{"title":"Volume-based 18F-fluorodeoxyglucose positron emission tomography/computed tomography parameters correlate with delayed neck metastasis in clinical early-stage oral squamous cell carcinoma.","authors":"Nobuhiro Yamakawa, Yohei Nakayama, Nobuhiro Ueda, Takahiro Yagyuu, Shigehiro Tamaki, Tadaaki Kirita","doi":"10.1007/s11282-023-00686-7","DOIUrl":"10.1007/s11282-023-00686-7","url":null,"abstract":"<p><strong>Objective: </strong>There is no known preoperative marker that can effectively predict the risk of delayed neck metastasis (DNM), which is an important factor that determines the prognosis of early-stage oral cancer. In this study, we examined whether 18F-fluorodeoxyglucose positron emission tomography (18F-FDG-PET)/computed tomography (CT) uptake parameters of primary cancer can predict the risk of DNM in early-stage oral squamous cell carcinoma (OSCC).</p><p><strong>Methods: </strong>Data from patients with stage I-II OSCC who underwent surgical resection of the primary tumor without elective neck dissection between January 2009 and December 2016 were retrospectively reviewed. Patient characteristics, histopathological factors, and PET/CT parameters (maximum standardized uptake value [SUVmax], metabolic tumor volume [MTV], and total lesion glycolysis [TLG]) were evaluated for their association with DNM. DNM rates were calculated, and the parameters that were statistically significant in the univariate analysis were used as explanatory variables. Independent factors associated with DNM were identified using multivariate analysis. For all statistical analyses, p-values < 0.05 were considered statistically significant.</p><p><strong>Results: </strong>Data from 71 patients were analyzed in the study. The overall DNM rate among all patients was 21.8%. The univariate analysis showed that the T classification, depth of invasion, pattern of invasion, lymphovascular invasion, SUVmax, MTV, and TLG were significant predictors of DNM. However, the multivariate analysis revealed that only the depth of invasion, MTV, and TLG were independent predictors of DNM.</p><p><strong>Conclusion: </strong>This study suggests that, in addition to conventional predictors, volume-based PET parameters are useful predictors of DNM in those with early-stage OSCC.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01Epub Date: 2023-03-09DOI: 10.1007/s11282-023-00678-7
Gülsün Akay, M Ali Akcayol, Kevser Özdem, Kahraman Güngör
{"title":"Deep convolutional neural network-the evaluation of cervical vertebrae maturation.","authors":"Gülsün Akay, M Ali Akcayol, Kevser Özdem, Kahraman Güngör","doi":"10.1007/s11282-023-00678-7","DOIUrl":"10.1007/s11282-023-00678-7","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to automatically determine the cervical vertebral maturation (CVM) processes on lateral cephalometric radiograph images using a proposed deep learning-based convolutional neural network (CNN) model and to test the success rate of this CNN model in detecting CVM stages using precision, recall, and F1-score.</p><p><strong>Methods: </strong>A total of 588 digital lateral cephalometric radiographs of patients with a chronological age between 8 and 22 years were included in this study. CVM evaluation was carried out by two dentomaxillofacial radiologists. CVM stages in the images were divided into 6 subgroups according to the growth process. A convolutional neural network (CNN) model was developed in this study. Experimental studies for the developed model were carried out in the Jupyter Notebook environment using the Python programming language, the Keras, and TensorFlow libraries.</p><p><strong>Results: </strong>As a result of the training that lasted 40 epochs, 58% training and 57% test accuracy were obtained. The model obtained results that were very close to the training on the test data. On the other hand, it was determined that the model showed the highest success in terms of precision and F1-score in the CVM Stage 1 and the highest success in the recall value in the CVM Stage 2.</p><p><strong>Conclusion: </strong>The experimental results have shown that the developed model achieved moderate success and it reached a classification accuracy of 58.66% in CVM stage classification.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10626374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01Epub Date: 2023-05-22DOI: 10.1007/s11282-023-00688-5
Zeynep Betül Arslan, Füsun Yaşar
{"title":"Evaluation of the thickness and internal structure of the masseter muscle with ultrasonography in female bruxism patients.","authors":"Zeynep Betül Arslan, Füsun Yaşar","doi":"10.1007/s11282-023-00688-5","DOIUrl":"10.1007/s11282-023-00688-5","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate the differences in the thickness and internal structure of the masseter muscle in individuals with and without bruxism by ultrasonography.</p><p><strong>Materials and methods: </strong>A total of 60 female patients with and without bruxism whose ages were ranging between 20 and 35 were included in the study. The masseter muscle thickness was measured during rest and maximum bite position. Ultrasonographic internal structure of the masseter muscle is classified according to the visibility of echogenic bands. In addition, the echogenic internal structure of the masseter muscle was evaluated with quantitative muscle ultrasound.</p><p><strong>Results: </strong>The masseter muscle thickness was significantly higher in both positions in patients with bruxism (p < 0.05). There was no significant difference between two groups in the evaluation of echogenicity (p > 0.05).</p><p><strong>Conclusions: </strong>Ultrasonography is a useful and important diagnostic method for evaluating masseter muscle without using radiation.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01Epub Date: 2023-03-15DOI: 10.1007/s11282-023-00679-6
Ceyda Gündoğdu, Sinem Akgül
{"title":"Radiopacity evaluation of different types of resin restorative materials using a digital radiography system.","authors":"Ceyda Gündoğdu, Sinem Akgül","doi":"10.1007/s11282-023-00679-6","DOIUrl":"10.1007/s11282-023-00679-6","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to evaluate and compare the radiopacity of 20 current dental resin composites with digital radiography.</p><p><strong>Methods: </strong>Ten specimens, 10-mm in diameter and 1-mm thickness, were prepared and radiographed using phosphor plates close to Al step wedges and tooth sections. The mean grey values (MGVs) were measured using an ImageJ software program and converted to equivalent Al thickness. Data were analyzed using one-way analysis of variance (ANOVA) and Tamhane post hoc test (p < 0.05). Correlation between mean radiopacity and filler content (wt% and vol%) of the tested materials was analyzed with linear regression analysis.</p><p><strong>Results: </strong>The radiopacity of all composites ranged from 1.32 mm Al (Estellite Flow Quick) to 3.41 mm Al (Charisma Classic). All the tested materials, except four restorative materials, had a radiopacity equal or higher than the enamel (p < 0.05). Linear regression revealed low correlation between the radiopacity and filler content of the composite.</p><p><strong>Conclusion: </strong>Majority of the materials has appropriate radiopacity for dental restorations. There was great variation in radiopacity level, may clinically affect the diagnosis.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01Epub Date: 2023-07-20DOI: 10.1007/s11282-023-00700-y
Kyriaki Seremidi, Anastasia Mitsea, William Papaioannou, Konstantina Petroleka, Sotiria Gizani
{"title":"Assessing quality and quantity of cortical bone in childhood cancer survivors using anthropometric indices.","authors":"Kyriaki Seremidi, Anastasia Mitsea, William Papaioannou, Konstantina Petroleka, Sotiria Gizani","doi":"10.1007/s11282-023-00700-y","DOIUrl":"10.1007/s11282-023-00700-y","url":null,"abstract":"<p><strong>Objectives: </strong>Evaluate mandibular cortical bone in childhood cancer survivors (CCS) and correlate findings with disease and treatment characteristics.</p><p><strong>Methods: </strong>Dental panoramic radiographs of 60 CCS and of 120 age and gender-matched healthy individuals were assessed by two independent observers. Bone was categorized as normal, moderately or severely eroded and its width was calculated at four sites bilaterally. Significant differences were tested using Chi-square and Pearson correlation co-efficient. Possible risk factors were detected by multivariate regression analysis.</p><p><strong>Results: </strong>Forty five percent of CCS had moderately eroded bone, while 67% of healthy individuals normal bone. Mean width was 3.9 mm in CCS (1.9 mm-6.4 mm) and 2.7 mm in healthy controls (1.4 mm-6 mm). None of the above differences were significant. Survivors diagnosed at a younger age had a five times greater probability of presenting mildly eroded bone.</p><p><strong>Conclusions: </strong>No direct effect of antineoplastic treatment on cortical bone could be demonstrated in the current study, underlying the need for more well-designed studies.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the influence of hyoid bone position, volume, and types on pharyngeal airway volume and cephalometric measurements.","authors":"Aida Kurbanova, Seçil Aksoy, Meltem Nalça Andrieu, Ulaş Öz, Kaan Orhan","doi":"10.1007/s11282-023-00691-w","DOIUrl":"10.1007/s11282-023-00691-w","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to explore the position, morphological, and morphometric properties of the hyoid bone (HB) and to investigate the effect of HB on the pharyngeal airway (PA) volume and cephalometric measurements.</p><p><strong>Methods: </strong>A total of 305 patients with CT images were included in the study. DICOM images were transferred to the InVivoDental three-dimensional imaging software. The position of the HB was determined based on the cervical vertebra level and in volume render tab, the bone was classified into six types after all structures around the HB were removed. Also, final bone volume was recorded. In the same tab, the pharyngeal airway volume was divided and measured in three groups (nasopharynx-oropharynx-hypopharynx). The linear and angular measurements were performed on the 3D cephalometric analysis tab.</p><p><strong>Results: </strong>HB was most commonly located in C3 vertebra level (80.3%). While B-type was found to be the most frequent (34%), V-type was the least frequent (8%). The volume of the HB was found to be significantly higher in male (3205 mm<sup>3</sup>) than female (2606 mm<sup>3</sup>) patients. Also, it was significantly higher in the C4 vertebra group. The vertical height of the face was positively correlated with the HB volume, C4 level position, and increased oro-nasopharyngeal airway volume.</p><p><strong>Conclusion: </strong>The volume of the HB is found to differ significantly between genders and can potentially serve as a valuable diagnostic tool for understanding respiratory disorders. Its morphometric features are associated with increased face height and airway volume; however, are not related with the skeletal malocclusion classes.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of data size on tooth numbering performance via artificial intelligence using panoramic radiographs.","authors":"Semih Gülüm, Seçilay Kutal, Kader Cesur Aydin, Gazi Akgün, Aleyna Akdağ","doi":"10.1007/s11282-023-00689-4","DOIUrl":"10.1007/s11282-023-00689-4","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the effect of number of data on model performance, for the detection of tooth numbering problem on dental panoramic radiographs, with the help of image processing and deep learning algorithms.</p><p><strong>Study design: </strong>The data set consists of 3000 anonymous dental panoramic X-rays of adult individuals. Panoramic X-rays were labeled on the basis of 32 classes in line with the FDI tooth numbering system. In order to examine the relationship between the number of data used in image processing algorithms and model performance, four different datasets which include 1000, 1500, 2000 and 2500 panoramic X-rays, were used. The training of the models was carried out with the YOLOv4 algorithm and trained models were tested on a fixed test dataset with 500 data and compared based on F1 score, mAP, sensitivity, precision and recall metrics.</p><p><strong>Results: </strong>The performance of the model increased as the number of data used during the training of the model increased. Therefore, the last model trained with 2500 data showed the highest success among all the trained models.</p><p><strong>Conclusion: </strong>Dataset size is important for dental enumeration, and large samples should be considered as more reliable.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of palatal mucosal thickness and location of the greater palatine foramen using cone-beam computed tomography: a retrospective study.","authors":"Bahar Füsun Oduncuoğlu, Hazal Karslioğlu, Ipek Naz Karasu, Mediha Nur Nisanci Yilmaz, Elif Inonu","doi":"10.1007/s11282-023-00699-2","DOIUrl":"10.1007/s11282-023-00699-2","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to measure the palatal mucosal thickness and examine the location of the greater palatine foramen using cone-beam computerized tomography (CBCT).</p><p><strong>Methods: </strong>In this study, cone-beam computed tomography (CBCT) images of the maxillary posterior region of 120 subjects were evaluated. The palatal mucosal thickness (PMT), palatal width and depth, and location of the greater palatine foramen (GPF) were determined on CBCT. The differences in the palatal mucosal thickness according to gender and palatal width/palatal depth were analyzed. The location of the GPF related to the maxillary molars was noted.</p><p><strong>Results: </strong>The mean palatal mucosal thicknesses from the canine to the second molar teeth were 3.66, 3.90, 4.06, 3.76, and 3.92 mm, respectively. The mean PMT at the second premolar was statistically thicker than at other regions (p < 0,001). There was no relationship between PMT and gender. However, the palatal depth and width of the males were greater than females. (p = 0.004 and p = 0.014, respectively) PMT in the low palatal vault group had statistically higher compared to the high palatal vault group. (p = 0.023) Greater palatine foramen was mostly observed between second and third molar teeth. (48%).</p><p><strong>Conclusions: </strong>According to our results, first and second premolar regions can be preferable in soft tissue grafting procedures for safe and successful treatment outcomes. The measurement of the thickness of the palatal mucosa and the evaluation of the greater palatine foramen location before the surgical procedures are essential steps to harvest from the ideal donor site and to achieve optimal surgical outcomes.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01DOI: 10.1007/s11282-023-00684-9
Salih Eren Meral, Seyhan Karaaslan, Hakan Hıfzı Tüz, Serdar Uysal
{"title":"Correction: Evaluation of the temporomandibular joint morphology and condylar position with cone-beam computerized tomography in patients with internal derangement.","authors":"Salih Eren Meral, Seyhan Karaaslan, Hakan Hıfzı Tüz, Serdar Uysal","doi":"10.1007/s11282-023-00684-9","DOIUrl":"10.1007/s11282-023-00684-9","url":null,"abstract":"","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10259703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral RadiologyPub Date : 2023-10-01Epub Date: 2023-07-10DOI: 10.1007/s11282-023-00698-3
Abbas Shokri, Azita Ehsani, Arman Yousefi
{"title":"Prevalence of bifid variations of the mandibular canal in an Iranian population using cone-beam computed tomography.","authors":"Abbas Shokri, Azita Ehsani, Arman Yousefi","doi":"10.1007/s11282-023-00698-3","DOIUrl":"10.1007/s11282-023-00698-3","url":null,"abstract":"<p><strong>Objectives: </strong>Bifid mandibular canal (MC) is an anatomical variation of the MC. This study aimed to assess the prevalence and shape of bifid MC in an Iranian population.</p><p><strong>Materials and methods: </strong>A total of 681 patients who had undergone cone-beam computed tomography (CBCT) for different purposes between 2018 and 2020 were evaluated. After detection, bifid MCs were classified into four types forward, buccolingual, dental, and retromolar. CBCT images were assessed by two oral and maxillofacial radiologists. Data were analyzed by SPSS using an independent t-test and Chi-square test.</p><p><strong>Results: </strong>Bifid MC was found in 23 (3.4%) out of 681 patients, with a mean age of 32.21 years. Ten patients (1.5%) had a bifid MC on the right side, 6 (0.9%) on the left side, and 7 (1%) bilaterally. However, no significant correlation was found between laterality and the prevalence of bifid MC (P > 0.05). Bifid MC was found in 8 males (34.8%) and 15 females (65.2%). Gender had no significant correlation with the prevalence of bifid MC (P > 0.05). Forward type was the most common (n = 8, 1.2%) followed by buccolingual (n = 5, 0.73%), dental (n = 2, 0.3%), and retromolar (n = 1, 0.14%) types.</p><p><strong>Conclusion: </strong>According to the present results, bifid MC was not uncommon in the Iranian population of the present study, and forward type was the most common, followed by buccal and then dental bifid MCs. There was no significant correlation between sex and age with bifid MC but bifid MC was detected more frequently in females than males, and it was seen unilaterally in a higher percentage of the cases.</p>","PeriodicalId":56103,"journal":{"name":"Oral Radiology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10279572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}