Polish journal of radiology最新文献

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Computed tomography features in prediction of histological differentiation of pancreatic neuroendocrine neoplasms - a single-centre retrospective cohort study. 预测胰腺神经内分泌肿瘤组织学分化的计算机断层扫描特征--一项单中心回顾性队列研究。
Polish journal of radiology Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/191838
Jan Krzysztof Herzyk, Karolina Majewska, Krzysztof Jakimów, Jakub Ciesielka, Joanna Pilch-Kowalczyk
{"title":"Computed tomography features in prediction of histological differentiation of pancreatic neuroendocrine neoplasms - a single-centre retrospective cohort study.","authors":"Jan Krzysztof Herzyk, Karolina Majewska, Krzysztof Jakimów, Jakub Ciesielka, Joanna Pilch-Kowalczyk","doi":"10.5114/pjr/191838","DOIUrl":"https://doi.org/10.5114/pjr/191838","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of our study was to analyse the histological differentiation and computed tomography imaging features of pancreatic neuroendocrine neoplasms (PNENs).</p><p><strong>Material and methods: </strong>We performed a retrospective single-centre cohort study of 157 patients with histologically confirmed PNEN. We compared the results of the preoperative biopsy from the tumour with reports of the multi-slice computed tomography performed by a radiologist with 30 years of clinical practice.</p><p><strong>Results: </strong>Specific computed tomography (CT) features are associated with histological differentiation, such as enhancement in the arterial phase (<i>p</i> = 0.032), Wirsung's duct dilatation (<i>p</i> = 0.001), other organ infiltration (<i>p</i> < 0.001), distant metastases (<i>p</i> < 0.001), and enlarged regional lymph nodes (<i>p</i> = 0.018). When there is an organ infiltration, the likelihood of the tumour having histological malignancy grades G2 or G3 triples (95% CI: 1.21-8.06). Likewise, the existence of distant metastases increases the risk almost fourfold (95% CI: 1.44-10.61), and a tumour size of 2 cm or larger is linked to a nearly threefold rise in the risk of histological malignancy grades G2 or G3 (95% CI: 1.21-6.24).</p><p><strong>Conclusions: </strong>Certain CT characteristics: enhancement during the arterial phase, Wirsung's duct dilatation, organ infiltration, distant metastases, and the enlargement of regional lymph nodes are linked to histological differentiation.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e457-e463"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
T1a renal cancer cryoablation - first experiences in Poland. T1a 肾癌冷冻消融术--波兰的首次经验。
Polish journal of radiology Pub Date : 2024-09-23 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/191839
Grzegorz Rosiak, Jakub Franke, Dariusz Konecki, Krzysztof Milczarek, Tomasz Ostrowski, Robert Nowakowski, Tomasz Demkow, Zbigniew Gałązka
{"title":"T1a renal cancer cryoablation - first experiences in Poland.","authors":"Grzegorz Rosiak, Jakub Franke, Dariusz Konecki, Krzysztof Milczarek, Tomasz Ostrowski, Robert Nowakowski, Tomasz Demkow, Zbigniew Gałązka","doi":"10.5114/pjr/191839","DOIUrl":"https://doi.org/10.5114/pjr/191839","url":null,"abstract":"<p><strong>Purpose: </strong>Cryoablation is one of the methods of treating patients with renal cancer with curative intent. This procedure is not widely available in Poland due to the lack of reimbursement until April 2023. The purpose of this study is to present the results of the first experiences in cryoablation of renal cell carcinoma in Poland.</p><p><strong>Material and methods: </strong>Patients with renal cell carcinoma in T1a stage (up to 4 cm in diameter) were treated with percutaneous cryoablation between December 2020 and December 2023. All patients were disqualified from surgical treatment due to age, comorbidities, or history of nephrectomy. Diagnosis was confirmed by computed tomography (CT)-guided core needle biopsy that was performed 2-4 weeks before cryoablation.</p><p><strong>Results: </strong>Twenty-five patients underwent CT-guided cryoablation of T1a renal cancer. The mean age of the patients was 77 years (43-91 years). The mean diameter of lesions was 27 mm (15-40 mm). None of the patients presented with local or distant recurrence within the mean 12-months of follow-up period (100% progression-free survival). Urine leak treated with a stent was detected in one patient. Four patients died within the follow-up period, but none of the deaths was directly related to the procedure.</p><p><strong>Conclusions: </strong>Cryoablation is an effective and safe procedure and should be available to more patients in Poland.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e453-e456"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Performance of Claude 3.5 Sonnet in image-based radiological case evaluations. Claude 3.5 Sonnet 在基于图像的放射病例评估中的性能。
Polish journal of radiology Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/192160
Muhammed Said Beşler
{"title":"Performance of Claude 3.5 Sonnet in image-based radiological case evaluations.","authors":"Muhammed Said Beşler","doi":"10.5114/pjr/192160","DOIUrl":"https://doi.org/10.5114/pjr/192160","url":null,"abstract":"","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e452"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deep learning and AI in reducing magnetic resonance imaging scanning time: advantages and pitfalls in clinical practice. 深度学习和人工智能在缩短磁共振成像扫描时间方面的应用:临床实践中的优势与陷阱。
Polish journal of radiology Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/192822
Giovanni Foti, Chiara Longo
{"title":"Deep learning and AI in reducing magnetic resonance imaging scanning time: advantages and pitfalls in clinical practice.","authors":"Giovanni Foti, Chiara Longo","doi":"10.5114/pjr/192822","DOIUrl":"https://doi.org/10.5114/pjr/192822","url":null,"abstract":"<p><p>Magnetic resonance imaging (MRI) is a powerful imaging modality, but one of its drawbacks is its relatively long scanning time to acquire high-resolution images. Reducing the scanning time has become a critical area of focus in MRI, aiming to enhance patient comfort, reduce motion artifacts, and increase MRI throughput. In the past 5 years, artificial intelligence (AI)-based algorithms, particularly deep learning models, have been developed to reconstruct high-resolution images from significantly fewer data points. These new techniques significantly enhance MRI efficiency, improve patient comfort and lower patient motion artifacts. Improving MRI throughput with lower scanning duration increases accessibility, potentially reducing the need for additional MRI machines and associated costs. Several fields can benefit from shortened protocols, especially for routine exams. In oncologic imaging, faster MRI scans can facilitate more regular monitoring of cancer patients. In patients suffering from neurological disorders, rapid brain imaging can aid in the quick assessment of conditions like stroke, multiple sclerosis, and epilepsy, improving patient outcomes. In chronic inflammatory disease, faster imaging may help in reducing the interval between imaging to better check therapy outcomes. Additionally, reducing scanning time could effectively help MRI to play a role in emergency medicine and acute conditions such as trauma or acute ischaemic stroke. The purpose of this paper is to describe and discuss the advantages and disadvantages of introducing deep learning reconstruction techniques to reduce MRI scanning times in clinical practice.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e443-e451"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Photon-counting computed tomography in radiology. 放射学中的光子计数计算机断层扫描。
Polish journal of radiology Pub Date : 2024-09-11 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/191743
Oktay Algin, Nazime Tokgoz, Filippo Cademartiri
{"title":"Photon-counting computed tomography in radiology.","authors":"Oktay Algin, Nazime Tokgoz, Filippo Cademartiri","doi":"10.5114/pjr/191743","DOIUrl":"https://doi.org/10.5114/pjr/191743","url":null,"abstract":"<p><p>Photon-counting detector computed tomography (PCD-CT) devices have recently been introduced into practice, despite photon-counting detector technology having been studied for many years. PCD-CT devices are expected to provide advantages in dose reduction, tissue specificity, artifact-free imaging, and multi-contrast demonstration capacity. Noise reduction and increased spatial resolution are expected using PCD-CT, even under challenging scanning conditions. Some experimental or preliminary studies support this hypothesis. This pictorial review illustrates the features of PCD-CT systems, particularly in the interventional field. PCD-CT offers superior image quality and better lesion discrimination than conventional CT techniques for various conditions. PCD-CT shows significant improvements in many aspects of vascular imaging. It is still in its early stages, and several challenges have been identified. Also, PCD-CT devices have some important caveats. The average cost of these devices is 3 to 4 times higher than conventional CT units. This additional cost must be justified by improved clinical benefits or reduced clinical harms. Further investigations will be needed to resolve these issues.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e433-e442"},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Possibility to measure the volume of coronary sinus in contrast-enhanced computed tomography. 在造影剂增强计算机断层扫描中测量冠状窦体积的可能性。
Polish journal of radiology Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/191535
Agnieszka Młynarska, Rafał Młynarski
{"title":"Possibility to measure the volume of coronary sinus in contrast-enhanced computed tomography.","authors":"Agnieszka Młynarska, Rafał Młynarski","doi":"10.5114/pjr/191535","DOIUrl":"https://doi.org/10.5114/pjr/191535","url":null,"abstract":"<p><strong>Introduction: </strong>Modern imaging techniques such as computed tomography (CT) can help in the assessment of coronary sinus volume in a vitro manner, but there is no comprehensive research on this topic so far. Hence, we decided to develop a methodology for measuring the volume of the coronary sinus in multi-detector CT and to try to apply it in practice.</p><p><strong>Material and methods: </strong>Forty-nine patients (22 men) were included in this research, with a mean age of 70.08 ± 13.6 years. Scanning with retrospective ECG-gating was performed using a Toshiba Aquilion 64 (slice: 0.5 mm; helical pitch: 12.8; rotation time: 0.4 s). 80 ± 20 cm<sup>3</sup> of non-ionic contrast was administered to each patient. The volume of coronary sinus and other data measurements were performed using Vitrea 2 workstations. The organ volume measurement function was used to measure volume objects in CT scans. To standardise the measurements, they were all performed to the place where the vein of Marshall reaches the coronary sinus. In cases of loss of vein of Marshall, the first lateral vein was used as the junction between the coronary sinus and the great cardiac vein.</p><p><strong>Results: </strong>The coronary sinus volume varied from 0.96 cm<sup>3</sup> to 8.52 cm<sup>3</sup>. The average volume was 3.71 ± 1.64 cm<sup>3</sup>. There was a significant correlation between end diastolic volume and coronary sinus volume (<i>r</i> = 0.33, <i>p</i> = 0.02). In most cases the quality of visualisation was good - the average was calculated as 4.16 ± 0.87. The Thebesian valve was present in 22 cases (44.9%); however, no statistical relationship between the presence of the Thebesian valve and coronary sinus was observed.</p><p><strong>Conclusion: </strong>It is possible to visualise and calculate the volume of the coronary sinus in cardiac CT.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e428-e432"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the diagnostic accuracy of artificial intelligence in post-endovascular aneurysm repair endoleak detection using dual-energy computed tomography angiography. 利用双能计算机断层扫描血管造影评估人工智能在血管内动脉瘤修补术后内漏检测中的诊断准确性。
Polish journal of radiology Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/192115
Ewa Nowak, Marcin Białecki, Agnieszka Białecka, Natalia Kazimierczak, Anna Kloska
{"title":"Assessing the diagnostic accuracy of artificial intelligence in post-endovascular aneurysm repair endoleak detection using dual-energy computed tomography angiography.","authors":"Ewa Nowak, Marcin Białecki, Agnieszka Białecka, Natalia Kazimierczak, Anna Kloska","doi":"10.5114/pjr/192115","DOIUrl":"https://doi.org/10.5114/pjr/192115","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the diagnostic accuracy of an artificial intelligence (AI) tool in detecting endoleaks in patients undergoing endovascular aneurysm repair (EVAR) using dual-energy computed tomography angiography (CTA).</p><p><strong>Material and methods: </strong>The study involved 95 patients who underwent EVAR and subsequent CTA follow-up. Dualenergy scans were performed, and images were reconstructed as linearly blended (LB) and 40 keV virtual monoenergetic (VMI) images. The AI tool PRAEVAorta<sup>®</sup>2 was used to assess arterial phase images for endoleaks. Two experienced readers independently evaluated the same images, and their consensus served as the reference standard. Key metrics, including accuracy, precision, recall, F1 score, and area under the receiver operating characteristic (ROC) curve (AUC), were calculated.</p><p><strong>Results: </strong>The final analysis included 94 patients. The AI tool demonstrated an accuracy of 78.7%, precision of 67.6%, recall of 10 71.9%, F1 score of 69.7%, and an AUC of 0.77 using LB images. However, the tool failed to process 40 keV VMI images correctly, limiting further analysis of these datasets.</p><p><strong>Conclusions: </strong>The AI tool showed moderate diagnostic accuracy in detecting endoleaks using LB images but failed to achieve the reliability needed for clinical use due to the significant number of misdiagnoses.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e420-e427"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic accuracy of microvascular flow imaging ultrasound for endoleak detection after endovascular aortic aneurysm repair: a systematic review and meta-analysis. 血管内主动脉瘤修补术后微血管血流成像超声检测内漏的诊断准确性:系统综述和荟萃分析。
Polish journal of radiology Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/190502
Marcin Czeczelewski, Ewa Kopyto, Maryla Kuczyńska, Anna Drelich-Zbroja, Tomasz Jargiełło
{"title":"Diagnostic accuracy of microvascular flow imaging ultrasound for endoleak detection after endovascular aortic aneurysm repair: a systematic review and meta-analysis.","authors":"Marcin Czeczelewski, Ewa Kopyto, Maryla Kuczyńska, Anna Drelich-Zbroja, Tomasz Jargiełło","doi":"10.5114/pjr/190502","DOIUrl":"https://doi.org/10.5114/pjr/190502","url":null,"abstract":"<p><p>The objective was to assess the diagnostic accuracy of microvascular flow imaging ultrasound (MVUS) for the detection of endoleak after endovascular aortic aneurysm repair. A systematic search of the literature published until January 2024 was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses of Diagnostic Test Accuracy (PRISMA-DTA) guidelines. The pooled rates of sensitivity, specificity, and diagnostic odds ratio of MVUS in endoleak detection with computed tomography angiography as the reference standard were estimated using univariate random-effect analysis with 95% confidence intervals. Three studies were considered eligible for inclusion. Superb micro-vascular imaging (SMI) was used as an MVUS technique in all cases. The total number of paired scans was 209. Sensitivity and specificity of the individual studies ranged 0.75-1.00 and 0.93-1.00, respectively. Pooled sensitivity and specificity of the SMI method was 0.91 (CI: 0.82-0.96) and 0.98 (CI: 0.94-1.00), respectively. The pooled diagnostic odds ratio was 635 (95% CI: 128-3140). The findings of the present study support the use of the MVUS for endoleak detection. However, further research is warranted to explore the broader application of MVUS, providing a more comprehensive understanding and establishing robust criteria for its role in clinical practice.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e414-e419"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is there added value of the hepatobiliary phase of MRI with hepatobiliary contrast agents for hepatocellular carcinoma diagnosis? A meta-analysis. 使用肝胆造影剂的磁共振成像肝胆期对肝细胞癌诊断有附加价值吗?一项荟萃分析。
Polish journal of radiology Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/189614
Dorota Rybczynska, Karolina Markiet, Joanna Pienkowska, Andrzej Frydrychowski
{"title":"Is there added value of the hepatobiliary phase of MRI with hepatobiliary contrast agents for hepatocellular carcinoma diagnosis? A meta-analysis.","authors":"Dorota Rybczynska, Karolina Markiet, Joanna Pienkowska, Andrzej Frydrychowski","doi":"10.5114/pjr/189614","DOIUrl":"https://doi.org/10.5114/pjr/189614","url":null,"abstract":"<p><strong>Purpose: </strong>So far, there have been published several meta-analyses which focused on hepatocellular carcinoma (HCC) detection with hepatobiliary phase (HBP) contrast agents. However, only a few of them aimed at establishing whether there is any added value of the HBP itself for HCC diagnosis. To answer the question, we performed a systematic literature search with the time limit going back to 2010.</p><p><strong>Material and methods: </strong>True positive, false positive, false negative, and true negative values with and without the HBP were extracted from the included studies. Pooled sensitivities and specificities with and without the HBP were calculated and summary receiver operating characteristics curves were drawn to assess the diagnostic performance of the studies with and without the HBP.</p><p><strong>Results: </strong>A total of 13 studies were included involving 1184 HCC lesions. In 13 studies without the HBP, the pooled sensitivity, specificity, and area under the curve (AUC) were 0.83, 0.89 and 0.94 respectively. In 13 studies with the HBP, the pooled sensitivity, specificity and AUC were 0.91, 0.85 and 0.98 respectively.</p><p><strong>Conclusions: </strong>We found no statistically significant differences in sensitivities between studies with and without the HBP (<i>p</i> = 0.1651).</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e402-e413"},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of endodontic treatment and prevalence of apical periodontitis using cone-beam computed tomography: a cross-sectional study. 使用锥束计算机断层扫描评估牙髓治疗和根尖牙周炎的患病率:一项横断面研究。
Polish journal of radiology Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.5114/pjr/190412
Katarzyna Lewusz-Butkiewicz, Kinga Kaczor-Wiankowska, Aleksandra Kulas-Bałaban, Elżbieta Kubala, Alicja Nowicka
{"title":"Assessment of endodontic treatment and prevalence of apical periodontitis using cone-beam computed tomography: a cross-sectional study.","authors":"Katarzyna Lewusz-Butkiewicz, Kinga Kaczor-Wiankowska, Aleksandra Kulas-Bałaban, Elżbieta Kubala, Alicja Nowicka","doi":"10.5114/pjr/190412","DOIUrl":"https://doi.org/10.5114/pjr/190412","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was a retrospective cross-sectional study of the Polish subpopulation, performed to evaluate the quality of endodontic treatment (ET) and the condition of the periapical tissues of permanent teeth based on cone-beam computed tomography (CBCT) images.</p><p><strong>Material and methods: </strong>The retrospective study included a group of patients who underwent CBCT at the University Dental Clinic of the Pomeranian Medical University in Szczecin. An endodontically treated tooth index (ETTI) was used to evaluate ET. Once apical periodontitis was recognised, the size, extent, and ratio of adjacent anatomical structures were assessed using the complex periapical index (COPI).</p><p><strong>Results: </strong>Analysis of the CBCT images showed that ET was performed in 9.9% of the teeth examined, of which 52.7% of the canals were treated correctly, while 28.1% of the root canals were found to be underfilled, 6.8% were overfilled, 9.3% of the root canals were not obturated at all, and in 3.1% of the teeth examined, the filling material was only visible in the pulp chamber. Apical periodontitis was observed in 6% of all teeth examined, while the percentage of teeth following ET was 38.5%.</p><p><strong>Conclusions: </strong>The quality of the ET provided to the Polish subpopulation is unsatisfactory. Lack of root canal filling homogeneity is a significant risk factor for ET failure. Improper ET and poor quality of crown restoration after ET have an impact on the increased risk of occurrence, size, degree of root coverage, and extent of inflammatory periapical lesions in relation to adjacent anatomical structures.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e391-e401"},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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