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PLANMECA'S R&D DEPARTMENT CONDUCTED TESTS THAT EVALUATED THE EFFECT A SHAKING
PHANTOM HAD ON IMAGE QUALITY WITH AND WITHOUT ARTEFACT CORRECTION.

Image 1. The original reconstruction      Image 2. A reconstruction with          Image 3. A reconstruction with both
captured at a very low dose               the Planmeca AINO™ 3D noise filter      Planmeca CALM™ and Planmeca AINO™
                                          algorithm applied                       applied

Our Planmeca CALM™ algorithm for correcting patient movement in                       “In the past, dentists would send
CBCT images is taking dentistry by storm. As the first end-user solution for      their unsatisfactory images to the
motion artefact correction from a dental manufacturer, the feature has            manufacturer or just redo the entire
already been praised by dentists out in the field. Planmeca’s 3D Imaging          scan, but with Planmeca CALM this is now
Specialist Mikko Lilja recounts how the ground-breaking algorithm came            a thing of the past. We are proud to be
to be and why he believes every dentist can benefit from it.                      the first dental manufacturer to provide a
                                                                                  solution for motion artefact correction to
                                                                                  the end-user”, Lilja says.

COPY ALEKSANDRA NYHOLM                    UNIQUE END-USER SOLUTION                HIGH EXPERTISE MEETS
IMAGE PÄIVI TELENIUS                      Patient movement is among the most      HIGH TECHNOLOGY
                                          significant challenges to CBCT image    According to Lilja, an end-user solution
IT all happened very naturally”,          quality. When a patient moves during    for patient movement correction
says Mikko Lilja as he describes the      imaging, it produces artefacts that     had been on Planmeca’s algorithm
background to developing Planmeca         affect the quality of the image.        development roadmap for some time,
CALM™, the trailblazing iterative                                                 and was assigned to him upon joining the
algorithm for correcting patient              “In tomographic reconstruction,     Planmeca 3D imaging team.
movement.                                 the assumption is that the measure-
                                          ments – in this case the CBCT X-ray         “I think the timing was perfect for
    “I had gained a good understanding    projection images – are geometrically   everybody. With Planmeca’s expertise in
of movement as an imaging problem         consistent with one another”, Lilja     medical imaging and image reconstruc-
in my doctoral research work. When        explains, “but when a patient moves,    tion and my knowledge of movement
it then turned out this was also a topic  the data no longer adds up, which       correction, we just
of interest for Planmeca, it all came     shows in the reconstruction.            immediately put our heads together and
together.”                                                                        got to work."
                                              “What Planmeca CALM does
    The name CALM stands for              is it restores the consistency of           The development process was not
Correction Algorithm for Latent           the X-ray measurements by tracking      without its challenges, and a lot of effort
Movement and describes a projection       the movement of the patient, resulting  went into creating a dedicated algorithm
geometry optimisation algorithm           in a sharper final image.”              for Planmeca CBCT devices.
which can analyse and compensate
for patient movement in CBCT images.          Planmeca CALM works with all            “My previous experience was related
The outcome is an improved image          volume and voxel sizes and adds         to industrial tomography imaging, where
which eliminates the need for retakes     only under 30 seconds to the overall    things like reconstruction times and the
– saving time and improving patient       reconstruction time. The feature can    imaged target itself were very different.
safety.                                   be applied after the scan is complete,  So although our first prototype tests were
                                          but also before exposure to ensure      encouraging, we had to go back to the
                                          that the volumes are already corrected  drawing board time and again to produce
                                          when they are accessed in the           a new algorithm for dental imaging”, Lilja
                                          Planmeca Romexis® software.             recounts.

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