Baidu
map

J Endod:术前小视野CBCT预测术中颊侧骨皮质的准确性

2019-12-23 lishiting MedSci原创

小视野CBCT (LFOV CBCT)是牙髓显微外科(EMS)治疗计划前建议实施的基础显像模式。顽固性根尖周炎通常会实施EMS,会导致颊侧骨皮质的改变,这有可能会影响预后。而术前LFOV CBCT预测术中可能出现情况的准确性还未可知。

小视野CBCT (LFOV CBCT)是牙髓显微外科(EMS)治疗计划前建议实施的基础显像模式。顽固性根尖周炎通常会实施EMS,会导致颊侧骨皮质的改变,这有可能会影响预后。而术前LFOV CBCT预测术中可能出现情况的准确性还未可知。

研究回顾性的分析了2个牙髓诊所2016-2018年间的EMS电子健康报告(EHRs)。提取EHR数据,记录手术完整的颊侧骨板、骨开窗、骨开裂情况以及剩余的颊侧骨肩领高度。由2名有资质的彼此独立的观察者在2种不同的重建观察面板厚度下在多平面近轴和矢状位平面下评估术前LFOV CBCTs。将观察者的结果与EHR记录相比较。数据通过χ2, logistic regression和multivariable analysis进行统计学检验。显著性水平设置为P < .05。

结果显示,研究共含有125例含EMS的病例。EHR中完整的颊侧骨板发生率为49%, 骨开裂为7%, 骨开窗为44%。当预测存在颊侧骨板时(PPV of intact buccal cortical plate = 86.5%; NPV of dehiscence = 96%; NPV of fenestration = 89%),影像预测值不论是阳性(PPV)还是阴性(NPV)均明显升高。敏感性和特异性的范围在80%-90%之间。预测的准确性在所有变量下均较高,超过80%。准确性并不依赖于重建观察的层面厚度、观察平面或观察者。

结论:术前LFOV CBCT能够较为显著并且较为准确的预测术中颊侧骨板状态,特别是完整的颊侧骨皮质和骨开窗。

原始出处:

Mayo CV Jr, Replogle KJ, et al. Accuracy of Presurgical Limited Field of View Cone-beam Computed Tomography in Predicting Intraoperative Buccal Cortical Bone. J Endod. 2019 Dec 12. pii: S0099-2399(19)30835-0. doi: 10.1016/j.joen.2019.10.026.

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (3)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1905970, encodeId=f04719059e047, content=<a href='/topic/show?id=34953120e52' target=_blank style='color:#2F92EE;'>#准确性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31207, encryptionId=34953120e52, topicName=准确性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=512a199, createdName=lilianxiang, createdTime=Tue Feb 25 04:35:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2034983, encodeId=59d22034983d0, content=<a href='/topic/show?id=1403101e4387' target=_blank style='color:#2F92EE;'>#骨皮质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101743, encryptionId=1403101e4387, topicName=骨皮质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f9279, createdName=slcumt, createdTime=Tue Mar 03 11:35:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310427, encodeId=640f131042eee, content=<a href='/topic/show?id=3e9441e65f' target=_blank style='color:#2F92EE;'>#CBCT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4176, encryptionId=3e9441e65f, topicName=CBCT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Wed Dec 25 10:35:00 CST 2019, time=2019-12-25, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1905970, encodeId=f04719059e047, content=<a href='/topic/show?id=34953120e52' target=_blank style='color:#2F92EE;'>#准确性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31207, encryptionId=34953120e52, topicName=准确性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=512a199, createdName=lilianxiang, createdTime=Tue Feb 25 04:35:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2034983, encodeId=59d22034983d0, content=<a href='/topic/show?id=1403101e4387' target=_blank style='color:#2F92EE;'>#骨皮质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101743, encryptionId=1403101e4387, topicName=骨皮质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f9279, createdName=slcumt, createdTime=Tue Mar 03 11:35:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310427, encodeId=640f131042eee, content=<a href='/topic/show?id=3e9441e65f' target=_blank style='color:#2F92EE;'>#CBCT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4176, encryptionId=3e9441e65f, topicName=CBCT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Wed Dec 25 10:35:00 CST 2019, time=2019-12-25, status=1, ipAttribution=)]
    2020-03-03 slcumt
  3. [GetPortalCommentsPageByObjectIdResponse(id=1905970, encodeId=f04719059e047, content=<a href='/topic/show?id=34953120e52' target=_blank style='color:#2F92EE;'>#准确性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31207, encryptionId=34953120e52, topicName=准确性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=512a199, createdName=lilianxiang, createdTime=Tue Feb 25 04:35:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2034983, encodeId=59d22034983d0, content=<a href='/topic/show?id=1403101e4387' target=_blank style='color:#2F92EE;'>#骨皮质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101743, encryptionId=1403101e4387, topicName=骨皮质)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f9279, createdName=slcumt, createdTime=Tue Mar 03 11:35:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310427, encodeId=640f131042eee, content=<a href='/topic/show?id=3e9441e65f' target=_blank style='color:#2F92EE;'>#CBCT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4176, encryptionId=3e9441e65f, topicName=CBCT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Wed Dec 25 10:35:00 CST 2019, time=2019-12-25, status=1, ipAttribution=)]
    2019-12-25 智慧医人
Baidu
map
Baidu
map
Baidu
map