Diagnostic accuracy of panoramic radiography and ultrasonography in detecting periapical lesions using periapical radiography as a gold standard
| Autor: | Zeynep Betül Arslan, Dila Berker Yildiz, Hilal Demir, Füsun Yaşar |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Radiography Diagnostic accuracy Sensitivity and Specificity Young Adult Radiography Panoramic Radiography Dental Medical imaging medicine Humans Radiology Nuclear Medicine and imaging Periapical Diseases General Dentistry Aged Ultrasonography business.industry Periapical radiography Radiography Dental Digital General Medicine Gold standard (test) Middle Aged Otorhinolaryngology Female Radiology business Research Article |
| Zdroj: | Dentomaxillofac Radiol |
| ISSN: | 1476-542X 0250-832X |
| DOI: | 10.1259/dmfr.20190290 |
| Popis: | Objectives: The purpose of this study was to compare the accuracy of imaging techniques in diagnosing periapical lesions. Methods: Imaging records of 80 patients (51 females, 29 males, aged between 14 and 75 years) including periapical and panoramic radiographs and ultrasonographic images were selected from databases of Selcuk University Dentistry Faculty. Periapical radiographs were accepted as gold-standard and 160 anterior maxillary and mandibular teeth with or without periapical lesion were included to the study. Three specialist observers (dental radiologists) evaluated the presence and appearance of periapical lesions on panoramic radiograph and ultrasonographic images. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic value of panoramic radiographs and ultrasonography were determined. Results: Sensitivity was 0.80 and 0.77 for ultrasonographic images and panoramic radiographs, respectively which shows that periapical lesion was correctly detected in 80% of the cases with ultrasound and in 77% of the cases with panoramic radiography. Specificity values were determined as 0.97 for ultrasound and 0.95 for panoramic radiography. Overall diagnostic accuracy was 0.86 and 0.84 for ultrasound and panoramic radiography, respectively. Conclusions: Periapical and panoramic radiographs are commonly used to visualize periapical lesions. Besides, ultrasonography is an alternative method to digital radiographic techniques in the diagnosis of anterior teeth with periapical lesions. |
| Databáze: | OpenAIRE |
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