Journal of Oral Science Research ›› 2021, Vol. 37 ›› Issue (8): 702-707.DOI: 10.13701/j.cnki.kqyxyj.2021.08.007

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Agreement Evaluation of Cephalometric Analysis between Smartphone Application and Computer Software

LIU Henglang1, FENG Linjing2, WANG Lili1*   

  1. 1. Department of Stomatology, Eastern Hospital, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China;
    2. Chengdu Stomatological Hospital, Chengdu 610020, China
  • Published:2021-08-11

Abstract: Objective: To investigate the accuracy of cephalometric measurements performed by smartphone application (App). Methods: Both computer software and smartphone app were used to trace total twelve measurements of 55 patients' lateral cephalograms. The intra-class correlation coefficient (ICC) was used to assess the intra-tool reliability. Statistic differences between two methods were evaluated using the paired t-test. The agreement of these two methods was evaluated by the 95% confidence interval (CI) of 95% limits of agreement (LoA), which was calculated by the Bland-Altman method. Results: All ICC values from repeated measurements by each method were above 0.9. There was no significant statistically difference between two methods in all cephalometric measurements (P>0.05). The 95% CI of 95% LoA of SNA, SNB, ANB, SN-MP, Y-Axis, U1-NA (mm), L1-NB (mm), UL-E line, and LL-E line were within clinically acceptable limits, except for U1-NA, L1-NB, and U1-L1. Conclusion: Smartphone app showed good agreement with computer software in skeletal and soft tissue measurements of cephalometric analysis. It was recommended to use Smartphone app in cephalometric analysis for its portable, accurate, and reliable property.

Key words: cephalometrics, smartphone, application, Bland-Altman method