaluate the validity of midsagittal reference (MSR) planes constructed in maxillofacial 3D images. Methods: Maxillofacial computed tomography (CT) images were obtained in 36 normal occlusion individuals who did not have apparent facial asymmetry, and 3D images were reconstructed using a computer software. Six MSR planes (Cg-ANS-Ba, Cg-ANS-Op, Cg-PNS-Ba, Cg- PNS-Op, FH⊥(Cg, Ba), FH⊥(Cg, Op)) were constructed using the landmarks located in the midsagittal area of the maxillofacial structure, such as Cg, ANS, PNS, Ba and Op, and FH plane constructed with Po and Or. The six pairs of landmarks (Z, Fr, Fs, Zy, Mx, Ms), which represent right and left symmetry in the maxillofacial structure, were selected. Statistically significant differences of the right and the left measurements were examined through t-test, and the difference of the right and the left measurement was compared among the six MSR planes. Results: The distances from the right and the left landmarks in each pair to each MSR plane did not show a statistically significant difference. The reproducibility of the landmark identification was excellent. Conclusion: All the six planes constructed in this study can be used as a MSR plane in maxillofacial 3D analysis, particularly, the planes including Cg and ANS. (Korean J Orthod 2007;37(3):182-91)
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