Evaluation of the Efficiency of Ultrasonography and Color Doppler in Diagnosis of Intraosseous Jaw Lesions: An In Vivo Study.

Abstract

Aim: The current in vivo investigation aimed to evaluate the accuracy of ultrasonography and color Doppler performed in the diagnosis of intraosseous jaw lesions.

Materials and methods: A total of 30 patients with intraosseous jaw lesions between the ages of 12 and 60 were selected for the present study. For every jaw lesion, a preliminary diagnosis was done using preoperative conventional radiographs. A sonologist evaluated the preoperative ultrasound examination and color Doppler images to determine the lesion's content, vascular supply, and preliminary classification was made as either a cyst or a tumor. The tissue was curetted during the surgical procedure to facilitate the histological examination. Every measurement and result were compared, and a statistical analysis was performed.

Results: On ultrasound and color Doppler examination out of 8 solid lesions, 2 (25%) were non-vascular and 6 (75%) were vascular.11 (64.7%) out of 17 cystic lesions were non-vascular and 6 (35.3%) were vascular. About 2 (66.7%) out of 3 complex lesions were non-vascular and 1 (33.3%) was vascular. And out of 2 Inconclusive lesions 1 (50%) was vascular and another 1 (50%) was non-vascular. There was a statistically significant difference found between color Doppler and ultrasound characteristics (0.001). Histopathological examination determined that 8 (100%) solids were diagnosed as the tumor. And 8 (47.1%) out of 17 cystic lesions were diagnosed as the tumor and 9 (52.9%) as cysts on histopathological examination. Out of 3 complex lesions 2 (66.7%) lesions were diagnosed as the tumor and 1(33.3%) as cysts. And 2 cases which were inconclusive were diagnosed as cysts and 1 tumor each. There was no statistically significant difference found between histopathological characteristics and ultrasound characteristics (p = 0.081).

Conclusion: The current investigation came to the conclusion that ultrasound can reliably distinguish between a cyst and a tumor and provide correct information about the pathological nature of a jaw lesion.

Clinical significance: Ultrasound has been a crucial diagnostic tool for numerous medical specialties. It is simple to use and can provide a detailed representation of soft tissues. Furthermore, it facilitates the accurate localization of samples when necessary and the evaluation of the solid and cystic components of lesions. How to cite this article: Sidhu VK, Nath S, Debbarma H, et al. Evaluation of the Efficiency of Ultrasonography and Color Doppler in Diagnosis of Intraosseous Jaw Lesions: An In Vivo Study. J Contemp Dent Pract 2024;25(10):963-967.