The diagnostic accuracy of cone-beam computed tomography for assessing in vitro osseous alterations of the mandibular condyle: a systematic review and meta-analysis.

IF 1.6 3区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Nur Al Amin, Taseef Hasan Farook, Fahmi Oscandar, Mohd Faizal Abdullah, Norliza Binti Ibrahim, Sumaiya Zabin Eusufzai, Johari Yap Abdullah
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Abstract

Objective: To determine the diagnostic accuracy of cone-beam computed tomography (CBCT) in detecting simulated bony changes in the mandibular condyle by assessing the sensitivity and specificity.

Methods: This review adhered to PRISMA guidelines. Following predefined eligibility criteria, a search was conducted in four electronic databases in June 2024. The study-level risk of bias was assessed using a diagnostic test accuracy checklist provided by the Joanna Briggs Institute. Pooled estimates of sensitivity and specificity were calculated using a bivariate random-effects model.

Results: Among 1,803 potentially eligible references, six met the inclusion criteria for qualitative synthesis, and three for meta-analysis. The meta-analysis revealed that the index test, CBCT, had a low pooled sensitivity of 0.54 and a high specificity of 0.93 for detecting simulated defects of the mandibular condyle. Computed tomography exhibited a lower sensitivity of 0.37, but similar specificity of 0.93 like CBCT. Out of the six studies, five were found to have a low risk of bias.

Conclusions: Cone-beam computed tomography is found to be more accurate than other modalities for detecting condylar bony changes, effectively ruling out false positives, but with a risk of missing true positives. A smaller field of view and voxel size may provide more accurate detection.

锥形束计算机断层扫描对评估下颌髁离体骨改变的诊断准确性:一项系统回顾和荟萃分析。
目的:评价锥束ct (cone-beam computed tomography, CBCT)对下颌髁模拟骨改变的敏感性和特异性,以确定其诊断的准确性。方法:本综述遵循PRISMA指南。根据预定的资格标准,于2024年6月在四个电子数据库中进行了搜索。使用由乔安娜布里格斯研究所提供的诊断测试准确性检查表评估研究水平的偏倚风险。使用双变量随机效应模型计算敏感性和特异性的合并估计。结果:在1803篇可能符合条件的文献中,6篇符合定性综合的纳入标准,3篇符合元分析的纳入标准。荟萃分析显示,指数测试CBCT检测下颌髁模拟缺陷的综合灵敏度为0.54,特异性为0.93。计算机断层扫描的敏感性较低,为0.37,但特异性与CBCT相似,为0.93。在这六项研究中,有五项被发现具有低偏倚风险。结论:锥束计算机断层扫描在检测髁突骨变化方面比其他方式更准确,有效地排除了假阳性,但有遗漏真阳性的风险。较小的视场和体素大小可以提供更准确的检测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oral Radiology
Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.20
自引率
13.60%
发文量
87
审稿时长
>12 weeks
期刊介绍: As the official English-language journal of the Japanese Society for Oral and Maxillofacial Radiology and the Asian Academy of Oral and Maxillofacial Radiology, Oral Radiology is intended to be a forum for international collaboration in head and neck diagnostic imaging and all related fields. Oral Radiology features cutting-edge research papers, review articles, case reports, and technical notes from both the clinical and experimental fields. As membership in the Society is not a prerequisite, contributions are welcome from researchers and clinicians worldwide.
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