根尖周放射摄影和全景放射摄影在检测根尖牙周炎方面的诊断准确性:系统回顾和荟萃分析。

IF 9.7 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Radiologia Medica Pub Date : 2024-11-01 Epub Date: 2024-09-03 DOI:10.1007/s11547-024-01882-z
Giulio Stera, Martina Giusti, Andrea Magnini, Linda Calistri, Rossana Izzetti, Cosimo Nardi
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引用次数: 0

摘要

目的:根尖牙周炎(AP)是口腔中最常见的病变之一。早期准确诊断根尖周炎病变对于牙髓治疗的正确管理和规划至关重要。本研究探讨了根尖周炎放射摄影术(PR)和全景放射摄影术(PAN)在临床/手术/组织病理学证实的根尖周炎病变检测中的诊断准确性:根据 PRISMA 指南进行了系统性文献综述。检索策略仅限于截至 2023 年 6 月 30 日通过 PubMed、Embase 和 Web of Science 数据库检索的英文文章。这些文章提供了检测 AP 病变的 PR 和/或 PAN 诊断准确度值或计算准确度值所需的数据:结果:12 项研究符合纳入标准并被纳入分析。在评估 AP 病变方面,PR 和 PAN 的平均诊断准确率分别为 71% 和 66%。根据特定解剖区域的不同准确性,建议使用 PR 分析位于上牙弓和下切牙区域的 AP 病变,而使用 PR 或 PAN 检查下前磨牙和臼齿区域的准确性相同:结论:二维成像必须被视为诊断 AP 病变的一级检查。PR的诊断准确性总体上略高于PAN。本综述提供的证据为放射科医生和牙科医生在怀疑根尖周炎性骨质病变时做出决策提供了有用的工具,以帮助患者获得最佳临床效果,提高临床实践质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Diagnostic accuracy of periapical radiography and panoramic radiography in the detection of apical periodontitis: a systematic review and meta-analysis.

Diagnostic accuracy of periapical radiography and panoramic radiography in the detection of apical periodontitis: a systematic review and meta-analysis.

Objective: Apical periodontitis (AP) is one of the most common pathologies of the oral cavity. An early and accurate diagnosis of AP lesions is crucial for proper management and planning of endodontic treatments. This study investigated the diagnostic accuracy of periapical radiography (PR) and panoramic radiography (PAN) in the detection of clinically/surgically/histopathologically confirmed AP lesions.

Method: A systematic literature review was conducted in accordance with the PRISMA guidelines. The search strategy was limited to English language articles via PubMed, Embase and Web of Science databases up to June 30, 2023. Such articles provided diagnostic accuracy values of PR and/or PAN in the detection of AP lesions or alternatively data needed to calculate them.

Results: Twelve studies met inclusion criteria and were considered for the analysis. The average value of diagnostic accuracy in assessing AP lesions was 71% for PR and 66% for PAN. According to different accuracy for specific anatomical areas, it is recommended to use PR in the analysis of AP lesions located in the upper arch and lower incisor area, whereas lower premolar and molar areas may be investigated with the same accuracy with PR or PAN.

Conclusions: Two-dimensional imaging must be considered the first-level examination for the diagnosis of AP lesions. PR had an overall slightly higher diagnostic accuracy than PAN. Evidence from this review provided a useful tool to support radiologists and dentists in their decision-making when inflammatory periapical bone lesions are suspected to achieve the best clinical outcome for patients, improving the quality of clinical practice.

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来源期刊
Radiologia Medica
Radiologia Medica 医学-核医学
CiteScore
14.10
自引率
7.90%
发文量
133
审稿时长
4-8 weeks
期刊介绍: Felice Perussia founded La radiologia medica in 1914. It is a peer-reviewed journal and serves as the official journal of the Italian Society of Medical and Interventional Radiology (SIRM). The primary purpose of the journal is to disseminate information related to Radiology, especially advancements in diagnostic imaging and related disciplines. La radiologia medica welcomes original research on both fundamental and clinical aspects of modern radiology, with a particular focus on diagnostic and interventional imaging techniques. It also covers topics such as radiotherapy, nuclear medicine, radiobiology, health physics, and artificial intelligence in the context of clinical implications. The journal includes various types of contributions such as original articles, review articles, editorials, short reports, and letters to the editor. With an esteemed Editorial Board and a selection of insightful reports, the journal is an indispensable resource for radiologists and professionals in related fields. Ultimately, La radiologia medica aims to serve as a platform for international collaboration and knowledge sharing within the radiological community.
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