Evidence map›Paper›PMID 39849001›Full record

ArticleScientific reports2025

Photon-counting-detector CT outperforms state-of-the-art cone-beam and energy-integrated-detector CT in delineation of dental root canals.

Stephan Rau, Martin Peter Pichotka, Alexander Rau, Marco Reisert, Markus Jörg Altenburger, Rainer Schmelzeisen, Fabian Cieplik, Fabian Bamberg, Maximilian Frederik Russe, Wiebke Semper-Hogg

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephan RauDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. stephan.rau@uniklinik-freiburg.de.
Martin Peter PichotkaDivision of Medical Physics, Department of Diagnostic and Interventional Radiology, Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Freiburg, Germany.
Alexander RauDepartment of Neuroradiology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Marco ReisertDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Markus Jörg AltenburgerDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Rainer SchmelzeisenDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Fabian CieplikDepartment of Operative Dentistry and Periodontology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Fabian BambergDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Maximilian Frederik RusseDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Wiebke Semper-HoggDepartment of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This experimental phantom study investigates current standard of care protocols in cone beam computed tomography (CBCT), energy-integrating-detector (EID) CT, and photon-counting-detector (PCD) CT regarding their potential in delineation of dental root canals. Artificial accessory canals (diameters: 1000, 600, 400, 300 and 200 μm) were drilled into three bovine teeth mounted on a bovine rib as a jaw substitute. The phantom was scanned in two dental CBCTs, two EID-CTs and a PCD-CT using standard clinical protocols. Scans from a micro-CT served as reference standard. Spatial resolution was evaluated via line profiles through the canals, whereby visibility compared to surrounding noise and compared to the ground truth were assessed. PCD-CT was able to delineate all artificial canals down to 200 μm diameter. In CBCT and EID-CT canals could only be reliably detected down to 300 μm. Also, PCD-CT showed a considerably smaller width-divergence from the ground trough with 4.4% at 1000 μm and 35.1% at 300 μm compared to CBCT (13.5 and 72.9%) and EID-CT (10.1 and 115.7%). PCD-CT provided superior resolution, accurate size measurement, and enhanced detection of small dental root canals, thereby offering improvements in diagnostic capabilities compared to CBCT and EID-CT systems.

Indexed as

Cone-Beam Computed TomographyDental Pulp CavityAnimalsCattlePhantoms, ImagingPhotonsX-Ray MicrotomographyCBCTPhoton-counting CTPhoton-counting detectorsTomographyX-ray computed

Identifiers

PMID39849001
PMCPMC11758001

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.