OBJECTIVES. The aim of this study. generawas to analyze the diagnostic accuracy of Cone Beam Computed Tomography (CBCT) with respect other imaging methods for the detection of bone tissue invasion by Oral Squamous Cell Carcinoma (OSCC). MATERIALS AND METHODS. A literature review was carried out of English language studies in PubMed between 1990 and 2014. Sensitivity, specificity, positive (LR+) and negative (LR) likelihood ratio were calculated for each study. Of the 61 collected articles, 7 fulfilled the inclusion criteria. RESULTS AND CONCLUSIONS. The analytic data showed values of LR+ and LR of 14.4 and 0.35 for CT (Computed Tomography), 37.9 and 0.24 for MRI (Magnetic Resonance Imaging), 27.8 and 0.10 for CBCT, 25.5 and 0.06 for SPECT (Single-Photon Emission Computed Tomography), 37.0 and 0.31 for MSCT (Multi-Slice Computed Tomography), 4.8 and 0.36 for OPT (Orthopantomography), respectively. The level of scientific evidence available today is low. Further studies with uniform methodological approach are needed, to better define the impact of CBCT on clinical decision-making.
Obiettivi Analizzare l’accuratezza diagnostica della Cone Beam Computed Tomography (CBCT) rispetto ad altre metodiche d’immagine nel rilevare l’invasione ossea da carcinoma squamocellulare orale (Oral Squamous Cell Carcinoma, OSCC). Materiali e metodi La revisione della letteratura è stata condotta su studi in lingua inglese indicizzati in PubMed dal 1990 al 2014. Sensibilità, specificità e rapporto di verosimiglianza positivo (RV+) e negativo (RV–) sono stati calcolati per ogni studio. Dei 61 articoli raccolti, 7 soddisfacevano i criteri di inclusione. Risultati e conclusioni I dati analitici mostrano valori di RV+ e RV–, rispettivamente, di 14,4 e 0,35 per la CT (Computed Tomography); 37,9 e 0,24 per la MRI (Magnetic Resonance Imaging); 27,8 e 0,10 per la CBCT; 25,5 e 0,06 per la SPECT (Single- Photon Emission Computed Tomography); 37,0 e 0,31 per la MSCT (Multi- Slice Computed Tomography); 4,8 e 0,36 per l’ortopantomografia (OPT). Il grado di evidenza scientifica a oggi disponibile è debole. Ulteriori studi con impostazione metodologica uniforme sono necessari per definire meglio l’impatto della CBCT sul processo decisionale clinico.
Accuratezza diagnostica della Cone Beam Computed Tomography (CBCT) nel rilevare l’invasione ossea del carcinoma orale = Diagnostic accuracy of cone beam computed tomography (CBCT) to detect bone invasion by oral carcinoma / G. Bombeccari, G. Farronato, A. Giannì, F. Spadari. - In: DENTAL CADMOS. - ISSN 0011-8524. - 83:8(2015 Oct), pp. 518-527. [10.1016/S0011-8524(15)30078-7]
Accuratezza diagnostica della Cone Beam Computed Tomography (CBCT) nel rilevare l’invasione ossea del carcinoma orale = Diagnostic accuracy of cone beam computed tomography (CBCT) to detect bone invasion by oral carcinoma
G. BombeccariPrimo
;G. FarronatoSecondo
;A. GiannìPenultimo
;F. SpadariUltimo
2015
Abstract
OBJECTIVES. The aim of this study. generawas to analyze the diagnostic accuracy of Cone Beam Computed Tomography (CBCT) with respect other imaging methods for the detection of bone tissue invasion by Oral Squamous Cell Carcinoma (OSCC). MATERIALS AND METHODS. A literature review was carried out of English language studies in PubMed between 1990 and 2014. Sensitivity, specificity, positive (LR+) and negative (LR) likelihood ratio were calculated for each study. Of the 61 collected articles, 7 fulfilled the inclusion criteria. RESULTS AND CONCLUSIONS. The analytic data showed values of LR+ and LR of 14.4 and 0.35 for CT (Computed Tomography), 37.9 and 0.24 for MRI (Magnetic Resonance Imaging), 27.8 and 0.10 for CBCT, 25.5 and 0.06 for SPECT (Single-Photon Emission Computed Tomography), 37.0 and 0.31 for MSCT (Multi-Slice Computed Tomography), 4.8 and 0.36 for OPT (Orthopantomography), respectively. The level of scientific evidence available today is low. Further studies with uniform methodological approach are needed, to better define the impact of CBCT on clinical decision-making.File | Dimensione | Formato | |
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