Huan-Zhong Su, Yan-Ting Lin, Shu-Jing Huang, Yu-Qing Su, Qi-Xia Liu, Dong-Yu Bai, Long-Cheng Hong, Xiao-Dong Zhang, Yi-Ming Su
{"title":"Close relationship with the glandular capsule: a highly sensitive diagnostic indicator of major salivary gland metastatic malignancies in ultrasound.","authors":"Huan-Zhong Su, Yan-Ting Lin, Shu-Jing Huang, Yu-Qing Su, Qi-Xia Liu, Dong-Yu Bai, Long-Cheng Hong, Xiao-Dong Zhang, Yi-Ming Su","doi":"10.1093/dmfr/twae041","DOIUrl":"10.1093/dmfr/twae041","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the ultrasound (US) characteristics of metastatic malignancies (MM) in the major salivary glands and to assess the diagnostic value of the close relationship with the glandular capsule in identifying MM.</p><p><strong>Methods: </strong>From January 2016 and April 2022, 122 patients with major salivary gland malignancies, including 20 patients with MM and 102 patients with primary malignancies (PM) confirmed by histopathological examination, were enrolled in this study. Their clinicopathologic and US data were recorded and analysed. The diagnostic performance of the close relationship with the glandular capsule for differentiating MM from PM was analysed.</p><p><strong>Results: </strong>The mean age of MM were older than that of PM (59.50 ± 14.57 vs. 49.96 ± 15.73, P = .013). Compared with PM patients, MM were associated with a higher prevalence of local pain symptoms (P = .007) and abnormal facial nerve function (P < .001). MM were also more frequently characterized by unclear borders, rough margins, irregular shapes, heterogeneous internal echos, absence of cystic areas, presence of calcifications, close relationship with the glandular capsule, and US-reported positive cervical lymph nodes (all P < .05). The close relationship with the glandular capsule showed to be a good indicator in distinguishing between MM and PM, with an area under the receiver operating characteristic curve of 0.863, a sensitivity of 100%, a specificity of 72.5%, and an accuracy of 92.2%. Positive and negative predictive were calculated at 41.7% and 100%, respectively.</p><p><strong>Conclusions: </strong>The US finding of a close relationship with the glandular capsule is a highly sensitive diagnostic indicator for MM. Following this finding, US-guided needle biopsy should be recommended to further confirm the diagnosis.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"558-565"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Striving to include the most recent trends and innovations, while also honouring our past.","authors":"Michael M Bornstein","doi":"10.1093/dmfr/twae052","DOIUrl":"10.1093/dmfr/twae052","url":null,"abstract":"","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"525-526"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Automated detection of maxillary sinus opacifications compatible with sinusitis from CT images.","authors":"Kyung Won Kwon, Jihun Kim, Dongwoo Kang","doi":"10.1093/dmfr/twae042","DOIUrl":"10.1093/dmfr/twae042","url":null,"abstract":"<p><strong>Background: </strong>Sinusitis is a commonly encountered clinical condition that imposes a considerable burden on the healthcare systems. A significant number of maxillary sinus opacifications are diagnosed as sinusitis, often overlooking the precise differentiation between cystic formations and inflammatory sinusitis, resulting in inappropriate clinical treatment. This study aims to improve diagnostic accuracy by investigating the feasibility of differentiating maxillary sinusitis, retention cysts, and normal sinuses.</p><p><strong>Methods: </strong>We developed a deep learning-based automatic detection model to diagnose maxillary sinusitis using ostiomeatal unit CT images. Of the 1080 randomly selected coronal-view CT images, including 2158 maxillary sinuses, datasets of maxillary sinus lesions comprised 1138 normal sinuses, 366 cysts, and 654 sinusitis based on radiographic findings, and were divided into training (n = 648 CT images), validation (n = 216), and test (n = 216) sets. We utilized a You Only Look Once based model for object detection, enhanced by the transfer learning method. To address the insufficiency of training data, various data augmentation techniques were adopted, thereby improving the model's robustness.</p><p><strong>Results: </strong>The trained You Only Look Once version 8 nano model achieved an overall precision of 97.1%, with the following class precisions on the test set: normal = 96.9%, cyst = 95.2%, and sinusitis = 99.2%. With an average F1-score of 95.4%, the F1-score was the highest for normal, then sinusitis, and finally, cysts. Upon evaluating a performance on difficulty level, the precision decreased to 92.4% on challenging test dataset.</p><p><strong>Conclusions: </strong>The developed model is feasible for assisting clinicians in screening maxillary sinusitis lesions.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"549-557"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Byung-Ju Joh, Sam-Sun Lee, Han-Gyeol Yeom, Gyu-Dong Jo, Jo-Eun Kim, Kyung-Hoe Huh, Won-Jin Yi, Min-Suk Heo
{"title":"A novel method for measuring the direction and angle of central ray and predicting rotation centre via panorama phantom.","authors":"Byung-Ju Joh, Sam-Sun Lee, Han-Gyeol Yeom, Gyu-Dong Jo, Jo-Eun Kim, Kyung-Hoe Huh, Won-Jin Yi, Min-Suk Heo","doi":"10.1093/dmfr/twae050","DOIUrl":"10.1093/dmfr/twae050","url":null,"abstract":"<p><p>The aim of this study is to propose and evaluate a novel method for measuring the central ray direction and detecting the rotation centre of panoramic radiography using the panorama phantom. To determine the central ray direction, 2 points passing through the same x-coordinate in a panoramic radiograph were identified and connected. The angles formed by the central ray with the midline and the angle to the arch form were measured using mathematical calculations. Further, by analysing the continuous changes in the central ray obtained in this manner, the movement of the rotation centre was detected and visualized. The angle between the central ray and the midline exhibited a progressive decrease from the anterior to the posterior direction. With regards to the arch form, the angle of the central ray exhibited an increasing pattern as it moved from the anterior to the posterior direction, culminating in its peak value at the lower second premolar cusp region, followed by a consistent decrease. The rotation centre approximately started from the distolateral aspect of the coronoid process and then anteromedially moved to the midline in a curved line passing between the mandibular notch and coronoid process. By using the panorama phantom, we successfully obtained the central ray direction and detected the rotation centre of the panoramic radiography.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"573-579"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11599707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Débora Costa Ruiz, Thaís Santos Cerqueira Ocampo, Eduardo Martinelli Franco, Iago Filipe Correia-Dantas, Renata de Oliveira Mattos-Graner, Francisco Haiter-Neto, Deborah Queiroz Freitas
{"title":"Peracetic acid efficacy on disinfection of photostimulable phosphor plates.","authors":"Débora Costa Ruiz, Thaís Santos Cerqueira Ocampo, Eduardo Martinelli Franco, Iago Filipe Correia-Dantas, Renata de Oliveira Mattos-Graner, Francisco Haiter-Neto, Deborah Queiroz Freitas","doi":"10.1093/dmfr/twae046","DOIUrl":"10.1093/dmfr/twae046","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the antimicrobial efficacy of white vinegar, acetic acid, and peracetic acid on photostimulable phosphor (PSP) plates disinfection, and to assess the disinfectant influence on the radiographic quality.</p><p><strong>Methods: </strong>Eight PSP plates (Express system) were contaminated with Streptococcus mutans and Candida albicans. These plates were wiped with tissues without any substance, with white vinegar, acetic acid, and peracetic acid, followed by an agar imprint. Number of microbial colonies formed was recorded. Afterwards, the quality of radiographs was tested using the more efficient disinfectant. Before disinfection and after every five disinfections, two radiographs of an acrylic-block and two radiographs of an aluminium step-wedge were acquired for each plate. Density, noise, uniformity, and contrast were analysed. Three oral radiologists evaluated the images for the presence of artefacts. One-way analysis of variance compared changes on grey values among the disinfections (α = .05). Intra- and inter-examiner agreement for the presence of artefacts was calculated by weighted Kappa.</p><p><strong>Results: </strong>Peracetic acid was the only one that eliminated both microorganisms. Density and uniformity decreased after 100 disinfections, and contrast changed without a pattern in the course of disinfections (P ≤ .05). Small artefacts were observed after 30 disinfections. Intra- and inter-examiner agreements were almost perfect.</p><p><strong>Conclusions: </strong>Disinfection with peracetic acid eliminated both microorganisms. However, it also affected density, uniformity, and contrast of radiographs, and led to the formation of small artefacts.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"542-548"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arthur X M Mancini, Gabriela A Carmozini, Thiago M Inácio, Marcela T Réa, Cassiana Viccari, Danieli M Brasil, Christiano Oliveira-Santos
{"title":"Variations in head tilt during the acquisition of cone beam computed tomography scans and their effects on effective radiation dose.","authors":"Arthur X M Mancini, Gabriela A Carmozini, Thiago M Inácio, Marcela T Réa, Cassiana Viccari, Danieli M Brasil, Christiano Oliveira-Santos","doi":"10.1093/dmfr/twae043","DOIUrl":"10.1093/dmfr/twae043","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the impact of variations in anteroposterior and lateral tilts of patients head on radiation-weighted doses to organs/tissues and effective doses using 3 different cone beam computed tomography (CBCT) machines.</p><p><strong>Methods: </strong>An anthropomorphic phantom was used to estimate radiation doses in 3 CBCT machines (OP300, Eagle X 3D, and Eagle Edge). Thermoluminescent dosimeters were placed in regions corresponding to pre-stablished organ/tissues. CBCT examinations from the posterior mandible and anterior maxilla regions were acquired, with 3 different anteroposterior angulations (0°, 30°, and 45°), and from the posterior mandible in 3 different lateral angulations (0°, 20° to the left, and 20° to the right side). Radiation-weighted doses for each organ/tissue and effective doses were calculated for each machine and angulation.</p><p><strong>Results: </strong>For the posterior mandible acquisitions, anteroposterior angulations of the head at 30° and 45° yielded a reduction in effective doses in all 3 devices. A 20° tilt to the right side resulted in lower doses than to the left [same side as the field of view (FOV)]. For the anterior maxilla, increased anteroposterior angulation was associated with reduction in effective dose in 2 devices.</p><p><strong>Conclusions: </strong>Effective doses are lower when small FOV CBCT exams of the posterior mandible and anterior maxilla are acquired with increased anteroposterior head angulation at 30° and 45°. For FOV in the posterior mandible, a 20° lateral tilt towards the side opposite to the FOV also yields lower effective doses. The main contribution to these dose reductions is the decrease in dose to salivary glands.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"566-572"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Christensen, Louise Hauge Matzen, Mette Hedegaard, Rubens Spin-Neto
{"title":"Scout images acquired prior to cone beam CT acquisitions: reproducibility of findings and added diagnostic information.","authors":"Jennifer Christensen, Louise Hauge Matzen, Mette Hedegaard, Rubens Spin-Neto","doi":"10.1093/dmfr/twae039","DOIUrl":"10.1093/dmfr/twae039","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the present study was to assess the reproducibility of findings in cone beam CT (CBCT) scout images. Furthermore, the study aimed to assess whether a scout image shows pathology not seen within the CBCT volume (ie, added diagnostic information) and therefore must be assessed on the same terms as the full volume.</p><p><strong>Methods: </strong>Using a retrospective design, 233 CBCT reports and scout images were assessed. Kappa statistics and percentage of accordance were used to evaluate intra- and inter-observer reproducibility as well as agreement between scout and CBCT report.</p><p><strong>Results: </strong>Intra- and inter-observer reproducibility was overall low (kappa ranging from -0.008 to 1.000). Agreement between findings reported in the CBCT and scout was also low. One hundred fourteen impacted teeth, one apical periodontitis, and two sinus conditions seen in the scout image were not registered in the full volume report due to the extended size of the scout image.</p><p><strong>Conclusions: </strong>Reproducibility of findings in scout images compared to CBCT volumes was low, and the scout showed very little additional diagnostic information.</p><p><strong>Advances in knowledge: </strong>This study shows that although the reproducibility of viewing scout images is low, rare findings can go undetected if the scout is not assessed. Legislation regarding interpretation of scout images needs to be discussed.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"527-534"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An attempt to generate panoramic radiographs including jaw cysts using StyleGAN3.","authors":"Motoki Fukuda, Shinya Kotaki, Michihito Nozawa, Kaname Tsuji, Masahiro Watanabe, Hironori Akiyama, Yoshiko Ariji","doi":"10.1093/dmfr/twae044","DOIUrl":"10.1093/dmfr/twae044","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to generate radiographs including dentigerous cysts by applying the latest generative adversarial network (GAN; StyleGAN3) to panoramic radiography.</p><p><strong>Methods: </strong>A total of 459 cystic lesions were selected, and 409 images were randomly assigned as training data and 50 images as test data. StyleGAN3 training was performed for 500 000 images. Fifty generated images were objectively evaluated by comparing them with 50 real images according to four metrics: Fréchet inception distance (FID), kernel inception distance (KID), precision and recall, and inception score (IS). A subjective evaluation of the generated images was performed by three specialists who compared them with the real images in a visual Turing test.</p><p><strong>Results: </strong>The results of the metrics were as follows: FID, 199.28; KID, 0.14; precision, 0.0047; recall, 0.00; and IS, 2.48. The overall results of the visual Turing test were 82.3%. No significant difference was found in the human scoring of root resorption.</p><p><strong>Conclusions: </strong>The images generated by StyleGAN3 were of such high quality that specialists could not distinguish them from the real images.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"535-541"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using cone-beam CT for appropriate nostril selection in nasotracheal intubation.","authors":"Funda Arun, Derya Icoz, Ahmet Akti, Gokhan Gurses","doi":"10.1093/dmfr/twae038","DOIUrl":"10.1093/dmfr/twae038","url":null,"abstract":"<p><strong>Objectives: </strong>Nasotracheal intubation is a standard blind procedure associated with various complications. The selection of the appropriate nostril is crucial to preventing most of these complications. The present study aimed to evaluate the predictive ability of cone-beam CT (CBCT) images to select the correct nostril for nasotracheal intubation.</p><p><strong>Methods: </strong>The study encompassed 60 patients who underwent maxillofacial surgery with nasotracheal intubation under general anaesthesia. While the anaesthetist made the appropriate nostril selection clinically according to a simple occlusion test and spatula test, the radiologist made the selection after analysing various CBCT findings such as the angle and direction of nasal septum deviation (NSD), minimum bone distance along the intubation path, and the presence of inferior turbinate hypertrophy. The appropriateness of these choices made blindly at different times was evaluated using descriptive statistics, chi-squared test, and independent samples t-test.</p><p><strong>Results: </strong>The study found that 83.3% of the suggested nostril intubations were successful. We also observed that intubation duration was longer when inferior turbinate hypertrophy was present (P = .031). However, there was no statistical relationship between the presence of epistaxis and septal deviation (P = .395). Nonetheless, in 64.3% of cases with epistaxis, the intubated nostril and the septum deviation direction were the same.</p><p><strong>Conclusions: </strong>Pre-operative evaluations using CBCT can aid anaesthetists for septum deviation and turbinate hypertrophy, as both can impact intubation success rates and duration.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"515-520"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In vitro accuracy of ultra-low dose cone-beam CT for detection of proximal caries.","authors":"Aria Taeby, Seyyed Amir Seyyedi, Maryam Mostafavi","doi":"10.1093/dmfr/twae030","DOIUrl":"10.1093/dmfr/twae030","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the accuracy of ultra-low dose (ULD) cone-beam CT (CBCT) for detection of proximal caries.</p><p><strong>Methods: </strong>This in vitro study evaluated 104 molar and premolar teeth. The teeth were mounted in dry skulls and underwent CBCT with 4 protocols of high-resolution (HR), normal (NORM), ULD-HR, and ULD-NORM; 78 CBCT images were scored by 3 observers for the presence and penetration depth of caries twice with a 2-week interval using a 5-point Likert scale. The teeth were then sectioned and observed under a stereomicroscope (gold standard). The 4 protocols were compared with each other and with the gold standard. The receiver operating characteristic curve was drawn, and the area under the curve (AUC) was calculated and compared by the Chi-square test (alpha = .05).</p><p><strong>Results: </strong>The interobserver agreement ranged from 0.5233 to 0.6034 for ULD-NORM, 0.5380 to 0.6279 for NORM, 0.5856 to 0.6300 for ULD-HR, and 0.6614 to 0.7707 for HR images. The intra-observer agreement ranged from 0.6027 to 0.8812 for ULD-HR, 0.7083 to 0.7556 for HR, 0.6076 to 0.9452 for ULD-NORM, and 0.7012 to 0.9221 for NORM images. Comparison of AUC revealed no significant difference between NORM and ULD-NORM (P > .05), or HR and ULD-HR (P > .05). The highest AUC belonged to HR (0.8529) and the lowest to NORM (0.7774).</p><p><strong>Conclusions: </strong>Considering the significant reduction in radiation dose in ULD CBCT and its acceptable diagnostic accuracy for detection of proximal caries, this protocol may be used for detection of proximal carious lesions and assessment of their depth.</p>","PeriodicalId":11261,"journal":{"name":"Dento maxillo facial radiology","volume":" ","pages":"459-467"},"PeriodicalIF":2.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}