Regla Análoga Versus Software NemoCeph® en Mediciones Cefalométricas Lineales de Radiografías Laterales de Cráneo
Palabras clave:
cefalometría, ortodoncia, radiografía, diagnóstico por imagen, reproducibilidad de los resultados
Resumen
La cefalometría es un auxiliar diagnóstico esencial en ortodoncia, donde coexisten instrumentos de medición análogos y digitales. El objetivo de este estudio fue comparar las mediciones lineales obtenidas con una regla análoga (TD Orthodontics) y con el software de trazado cefalométrico NemoCeph® en radiografías laterales de cráneo de pacientes de ortodoncia. Se realizó un estudio cuantitativo, observacional, comparativo y transversal en 60 radiografías laterales de cráneo de pacientes de 20 a 40 años atendidos en las Clínicas de Especialidades Odontológicas de la Universidad Juárez Autónoma de Tabasco. Un solo operador midió la altura facial posterior (S-Go) y la altura facial anterior (N-Me) con ambos instrumentos. Se aplicaron las pruebas t de Student para muestras relacionadas y de Wilcoxon, el coeficiente de correlación intraclase (CCI) y el análisis de Bland-Altman. NemoCeph® registró valores en promedio 0.6 a 0.7 mm mayores (p = 0.019 y p = 0.022) y la concordancia fue buena a excelente (CCI = 0.940 y 0.926); sin embargo, los límites de acuerdo de Bland-Altman alcanzaron aproximadamente ±4 mm. Se concluye que ambos instrumentos son equivalentes en promedio, pero no deben alternarse en un mismo paciente.
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Citas
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Tikku, T., Khanna, R., Maurya, R. P., Srivastava, K., & Bhushan, R. (2014). Comparative evaluation of cephalometric measurements of monitor-displayed images by Nemoceph software and its hard copy by manual tracing. Journal of Oral Biology and Craniofacial Research, 4(1), 35-41.
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Yassaei, S., Tabatabaei, Z., & Ghafari, R. (2010). Evaluation of posterior facial height in different skeletal patterns. Journal of Dental Research, 3(3), 45-51.
Zavaleta Flores, C. S., Barradas Viveros, J. R., Martínez Flores, A., & Muñoz Muñoz, V. H. (2024). Correlación entre el método de trazado cefalométrico manual y el programa de trazado cefalométrico NemoStudio 2020. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades, 5(1), 3183-3202. https://doi.org/10.56712/latam.v5i1.1825
https://doi.org/10.1590/2177-6709.31.2.e2625144.oar
Arslan, E., Sirin, T., Oktay, H., & Kilinc, D. D. (2025). Evaluation of reliability and reproducibility of artificial intelligence-based, computer-based and traditional manual tracing methods. Dental Press Journal of Orthodontics, 30(3), e2524157.
https://doi.org/10.1590/2177-6709.30.3.e2524157.oar
Alshahrani, I., Alqahtani, N. D., & Togoo, R. A. (2024). Cephalometric evaluation of facial height ratios in different skeletal patterns. Journal of Orthodontic Science, 13, 12.
https://doi.org/10.4103/jos.jos_45_23
Bland, J. M., & Altman, D. G. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet, 327(8476), 307-310. https://doi.org/10.1016/S0140-6736(86)90837-8
Bor, S., Çınarsoy Ciğerim, S., & Kotan, S. (2024). Comparison of AI-assisted cephalometric analysis and orthodontist-performed digital tracing analysis. Progress in Orthodontics, 25, 41.
https://doi.org/10.1186/s40510-024-00539-x
Broadbent, B. H. (1931). A new x-ray technique and its application to orthodontia. The Angle Orthodontist, 1(2), 45-66.
Calle-Velezmoro, E., Calle-Morocho, J., Morales-Vadillo, R., & Guevara-Canales, J. O. (2021). Comparación entre trazados cefalométricos manual y digital en radiografías laterales del cráneo. Revista Argentina de Radiología, 85(2), 33-40. https://doi.org/10.1055/s-0040-1721340
Chuchra, A., Gupta, K., Arora, R., et al. (2024). Digital cephalometric analysis: Unveiling the role and reliability of semi-automated OneCeph, artificial intelligence-powered WebCeph mobile app, and semi-automated computer-aided NemoCeph software in orthodontic practice. Cureus, 16(11), e72948. https://doi.org/10.7759/cureus.72948
Çoban, G., Öztürk, T., Hashimli, N., & Yağci, A. (2022). Comparison between cephalometric measurements using digital manual and web-based artificial intelligence cephalometric tracing software. Dental Press Journal of Orthodontics, 27(4), e222112. https://doi.org/10.1590/2177-6709.27.4.e222112.oar
Hlongwa, P. (2019). Cephalometric analysis: A review of the literature. Journal of Dentistry and Oral Health, 5(3), 1-8.
Houston, W. J. B. (1983). The analysis of errors in orthodontic measurements. American Journal of Orthodontics, 83(5), 382-390.
Kastury, S., Kancherla, P., Reddy, S. K., & Chalasani, S. (2024). A comparison of smartphone-assisted and computer software assisted tracing with the conventional manual method. Journal of Indian Orthodontic Society, 58(2), 165-171. https://doi.org/10.1177/03015742231214376
Kim, S. J., Park, J. H., & Lee, K. J. (2023). Reliability of cephalometric landmarks in digital and manual tracings. Korean Journal of Orthodontics, 53(2), 101-110.
https://doi.org/10.4041/kjod.2023.53.2.101
Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155-163.
https://doi.org/10.1016/j.jcm.2016.02.012
Kumar, A., & Pandian, S. M. (2024). Evaluation of accuracy and reliability of artificial intelligence-based fully automated and semi-automated cephalometric analysis software in comparison with manual cephalometric analysis. South Eastern European Journal of Public Health, 137-144.
https://doi.org/10.70135/seejph.vi.1654
Narkhede, S., Jain, S., & Patel, A. (2017). Digital cephalometry: A review. Journal of Orthodontic Research, 5(2), 45-50.
Nielsen, I. L. (2022). Cephalometric analysis: History, principles, and clinical applications. Orthodontics & Craniofacial Research, 25(1), 1-15.
Paixão, M. B., Sobral, M. C., Vogel, C. J., & Araújo, T. M. (2010). Estudo comparativo entre traçados cefalométricos manual e digital, através do programa Dolphin Imaging em telerradiografias laterais. Dental Press Journal of Orthodontics, 15(6), 123-130.
Paul, L., Tania, S. D. M., Rathore, S., Missier, S., & Shaga, B. (2023). Comparison of automated tracing (Webceph Android app) with gold standard manual tracing and semi-automatic tracing (NemoCeph). International Journal of Orthodontic Rehabilitation, 14(4), 39-51.
Pellicer Castillo, M., García Martínez, E., & Sánchez Sánchez, J. (2012). Validez de los métodos digitales en cefalometría: Revisión sistemática. Revista Española de Ortodoncia, 42(2), 65-73.
Proffit, W. R., Fields, H. W., & Larson, B. (2019). Contemporary orthodontics (6.ª ed.). Filadelfia, PA: Elsevier.
Puspitasari, D., Rahayu, D., & Wijaya, A. (2023). Comparison of manual and digital cephalometric analysis: A systematic review. Journal of Dental and Medical Sciences, 22(1), 1-8.
Rojas Cárdenas, J. L. (2018). Comparación del método manual versus digital mediante el software NemoCeph en el análisis cefalométrico (Tesis de especialidad). Universidad Nacional Mayor de San Marcos, Lima, Perú.
Secretaría de Salud. (2014). Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Diario Oficial de la Federación. Recuperado de
https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Singh, S., Singh, P., Singh, C., Agarwal, R., & Sharma, P. (2025). A comparative study of three different methods for cephalometric analysis. Bharati Vidyapeeth Journal of Dentistry and Allied Sciences, 2(1), 23-27. https://doi.org/10.4103/BVJD.BVJD_22_25
Stancioiu, A., Popa, G., & Marinescu, A. (2022). The importance of anterior facial height in orthodontic diagnosis. Romanian Journal of Orthodontics, 5(1), 12-19.
Tikku, T., Khanna, R., Maurya, R. P., Srivastava, K., & Bhushan, R. (2014). Comparative evaluation of cephalometric measurements of monitor-displayed images by Nemoceph software and its hard copy by manual tracing. Journal of Oral Biology and Craniofacial Research, 4(1), 35-41.
Wang, J., Zhang, Y., & Li, X. (2021). Accuracy of digital cephalometric analysis: A systematic review. Journal of Oral and Maxillofacial Surgery, 79(5), 1015-1024.
World Medical Association. (2025). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human participants. JAMA, 333(1), 71-74.
https://doi.org/10.1001/jama.2024.21972
Yassaei, S., Tabatabaei, Z., & Ghafari, R. (2010). Evaluation of posterior facial height in different skeletal patterns. Journal of Dental Research, 3(3), 45-51.
Zavaleta Flores, C. S., Barradas Viveros, J. R., Martínez Flores, A., & Muñoz Muñoz, V. H. (2024). Correlación entre el método de trazado cefalométrico manual y el programa de trazado cefalométrico NemoStudio 2020. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades, 5(1), 3183-3202. https://doi.org/10.56712/latam.v5i1.1825
Publicado
2026-11-05
Cómo citar
Barrón Vargas , D. C., Lehmann Mendoza, J. M., Limónchi Palacio, L. V., & Nolasco Rosales, G. A. (2026). Regla Análoga Versus Software NemoCeph® en Mediciones Cefalométricas Lineales de Radiografías Laterales de Cráneo. Ciencia Latina Revista Científica Multidisciplinar, 10(5), 6487-6503. https://doi.org/10.37811/cl_rcm.v10i5.26497
Número
Sección
Ciencias de la Salud
Derechos de autor 2026 Diana Citlali Barrón Vargas , José Miguel Lehmann Mendoza, Landy Vianey Limónchi Palacio, Germán Alberto Nolasco Rosales
Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.
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