Yeditepe J Dent. 2023; 19(2): 133-140 | DOI: 10.5505/yeditepe.2023.26566

Ýki farklý web tabanlý çevrimiçi sefalometrik analiz yazýlýmýnýn güvenilirliðinin deðerlendirilmesi

Gülden Karabiber¹, Ece Abuhan², Elvan Onem Ozbilen^2
1Ýstanbul Medeniyet Üniversitesi Diþ Hekimliði Fakültesi, Ortodonti AD, Ýstanbul
²Marmara Üniversitesi Diþ Hekimliði Fakültesi, Ortodonti AD, Ýstanbul

GÝRÝÞ ve AMAÇ: Sefalometrik analiz, ortodontik teþhis ve tedavi planlamasýnda önemli bir taný aracýdýr. Günümüzde az maliyetli ve zaman tasarrufu saðlayan web tabanlý çevrimiçi yazýlýmlar popülerlik kazanmýþtýr. Ancak bu yazýlýmlarýn güvenilirliði ayrý bir tartýþma konusudur. Çalýþmanýn amacý iki farklý web tabanlý çevrimiçi yazýlýmýn güvenilirliklerini karþýlaþtýrmaktýr.
YÖNTEM ve GEREÇLER: Marmara Üniversitesi, Diþ Hekimliði Fakültesi, Ortodonti Anabilim Dalý arþivinden elde edilen 40 hastaya ait lateral sefalometrik röntgenler, dijital sefalometrik analiz programý olan Nemoceph (Nemotech, Madrid, Ýspanya) programý ile web tabanlý olan OrthoDx (Phimentum, Boston, ABD) ve Webceph (AssembleCircle Corp., Kore) programlarý yardýmýyla analiz edilmiþtir. Analizde kullanýlan anatomik noktalarý yapay zekâ ile saptayan internet tabanlý programlar için noktalarýn konumlarý kullanýcý tarafýndan teyit edilmeden önce ve teyit edildikten sonraki analiz sonuçlarý kaydedilmiþtir. Her ölçüm için harcanan süre kaydedilmiþtir. Çalýþmada doðruluðu literatürde kanýtlanmýþ Nemoceph programý altýn standart kabul edilerek, diðer programlar ile yapýlan sefalometrik analizlerdeki doðruluk oranýnýn karþýlaþtýrýlmasý ve analizler için harcanan sürelerin arasýndaki farklýlýk deðerlendirilmiþtir.
BULGULAR: Çizim süreleri açýsýndan aralarýnda anlamlý fark bulunmuþtur. Ýskeletsel ölçümlerde, OrthoDx ve WebCeph, düzeltilmiþ OrthoDx ve WebCeph, OrthoDx ve düzeltilmiþ Web- Ceph, düzeltilmiþ OrthoDx ve düzeltilmiþ WebCeph arasýnda sadece GoMe-SN deðerinde anlamlý fark bulunmuþtur. Dental ölçümlerde ise Occ-SN ölçümünde yöntemler arasýnda anlamlý fark bulunmuþtur. Occ-FH deðerinin karþýlaþtýrýlmasýnda ise sadece WebCeph düzeltilmiþ ve Nemoceph arasýnda anlamlý fark bulunmuþtur. Yumuþak doku ölçümlerinde ise anlamlý bir fark yoktur.
TARTIÞMA ve SONUÇ: Web tabanlý çevrimiçi yazýlýmlar bilgisayar yazýlýmlarý ile benzer sonuç vermesi nedeni ile güvenilir olarak kabul edilebilir.

Anahtar Kelimeler: OrthoDx, WebCeph, Nemoceph, dijital sefalometrik analiz, yapay zeka tabanlý çevrimiçi analiz programý.

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Evaluation of the reliability of two different web-based online cephalometric analysis software

Gülden Karabiber¹, Ece Abuhan², Elvan Onem Ozbilen^2
1Department of Orthodontics, Istanbul Medeniyet University Dentistry Faculty, Istanbul, Turkey
²Department of Orthodontics, Marmara University Dentistry Faculty, Istanbul, Turkey

INTRODUCTION: Cephalometric analysis is an important diagnostic tool in orthodontic diagnosis and treatment planning. Low cost and time saving web-based softwares have become popular. However, whether these softwares are reliable or not is a discussion topic. The aim of this study is to compare the reliability of two different web-based online softwares.
METHODS: Lateral cephalometric x-rays of 40 patients retrieved from the archive of.. University, Dentistry Faculty, Department of Orthodontics were analyzed by the digital cephalometric analysis software Nemoceph (Nemotech, Madrid, Spain) and web-based OrthoDx (Phimentum, Boston, USA) and Webceph (AssembleCircle Corp., Korea) softwares. Web-based softwares detect the anatomical landmarks by artificial intelligence. The analysis results were recorded before and after these landmarks were confirmed by the user. The time spent for each analysis was recorded. Accuracy of Nemoceph has been proven in the literature and Nemoceph was accepted as gold standard. The comparison of the accuracy rate of different cephalometric analysez and difference between the time spent for the analyzes were evaluated.
RESULTS: There was a significant difference between tracing durations. In skeletal measurements, only difference found in GoMe-SN measurement between OrthoDx and WebCeph, OrthoDx corrected and WebCeph, OrthoDx and WebCeph corrected, OrthoDx corrected and WebCeph corrected. A significant difference was found between the analysez in Occ-SN measurement. When comparing the Occ-FH, there was only a significant difference between WebCeph corrected and Nemoceph. There was no significant difference in soft tissue measurements.
DISCUSSION AND CONCLUSION: Web-based online software can be accepted as reliable, because they give similar results with computer software.

Keywords: OrthoDx, WebCeph, Nemoceph, digital cephalometric analysis, artificial intelligence-based online analysis program.

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