Comparing the diagnostic efficacy of intraoral radiography and cone beam computed tomography volume registration in the detection of mandibular alveolar bone defects
| Autor: | Donald A. Tyndall, Antonio J. Moretti, André Mol, Heidi Kohltfarber, Peter T. Green |
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| Rok vydání: | 2018 |
| Předmět: |
Cone beam computed tomography
Bone thickness Intraclass correlation Radiography Alveolar Bone Loss Mandible Sensitivity and Specificity Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Dental alveolus Intraoral radiography Receiver operating characteristic business.industry 030206 dentistry Repeatability Radiography Dental Digital Cone-Beam Computed Tomography ROC Curve 030220 oncology & carcinogenesis Surgery Oral Surgery business Nuclear medicine |
| Zdroj: | Oral surgery, oral medicine, oral pathology and oral radiology. 128(2) |
| ISSN: | 2212-4411 |
| Popis: | The aim of this study was to (1) compare bone loss detection accuracy with intraoral radiography and registered cone beam computed tomography (CBCT); (2) assess repeatability with both modalities; (3) determine factors affecting defect detection; and (4) determine the effect of buccolingual bone thickness on defect detection.Six observers viewed intraoral radiographs and CBCT scans before and after the defect to determine defect presence and extent. Receiver operating characteristic (ROC), sensitivity, specificity, logistic regression, odds ratio, intraclass correlation coefficient, and weighted kappa were used.CBCT and intraoral radiography mean ROC area under the curve values were not statistically different (0.90 vs 0.81; P = .06). CBCT had higher sensitivity compared with intraoral radiography (0.85 vs 0.63; P = .01) but similar specificity (0.91 vs 0.84; P = .45). Bone thickness, imaging modality, and observer had significant effects on defect detection (P.001). Odds ratios for CBCT vs intraoral radiography were 2.29 for diagnostic accuracy and 1.52 for buccolingual bone thickness. There was moderate interobserver agreement for detection of defects and substantial intraobserver agreement for measurement of extent.CBCT showed equivalent diagnostic efficacy and specificity for defect detection and higher sensitivity compared with intraoral radiography. CBCT increases the odds of accurate defect assessment more than 2-fold compared with intraoral radiography. The odds of bone loss detection increase by approximately 50% per millimeter of buccolingual alveolar bone loss. |
| Databáze: | OpenAIRE |
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