Effect of Field of View on Detection of Condyle Bone Defects Using Cone Beam Computed Tomography

In maxillofacial imaging, cone beam computed tomography (CBCT) is currently the modality of choice for assessment of bony structures of the temporomandibular joint (TMJ). Factors affecting the quality of CBCT images can change its diagnostic accuracy. This study aimed to assess the effect of field of view (FOV) and defect size on the accuracy of CBCT scans for detection of bone defects of the TMJs. This study was conducted on 12 sound TMJs of 6 human dry skulls. Erosions and osteophytes were artificially induced in 0.5, 1, and 1.5-mm sizes on the anterior-superior part of the condyle; CBCT scans were obtained with 6, 9, and 12-inch FOVs by NewTom 3G CBCT system. Two maxillofacial radiologists evaluated the presence/absence and type of defects on CBCT scans. The Cohen kappa was calculated to assess intra- and interobserver reliability. The Mann-Whitney U test was applied to compare the diagnostic accuracy of different FOVs.In comparison of 6- and 12-inch, 9- and 12-inch FOVs in detection of different sizes of erosive lesions, difference was significant (P