Three-dimensional metal artifact reduction method for dental conebeam CT scanners

Koji Kobayashi, Atsushi Katsumat, Koichi Ito, Takafumi Aoki

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)


In dental treatments where metal is indispensable material and dental implants require precise structural measurements of teeth and bones, the ability of CT scanners to perform Metal Artifact Reduction (MAR) is a very important yet unsolved problem. The increasing need for dental implants is raising the demand for a conebeam CT. In this paper, an MAR method of the Metal Erasing Method (MEM) is extended to three dimensions. Assuming that metals are completely opaque to X-ray, MEM reconstructs metals and other materials separately, then combines them afterward. 3D-MEM is not only more efficient but performs better than the repetition of MEM, because it identifies metals more precisely by utilizing the continuity of metals in the third dimension. Another important contribution of the research is the application of advanced binarization techniques for identifying metal-corrupted areas on projection images. Differential histogram techniques are applied to find an adequate threshold value. Whereas MEM needs to identify metals on a sinogram that covers the all rotation angles with a single threshold value, identifying metals on each projection image with an individual value is an important benefit of 3D-MEM. The threshold value varies per projection angle, especially by the influence of the spine and scull, that are objects outside of the field of view. The performance of 3D-MEM is examined using a subject who has as many as 12 pieces of complex metals in his teeth. It is shown that the metals are successfully identified and the grade of metal artifact has been considerably reduced.

Original languageEnglish
Title of host publicationMedical Imaging 2009
Subtitle of host publicationPhysics of Medical Imaging
Publication statusPublished - 2009 Jun 15
EventMedical Imaging 2009: Physics of Medical Imaging - Lake Buena Vista, FL, United States
Duration: 2009 Feb 92009 Feb 12

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


OtherMedical Imaging 2009: Physics of Medical Imaging
Country/TerritoryUnited States
CityLake Buena Vista, FL


  • Conebeam CT scanner
  • FDK
  • Filtered back projection
  • Metal artifact reduction
  • Metal erasing method

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


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