Evaluation of speed, repeatability, and reproducibility of digital radiography with manual versus computer-assisted cephalometric analyses

Both operators were generally consistent in the repeated measurements; however, for one examiner, the differences for NaA (P < 0.001), NaPog, and U1-NA (P < 0.01) distance measurements were found to be statistically significant. Intra-examiner repeatability of landmarks both with the manual and Dolphin techniques showed high correlation coefficients. While inter-examiner reproducibility of landmarks was unacceptable, measurement errors with the manual technique were generally comparable with the Dolphin technique. The mean tracing times of the two operators for a single tracing was 2 minutes 41 seconds for Dolphin and 6 minutes 51 seconds for manual tracings. Computer-assisted cephalometric analysis does not increase intra- and inter-examiner reliability but can result in time saving