Abstract
The evaluation of jaw bone trabecular structure and quality could be useful for characterization and response of the bone for dental implants. Current clinical methods for assessment of bone quality at the implant sites largely depend on assessing bone mineral density using Dual energy X-ray absorptionometry. However, this does not provide any information about bone structure which is considered to be an equally important factor in assessing bone quality. This paper presents a novel approach for computer analysis of trabecular (or cancellous) bone structure using multiresolution based texture analysis to evaluate changes taking place in the architecture of bone with age and gender. The findings are compared with Hounsfield Units measured from the CT machine at different sites, which is a standard reference. Fifty patients were subjected to clinical CT to obtain the CT number and texture based architectural parameters respectively. In each site texture features were extracted using gray level co-occurrence matrices (GLCM), Run length matrices, Histogram and curvelet based statistical & co occurrence analysis. A very difficult problem in classification techniques is the choice of features to distinguish between classes. However the performance of any classifier is not optimized when all features are used. The feature optimization problem is addressed using Principle component analysis in terms of the best recognition rate and the optimal number of features. Testing this on a series of 120 image sections of trabecular bone with normal, partial and total edentulous patients correctly classified over 90% of the porous bone group with an overall accuracy of 87.8%-95.2%.The results shows that by using the Classification & Regression Tree approach the combination of the features from gray level and Ist order statistics achieved overall classification accuracy in the range of 87.8- 90.24%. Features selected from the curvelet based co occurrence matrix performed better with overall classification accuracy of 92.89%.In order to increase the success rate the classification is done using the combination of curvelet statistical features and curvelet co occurrence features as feature vector and using this, a mean success rate of 95.2% is obtained. Keywords: Multiresolution analysis; Texture features; curvelets; Computed Tomography; Regression analysis; GLRLM. DOI: 10.3329/bjms.v9i1.5229 Bangladesh Journal of Medical Science Vol.09 No.1 Jan 2010 33-43
Highlights
Since early times of implantation era preoperative studies includes incision of gingiva in order to get a view of the bone surface
Image data sets were obtained from 50 patients to obtain the bone quality in Hounsfield units at the implant recipient sites and texture parameters respectively
The texture parameters derived by the runlength matrix, curvelet based statistical and co occurrence features on jaw bone CT images constitute a computer based assessment of bone quality
Summary
Since early times of implantation era preoperative studies includes incision of gingiva in order to get a view of the bone surface. Preoperative studies required because a jaw bone must offer proper quality and adequate quantity of the bone. The overall dental implant success rate is considered to be influenced by both the volume (quantity) and density (quality) of available bone for implant placement. Successful implants require good bone and plenty of it. The thickness of the bone and height of the jaw bone available is measured on CT scans. Quality of bone is one of the variables that, cannot be accurately determined prior to the placement of the implant. As described by Lekhom and Zarb [1], is of
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