This review article aims to analyze the diagnostic accuracy of the cone beam computed tomography (CBCT) with respect to other imaging methods in detection of bone tissue invasion by oral squamous cell carcinoma (OSCC). The review was carried out of English language studies in PubMed Search, National Library of Medicine, between 1990 and 2017. For each study, sensitivity, specificity, and positive (LR+) and negative (LR-) likelihood ratio, as well as the diagnostic accuracy, and positive and negative predictive values were calculated. Of the 62 collected articles, 7 fulfilled the inclusion criteria. Tests and respective articles included were computed tomography (CT, four studies), magnetic resonance imaging (MRI, five studies), C (two stud-ies), single-photon emission tomography (SPECT, two studies), multi-slice computed tomography (MSCT, two studies), and panoramic radiography (PR, two studies). The analytic data show values of LR+ were 14.4 (CT), 37.9 (MRI), 27.8 (CBCT), 25.5 (SPECT), 37.0 (MSCT), 4.8 (PR), respectively. The values of LR-were 0.35 (CT), 0.24 (MRI), 0.10 (CBCT), 0.06 (SPECT), 0.31 (MSCT), and 0.36 (PR), respectively. The positive and negative predictive values for bone tissue invasion by OSCC were 90.31%-74.91% (CT), 90.63%-78.69% (MRI), 80.05%-89.83% (CBCT), 72.97%-95.53% (SPECT), 87.44%-73.74% (MSCT), and 84.245%-69.18% (PR), respectively. The level of scientific evidence available today is weak. To better define the impact of CBCT on clinical decision-making, further studies with uniform methodological approach are needed.
Accuracy of the cone beam computed tomography in the detection of bone invasion in patients with oral cancer : A systematic review / G.P. Bombeccari, V. Candotto, A.B. Gianni, F. Carinci, F. Spadari. - In: THE EURASIAN JOURNAL OF MEDICINE. - ISSN 1308-8734. - 51:3(2019 Oct), pp. 298-306.
|Titolo:||Accuracy of the cone beam computed tomography in the detection of bone invasion in patients with oral cancer : A systematic review|
BOMBECCARI, GIANPAOLO (Corresponding)
|Parole Chiave:||Bone invasion; Cone beam computed tomography; Diagnostic accuracy; Oral cancer; Oral squamous cell carcinoma|
|Settore Scientifico Disciplinare:||Settore MED/28 - Malattie Odontostomatologiche|
Settore MED/29 - Chirurgia Maxillofacciale
|Data di pubblicazione:||ott-2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.5152/eurasianjmed.2019.18101|
|Appare nelle tipologie:||01 - Articolo su periodico|