近红外反射检测近端龋的准确性：一项系统综述和荟萃分析。

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-07-03 DOI:10.1016/j.jdent.2025.105949

Kaijing Mao , Jason Chi-Kit Ku , Feifei Wang , Ke Song , Walter Yu-Hang Lam , Ollie Yiru Yu

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引用次数: 0

摘要

目的：本系统综述和荟萃分析旨在评价近红外反射（NIRR）技术检测近端龋的准确性，并与参考标准进行比较。数据：本综述遵循PRISMA指南，在PROSPERO注册（CRD42024570850）。根据从纳入的研究中提取的准确性参数计算NIRR的综合灵敏度、特异性和总受试者工作特征曲线下面积（AUC）。使用诊断准确性研究质量评估-2 （QUADAS-2）工具评估研究的质量。资料来源：PubMed， MEDLINE， Scopus和Web of Science的出版物。研究选择/结果：13项研究，包括6项体外研究和7项临床研究，符合入选标准。大多数纳入的研究采用波长为850 nm的近红外光来评估NIR，而少数研究采用780、1050、1550和1600 nm的近红外光。体外研究汇总数据显示，NIRR检测近端龋齿的灵敏度（95%置信区间，CI）、特异性（95% CI）和AUC分别为0.46（0.42-0.50）、0.87（0.84-0.89）和0.72。在临床研究中，合并敏感性（95% CI）、特异性（95% CI）和AUC分别为0.65（0.62-0.68）、0.95（0.94-0.95）和0.83。七项研究显示低风险，五项研究显示高风险，一项研究显示不明确的偏倚风险和适用性问题。结论：NIRR对后牙近端龋的检测相对不敏感，但具有较高的特异性。由于纳入研究的异质性，对结果的谨慎解释是必要的。未来的研究需要证实近红外光谱在检测龋齿方面的潜力，特别是利用更长的波长的近红外光谱。临床意义：NIRR是一种新的龋齿检测技术。本研究为有兴趣使用该技术检测龋齿的研究人员和临床医生提供了有价值的信息。

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Accuracy of near-infrared reflection in detecting proximal caries: a systematic review and meta-analysis

Objective

This systematic review and meta-analysis aimed to evaluate the accuracy of near-infrared reflection (NIRR) technology in detecting proximal dental caries compared to the reference standard.

Data

This review followed PRISMA guidelines and was registered in PROSPERO (CRD42024570850). The pooled sensitivity, specificity, and the area under the summary receiver operating characteristic curve (AUC) of NIRR were calculated from the accuracy parameters extracted from the included studies. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool.

Sources

Publications from PubMed, MEDLINE, Scopus, and Web of Science.

Study selection/results

Thirteen studies, including six in vitro and seven clinical studies, met the eligibility criteria. Most of the included studies assess NIRR employing near-infrared light with a wavelength of 850 nm, while 780, 1050, 1550, and 1600 nm NIR were adopted in a few studies. The pooled data from in vitro studies revealed that the sensitivity (95 % Confidence Interval, CI), specificity (95 % CI) and AUC of NIRR for proximal caries detection were 0.46(0.42–0.50) and 0.87(0.84–0.89), and 0.72, respectively. For clinical studies, the pooled sensitivity (95 % CI), specificity (95 % CI), and AUC were 0.65(0.62–0.68), 0.95(0.94–0.95) and 0.83, respectively. Seven studies showed a low risk, five studies showed a high risk, and one study showed an unclear risk of bias and applicability concerns.

Conclusion

NIRR is relatively insensitive but highly specific for the detection of proximal dental caries in posterior teeth. Due to the heterogeneity of the included studies, a cautious interpretation of the results is necessary. Future research is needed to confirm the potential of NIRR in detecting dental caries, particularly NIRR that utilizes longer wavelengths.

Clinical significance

NIRR is a novel technology for caries detection. This study provides valuable information to researchers and clinicians who are interested in using this technology for caries detection.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.