Evidence map›Paper›PMID 40084997›Full record

ArticleDento maxillo facial radiology2025

Accuracy of upper airway volume measurements using different software products: a comparative analysis.

Muhammed Enes Naralan, Taha Emre Köse, Merve Gonca, Büşra Beşer Gül, Dilara Nil Günaçar

Abstract readComparative Study
In one paragraph

Article in Dento maxillo facial radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Muhammed Enes NaralanDepartment of Oral and Dentomaxillofacial Radiology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize 53000, Türkiye.ORCID 0000-0002-2444-4322
Taha Emre KöseDepartment of Oral and Dentomaxillofacial Radiology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize 53000, Türkiye.ORCID 0000-0003-3601-0393
Merve GoncaDepartment of Orthodontics, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, 26040, Türkiye.ORCID 0000-0003-1299-9088
Büşra Beşer GülDepartment of Orthodontics, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize, 53000, Türkiye.ORCID 0000-0002-7280-0168
Dilara Nil GünaçarDepartment of Oral and Dentomaxillofacial Radiology, Faculty of Dentistry, Recep Tayyip Erdoğan University, Rize 53000, Türkiye.ORCID 0000-0002-9607-6362

Funding

Turkish Institutions 82935568
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the accuracy of airway volume measurements obtained from cone beam computed tomography (CBCT) images using various software programmes, with a focus on assessing the performance of NemoStudio compared to other tools. The estimated volumes were compared with the volume of the solid model's cavity filled with water (gold standard).

methodsA single 3D-printed airway model was created based on CBCT data and scanned 10 times under identical conditions. Volume measurements were performed using semi-automatic segmentation in 4 software programmes (NemoStudio, NNT Viewer, ITK-SNAP, and 3D Slicer). The results were compared to the gold standard using repeated measures analysis of variance, Bland-Altman plots, and post hoc comparisons.

resultsNemo Studio demonstrated a systematic bias and higher variability compared to the gold standard, resulting in lower accuracy than the other software programmes. ITK-SNAP and 3D Slicer showed the highest agreement with the gold standard, while NNT Viewer also exhibited acceptable performance. Statistical analyses revealed significant differences in the accuracy of volume measurements among the software tools (P < .001). Bland-Altman plots highlighted Nemo Studio's broader limits of agreement, emphasizing its deviation from the gold standard.

conclusionVariability in airway volume measurement accuracy underscores the need for careful software selection and methodological standardization. Further refinement of segmentation algorithms is essential for improved consistency and reliability in clinical applications. ADVANCES IN KNOWLEDGE: This study provides the first evaluation of NemoStudio's volumetric accuracy for CBCT-based airway measurements, offering novel insights into software reliability and the impact of algorithm selection in clinical and academic settings.

Indexed as

Cone-Beam Computed TomographyPharynxSoftwareHumansImage Processing, Computer-AssistedImaging, Three-DimensionalModels, AnatomicReproducibility of Resultscone-beam computed tomographydiagnostic imagingoropharynxsegmentationvolume measurement

Identifiers

PMID40084997
PMCPMC12207062

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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.