An Image Quality Comparison Study Between Homemade and Commercial Dental Cone-Beam CT Systems

Cone-beam computed tomography (CBCT) has been widely applied in dental and maxillofacial imaging. Several dental CBCT systems have been recently developed in order to improve the performance. This study aimed to evaluate the image quality of our prototype (YMU-DENT-P001) and compare with a commercial POYE Expert 3DS dental CBCT system (system A). The Micro-CT Contrast Scale, Micro-CT Water and Micro-CT HA phantoms were used to evaluate the two CBCT systems in terms of contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR), uniformity (U), distortion, and linearity in the relationship between image intensity and calcium hydroxyapatite concentration. We also fabricated a proprietary thin-wire phantom to evaluate full width at half maximum (FWHM) spatial resolution. Both CBCT systems used the same exposure protocol, and data analysis was performed in accordance with ISO standards using a proprietary image analysis platform. The SNR of our prototype system was nearly five times higher than that of system A (prototype: 159.85 ± 3.88; A: 35.42 ± 0.61; p < 0.05) and the CNR was three times higher (prototype: 329.39 ± 5.55; A: 100.29 ± 2.31; p < 0.05). The spatial resolution of the prototype (0.2446 mm) greatly exceeded that of system A (0.5179 mm) and image distortion was lower (prototype: 0.03 mm; system A: 0.285 mm). Little difference was observed between the two systems in terms of the linear relationship between bone mineral density (BMD) and image intensity. Within the scope of this study, our prototype YMU-DENT-P001 outperformed system A in terms of spatial resolution, SNR, CNR, and image distortion.