超声成像在炎性根状囊肿和根尖周围肉芽肿鉴别诊断中的准确性:手术特征的系统回顾和荟萃分析。

IF 1.6 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Nestor Rios Osorio, Oscar Jiménez Peña, Marcela Contreras Ibarra, Marggie Grajales, Rafael Fernández Grisales
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引用次数: 0

摘要

本系统综述旨在评估超声(US)成像在炎性根状囊肿(IRCs)和根尖周围肉芽肿(pg)鉴别诊断中的准确性,并将其与作为参考标准的组织学检查进行比较。Scopus, Medline (PubMed)和Web of Science从创立到2024年4月进行了检索。使用QUADAS-2工具评估方法学质量。本研究纳入了2003年至2023年间发表的13项横断面研究。对275例患者(每例1颗牙)进行超声检查与组织病理学检查的比较。US影像学检查的综合指标为:敏感性= 0.96 [95% CI, 0.93-0.99],特异性= 0.83 [95% CI, 0.76-0.88], LR+ = 3.498 [95% CI, 2.079-5.885], LR- = 0.091 [95% CI, 0.050-0.164], DOR = 65.848 (95% CI, 28.857-150.25), AUC=0.97 (95% CI, 0.95-1.00)。在所有领域和研究中,方法评估是可变的。大约90%和70%的研究分别揭示了在“流”和“时间”以及“参考标准”领域存在某种形式的偏见风险。超声显像可被视为IRC与PG鉴别诊断的高度准确和一致的方法。根尖周围病变的超声特征反映了其组织病理学特征。(eej - 2024 - 09 - 150)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accuracy of Ultrasound Imaging in the Differential Diagnosis of Inflammatory Radicular Cyst and Periapical Granuloma: A Systematic Review and Meta-Analysis of Operative Characteristics.

This systematic review aimed to assess the accuracy of ultrasonic (US) imaging in the differential diagnosis between inflammatory radicular cysts (IRCs) and periapical granulomas (PGs) compared with the histological examination as the reference standard. Scopus, Medline (PubMed), and Web of Science were searched from inception to April 2024. The Methodological quality was assessed using the QUADAS-2 tool. Thirteen cross-sectional studies published between 2003 and 2023 were included in this study. A total sample of 275 patients (one tooth / per patient) comparing ultrasound test vs. histopathological examination was assessed. The summary measures of the US imaging test were: sensitivity= 0.96 [95% CI, 0.93-0.99], specificity= 0.83 [95% CI, 0.76-0.88], LR+ = 3.498 [95% CI, 2.079-5.885], LR- = 0.091 [95% CI, 0.050-0.164], DOR = 65.848 (95% CI, 28.857-150.25) and AUC=0.97 (95% CI, 0.95-1.00). The methodological assessment was variable in all domains and studies. Approximately 90% and 70% of the studies revealed some form of risk of bias concern in the domains -flow and timing-, and -reference standard-, respectively. US imaging can be regarded as a highly accurate and consistent method for IRC vs. PG differential diagnosis. The echotexture features of periapical lesions in US images reflected their histopathological characteristics. (EEJ-2024-09-150).

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来源期刊
European Endodontic Journal
European Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.40
自引率
5.60%
发文量
25
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