Abstract
The purpose of this study was to quantitatively assess the acceptable range of image contrast for the detection of enamel defects by adjusting the contrast and brightness of a digital dental imaging system. Extracted human premolars and molars with enamel defects on the proximal surfaces were mounted in maxillary and mandibular sets on phantoms. The phantoms were individually exposed and processed with a digital dental imaging system from Computed Dental Radiography (CDR, Schick Technologies, Inc., NY, USA). The images were transferred to a personal computer, and the contrast and brightness were determined in the range of ±100 digital digit numbers (DDN) using Adobe Photoshop 4.0.1 J (Adobe Systems Inc., Tokyo, Japan). The 8-bit CRT display used was set at maximum inherent brightness. The relationship between the pixel value and the DDN in contrast at both the enamel and the background on the monitor was used to measure the acceptable image contrast by manipulating contrast and brightness. Six dental radiologists were asked to determine the presence or absence of enamel defects. The detectability was statistically analyzed using Fisher's protected limited standard deviation (PLSD) non-parametric test. When the inherent brightness on an 8-bit CRT display was adjusted to the maximum, there was an acceptable range of image contrast and brightness for the detection of enamel defects with this digital dental imaging system.
Similar content being viewed by others
References
Sanderink, G.C.H.: Imaging: New versus traditional technological acids.Int Dent J. 43: 335–342, 1993.
Wenzel, A., Gröndahl, H-G: Direct digital radiography in the dental office.Int Dent J. 45: 27–34, 1995.
Versteeg, C.H., Sanderink, G.C.H., van der Stelt, P.F.: Efficacy of digital intra-oral radiography in clinical dentistry.J Dent. 25: 215–224, 1997.
Wenzel, A., Hintze H., Mikkelsen, L., Mouyen, F.: Radiographic detection of occlusal caries in noncavitated teeth: A comparison of conventional film radiographs, digitized film radiographs, and Radio Visio Graphy.Oral Surg Oral Med Oral Pathol. 72: 621–626, 1991.
Furkart, A.J., Dove, S.B., Mc David, W.D., Nummikoski, P., Matteson, S.: Direct digital radiography for the detection of periodontal bone lesions.Oral Surg Oral Med Oral Pathol. 74: 652–660, 1992.
Wenzel, A., Borg, E., Hintze, H., Gröndahl, H.G.: Accuracy of caries diagnosis in digital images from charge-coupled device and storage phosphor systems: an in vitro study.Dentomaxillofac Radiol. 24: 250–254, 1995.
Verdonschot, E.H., Kuijpers, J.M.C., Polder, B.J., De Leng-Worm, M.H., Bronkhorst, E.M.: Effects of digital grey-scale modification on the diagnosis of small approximal carious lesions.J Dent. 20: 44–49, 1992.
Molteni, R.: Direct digital dental X-ray imaging with Visualix/VIXA.Oral Surg Oral Med Oral Pathol. 76: 235–243, 1993.
Hintze, H., Wenzel, A., Jones, C.: In vitro comparison of D- and E-Speed film radiography, RVG, and Visualix digital radiography for the detection of enamel approximal and dentinal occlusal caries lesions.Caries Res. 28: 363–367, 1994.
Hayakawa, Y., Farman, A.G., Scarfe, W.C., Kuroyanagi, K., Molteni, R.: Beam quality and image contrast with VIXA-2.Oral Radiol. 11: 31–36, 1995.
Wakoh, M., Farman, A.G., Scarfe, W.C., Kelly, M.S., Kuroyanagi, K.: Perceptibility of defects in an aluminium test object: a comparison of the RVG-S and first generation VIXA systems with and without added niobium filtration.Dentomaxillofac Radiol. 24: 211–214, 1995.
Nelvig, P., Wing, K., Welander, U.: Sens-A-Ray: a new system for direct digital intraoral radiography.Oral Surg Oral Med Oral Pathol. 74: 818–823, 1992.
Harada, T., Nishikawa, K., Shibuya, H., Hayakawa, Y., Kuroyanagi, K.: Sens-A-Ray characteristics with variations in beam quality.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 80: 120–123, 1995.
Hayakawa, Y., Farman, A.G., Kelly, M.S. Kuroyanagi, K.: Signal-to-noise ratio: Computed Dental Radiography versus Sens-A-Ray.Oral. Radiol. 109–113, 1995.
Mouyen, F., Benz, C., Sonnabend, E., Lodter, J.P.: Presentation and physical evaluation of Radio Visio Graphy.Oral Surg Oral Med Oral Pathol. 68: 238–242, 1989.
Benz, C., Mouyen, F.: Evaluation of the new Radio Visio Graphy system image quality.Oral Surg Oral Med Oral Pathol. 72: 627–631, 1991.
Sanderink, G.C.H., Huiskens, R.: Radio Visio Graphy for caries detection: An in-vitro comparison with conventional radiography.J Dent Res. 71: 705, 1992.
Russell, M., Pitts, N.B.: Occlusal caries diagnosis: Radiovisiography versus bite-wing radiography.Caries Res. 25: 217, 1991.
Hayakawa, Y., Farman, A.G., Scarfe, W.C., Kuroyanagi, K.: Pixel value modification using RVG-4 automatic exposure compensation for instant high-contrast images.Oral Radiol. 12: 11–18, 1996.
Scarfe, W.C., Farman, A.G., Kelly, M.S.: Flash Dent. an alternative charge-coupled device/scintillator-based direct digital intraoral radiographic system.Dentomaxillofac Radiol. 23: 11–17, 1994.
Farman, A.G., Scarfe, W.C., Schick, D.B., Rumack, P.M.: Computed dental radiography: Evaluation of a new charge-coupled device-based intraoral radiographic system.Quintessence International 26: 399–404, 1995.
Hayakawa, Y., Farman, A.G., Scarfe, W.C., Kuroyanagi, K., Rumack, P.M., Schick, D.B.: Optimum exposure ranges for computed dental radiography.Dentomaxillofac Radiol. 25: 71–75, 1996.
Hayakawa, Y., Farman, A.G., Scarfe, W.C., Kuroyanagi, K.: Processing to achieve high-contrast images with computed dental radiography.Dentomaxillofac Radiol. 25: 211–214, 1996.
Kang, B.C., Farman, A.G., Scarfe, W.C., Goldsmith, L.J.: Observer differentiation of proximal enamel mechanical defects versus natural proximal dental caries with Computed Dental Radiography.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 82: 459–465, 1996.
Wakoh, M., Kitagawa, H., Harada, T., Shibuya, H., Kuroyanagi, K.: Computed Dental Radiography system versus conventional dental X-ray films for detection of simulated proximal caries.Oral Radiol. 13: 73–82, 1997.
Tate, W.H., White, R.R.: Disinfection of human teeth for educational purposes.J Dent Educ. 55: 583–585, 1991.
Nielsen, L-L., Hoernoe, M., Wenzel, A.: Radiographic detection of cavitation in approximal surfaces of primary teeth using a digital storage phosphor system and conventional film, and the relationship between cavitation and radiographic lesion depth: an in vitro study.Int J Paediat Dent. 6: 167–172, 1996.
DeBelder, M., Bollen, R., Duville, R.: A new approach to the evaluation of radiographic systems.J photogr Sci. 19: 126–131, 1971.
Wenzel, A., Fejerkov, O., Kidd, E., JoystonBechal, S., Groeneveld, A.: Depth of occlusal caries assessed clinically, by conventional film radiographs, and by digitized, processed Radiographs.Caries Res. 24: 327–333, 1990.
Wenzel, A., Larsen, M.J., Fejerskov, O.: Detection of occlusal caries without cavitation by visual inspection, film radiographs, xeroradiographs, and digitized radiographs.Caries Res. 25: 365–371, 1991.
Wenzel, A.: Computer-aided image manipulation of intraoral radiographs to enhance diagnosis in dental practice: a review.Int Dent J. 43: 99–108, 1993.
Nishikawa, K., Kuroyanagi, K.: Luminance dependency of detectability on CRT display.Advances in Maxillofacial Imaging—Proceedings of 11th Congress of IADMFR/CMI'97. pp. 293–298, 1997, Elsevier, Amsterdam.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kitagawa, H., Wakoh, M. & Kuroyanagi, K. Image contrast range for detection of enamel defects using a digital dental imaging system. Oral Radiol. 15, 95–104 (1999). https://doi.org/10.1007/BF02489647
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02489647