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Konvansiyonel ve dijital sefalometrik ölçüm yöntemlerinin karşılaştırılması

Comparison of conventional and digital cephalometric measurement methods

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Abstract (2. Language): 
Objective: The aim of this study was to compare intra- and inter-examiner reliability of the measurements obtained from letaral cephalometric radiographs using the conventional and digital methods. Material-Method: Sixty lateral cephalometric radiographs were randomly selected and 5 linear and 14 angular parameters were traced and measured by two examiners using the conventional and digital methods on each radiograph. Digital images were obtained by scanning the conventional radiographs. Independent-samples t-test was used to compare the mean values of intra-examiner differences. Intraclass correlation coefficients (ICC) were calculated to determine intra- and inter-examiner correlation. Results: Both operators were generally consistent in the repeated measurements; however, for one examiner, the difference for nasolabial angle measurements was found to be statistically significant (p<0.05). Intra-examiner and inter- examiner repeatabilities of measurements both with the manual and digital techniques showed high correlation coefficients. Discussion: The findings showed that the use of computerassisted cephalometric analysis carried out on scanned images did not increase the measurement error when compared with conventional technique.
Abstract (Original Language): 
Amaç: Bu çalışmanın amacı lateral sefalometrik radyografiler üzerinde dijital ortamda veya elde yapılan konvansiyonel çizimlerden elde edilen ölçümlerin araştırmacılar-arası ve araştırmacı-içi güvenilirliğinin karşılaştırılmasıdır. Materyal-Metot: 60 adet lateral sefalometrik radyografi rastgele seçildi ve iki araştırmacı tarafından hem konvansiyonel hem de dijital program yardımı ile çizilerek 5 doğrusal ve 14 açısal ölçüm elde edildi. Dijital görüntüler konvansiyonel radyografilerinin taranması ile elde edildi. Herbir araştırmacının yöntemler arasındaki istatistiksel değerlendirilmesinde bağımsız örnek t-testi kullanıldı. Grup içi ve gruplar arası korelasyonun belirlenmesinde grup içi korelasyon katsayısı testi kullanıldı. Bulgular: İki yöntemin karşılaştırılmasında sadece bir araştırmacının ölçtüğü nasolabial açıda istatistiksel olarak anlamlı fark bulundu. Hem dijital hem de konvansiyonel yöntemlerle elde edilen ölçümlerde iki araştırmacı arasında ve araştırmacıların kendi içerisindeki tekrarlanabilirliğinde yüksek korelasyon görüldü. Tartışma: Taranmış görüntülerin kullanılmasıyla elde edilmiş bilgisayar destekli dijital sefalometrik analiz konvansiyonel çizilerek elde edilen ölçümlerle karşılaştırıldığında ölçüm hatasını arttırmamaktadır.
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