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Philip J. Kroth, MD, MS [email protected] Shamsi Daneshvari [email protected] Clinical LOINC Committee Meeting July 16, 2010 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

Philip J. Kroth, MD, MS [email protected] Shamsi Daneshvari [email protected]

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Philip J. Kroth, MD, MS [email protected] Shamsi Daneshvari [email protected]. Clinical LOINC Committee Meeting July 16, 2010. This work is licensed under a Creative Commons Attribution- NonCommercial - NoDerivs 3.0 Unported License. Overview. What are cephalometrics? - PowerPoint PPT Presentation

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Page 1: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Philip J. Kroth, MD, [email protected]

Shamsi [email protected]

Clinical LOINC Committee Meeting

July 16, 2010

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

Page 2: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Overview

• What are cephalometrics?• What we are trying to accomplish• Two questions for the committee

Page 3: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

What are Cephalometrics

• Head X-rays taken in a standardized manner

• Cephalometrics are measurements on the X-ray itself

• Mostly consist of lengths and angles• Hundreds of cephalometrics have

been defined• Used by some orthodontists to help

with treatment planning• Used for research• Defined in several cephalometric

atlases

Page 4: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

What are Cephalometrics?

Page 5: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu
Page 6: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu
Page 7: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu
Page 8: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

APO_PTII

Page 9: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

What we are trying to accomplish

• Use LOINC term definitions to unify the cephalometric definitions of several cephalometric atlases and analyses.

Page 10: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Atlas/Analyses References

Downs AnalysisDowns WB (1948). Variations in Facial Relationships: Their Significance in

Treatment and Prognosis. American Journal of Orthodontics, 34:812-840.Frontal Analysis

Grummons DC, Kappeneye van de Coppelo MA (1987). A Frontal Asymmetrical Analysis. The Journal of Clinical Grummons DC, Ricketts RM (2004).

Frontal Cephalometrics: Practical Application. World Journal of Orthodontics, 5: 99-119.

Epker BN, Fish LC(1986). Dentofacial Deformities: Integrated Orthodontic and Surgical Corrections Volume I. Saint Louis: C. V. Mosby Co.

Jarabak-Bjork AnalysisJarabak JR, Fizzell JA (1972). Technique and treatment with light-wire edgewise appliances. Saint Louis: C. V. Mosby Co.

London AtlasBhatia SN, Leighton BC (1993). A Manual of Facial Growth: A Computer Analysis of Longitudinal Cephalometric Growth Data. Oxford: Oxford university Press.

McNamara AnalysisMcNamara JA Jr, Brundon WL (2001). Orthodontic and Dentofacial Orthopedics. Ann Arbor: Needham Press.

Page 11: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Atlas/Analyses References (Continued)

Ricketts AnalysisRicketts RM, Roth RH, Chaconas SJ, Schnlhof RJ, Engel A (1982). Orthodontic Diagnosis and Planning, Volumes I and II. Denver: Rocky Mountain Orthodontics.

Michigan / Riolo AtlasRiolo ML, Moyers RE, McNamara JA, Hunter WS (1974). An Atlas of Craniofacial Growth: Cephalometric Standards from the University School Growth Study, The University of Michigan. Ann Arbor: The University of Michigan.

Holdaway Soft Tissue AnalysisHoldaway RA (1983). A Soft Tissue Cephalometric Analysis and its Use in Orthodontic Planning, Part I. American Journal of Orthodontics, 84: 1-28.

Holdaway RA (1984). A Soft Tissue Cephalometric Analysis and its Use in Orthodontic Planning, Part II. American Journal of Orthodontics, 85: 279-293.

Steiner AnalysisSteiner CC (1953). Cephalometrics for You and Me. American Journal of Orthodontics, 39: 729-755.

Tweed AnalysisTweed CH (1954). The Frankfort Mandibular Incisal Angle (FMIA) in Orthodontic Diagnosis, Treatment Planning,

and Prognosis. The Angle Orthodontics, 24: 121-169.

Page 12: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Downs Analysis

LondonAtlas

Holdaway Soft Tissue

Analysis

LOINC

Frontal Analysis

Steiner Analysis

Ricketts AnalysisMichigan

/ Riolo Atlas

Jarabak-Bjork

Analysis

Tweed Analysis

McNamara

Analysis

Page 13: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Benefits of LOINC terminology definitions of cephalometrics

• Unify terms in 10 existing standards for cephalometric definitions (See Ceph Manual)

• Allow data in this area to be exchanged more easily

• Benefits our current project by creating a rigorous and legitimate standard form for future case donations:http://hsc.unm.edu/programs/ocfs/

Page 14: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Question One

• Should we define LOINC terms for landmarks (point) definitions and then embed these in angle and plane measurements’ terms? (I don’t know if there is a “point” measurement type currently defined in LOINC.)

• See page 2 of our Cephalometric Manual for “standard” point definitions

Page 15: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Question Two

• Can we or should we incorporate the cephalometric parameter diagrams into the LOINC database?

• Current text fields in RELMA are limited in length and it is difficult (but still possible) to reference up to five sources for a given cephalometric term

Page 16: Philip J. Kroth, MD, MS pkroth@salud.unm.edu Shamsi Daneshvari shamsi@unm.edu

Philip J. Kroth, MD, [email protected]

Shamsi [email protected]

Clinical LOINC Committee Meeting

July 16, 2010

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.