Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer?
Aim: To evaluate the diagnostic accuracy of panoramic radiography (PAN) for the identification of infectious foci of the tooth and periradicular bone before definitive chemo-radiotherapy treatment for oropharyngeal cancer, using multislice spiral computed tomography (MSCT) imaging as the reference s...
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MDPI AG
2021-08-01
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| Online Access: | https://www.mdpi.com/2076-3417/11/17/7965 |
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| author | Carlo Bosoni Michele Pietragalla Davide Maraghelli Vieri Rastrelli Luca Giovanni Locatello Isacco Desideri Veronica Giuntini Lorenzo Franchi Cosimo Nardi |
| author_facet | Carlo Bosoni Michele Pietragalla Davide Maraghelli Vieri Rastrelli Luca Giovanni Locatello Isacco Desideri Veronica Giuntini Lorenzo Franchi Cosimo Nardi |
| author_sort | Carlo Bosoni |
| collection | DOAJ |
| description | Aim: To evaluate the diagnostic accuracy of panoramic radiography (PAN) for the identification of infectious foci of the tooth and periradicular bone before definitive chemo-radiotherapy treatment for oropharyngeal cancer, using multislice spiral computed tomography (MSCT) imaging as the reference standard. Materials and methods: 50 patients with oropharyngeal cancer who had performed both pre-treatment MSCT and PAN were retrospectively evaluated. Pre-radiotherapy MSCT showed 65 deep caries, 37 root remnants, 143 stage III periodontal diseases, and 77 apical periodontitis, for a total of 322 infectious foci. The same number of healthy teeth (control group) was selected via MSCT to be analysed by PAN. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy for PAN images with respect to MSCT imaging were examined. Results: PAN showed sensitivity, negative predictive value, and diagnostic accuracy of 100% for deep caries, root remnants, and stage III periodontal disease, whereas there were 46.8%, 64.7%, and 72.1% apical periodontitis respectively. Conclusions: PAN did not show great diagnostic accuracy in the assessment of apical periodontitis, and therefore maxillofacial MSCT carried out before chemo-radiotherapy treatment should always be examined to identify dental and jaw diseases. Deep caries, root remnants, and stage III periodontal disease were perfectly detected on PAN. |
| first_indexed | 2024-03-10T08:16:22Z |
| format | Article |
| id | doaj.art-49825b1c67bf4be4a1a5c4bfbe7f494e |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T08:16:22Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj.art-49825b1c67bf4be4a1a5c4bfbe7f494e2023-11-22T10:19:21ZengMDPI AGApplied Sciences2076-34172021-08-011117796510.3390/app11177965Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer?Carlo Bosoni0Michele Pietragalla1Davide Maraghelli2Vieri Rastrelli3Luca Giovanni Locatello4Isacco Desideri5Veronica Giuntini6Lorenzo Franchi7Cosimo Nardi8Department of Experimental and Clinical Medicine, Orthodontics, The University of Florence, Via del Ponte di Mezzo, 50127 Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, ItalyDepartment of Otorhinolaryngology, Careggi University Hospital, Via Taddeo Alderotti, 50139 Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiotherapy Unit, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Viale Morgagni 85, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, Orthodontics, The University of Florence, Via del Ponte di Mezzo, 50127 Florence, ItalyDepartment of Experimental and Clinical Medicine, Orthodontics, The University of Florence, Via del Ponte di Mezzo, 50127 Florence, ItalyDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, ItalyAim: To evaluate the diagnostic accuracy of panoramic radiography (PAN) for the identification of infectious foci of the tooth and periradicular bone before definitive chemo-radiotherapy treatment for oropharyngeal cancer, using multislice spiral computed tomography (MSCT) imaging as the reference standard. Materials and methods: 50 patients with oropharyngeal cancer who had performed both pre-treatment MSCT and PAN were retrospectively evaluated. Pre-radiotherapy MSCT showed 65 deep caries, 37 root remnants, 143 stage III periodontal diseases, and 77 apical periodontitis, for a total of 322 infectious foci. The same number of healthy teeth (control group) was selected via MSCT to be analysed by PAN. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy for PAN images with respect to MSCT imaging were examined. Results: PAN showed sensitivity, negative predictive value, and diagnostic accuracy of 100% for deep caries, root remnants, and stage III periodontal disease, whereas there were 46.8%, 64.7%, and 72.1% apical periodontitis respectively. Conclusions: PAN did not show great diagnostic accuracy in the assessment of apical periodontitis, and therefore maxillofacial MSCT carried out before chemo-radiotherapy treatment should always be examined to identify dental and jaw diseases. Deep caries, root remnants, and stage III periodontal disease were perfectly detected on PAN.https://www.mdpi.com/2076-3417/11/17/7965oropharyngeal cancerradiotherapyapical periodontitispanoramic radiographydiagnostic accuracy |
| spellingShingle | Carlo Bosoni Michele Pietragalla Davide Maraghelli Vieri Rastrelli Luca Giovanni Locatello Isacco Desideri Veronica Giuntini Lorenzo Franchi Cosimo Nardi Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? Applied Sciences oropharyngeal cancer radiotherapy apical periodontitis panoramic radiography diagnostic accuracy |
| title | Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? |
| title_full | Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? |
| title_fullStr | Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? |
| title_full_unstemmed | Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? |
| title_short | Is Panoramic Radiography Really a Key Examination before Chemo-Radiotherapy Treatment for Oropharyngeal Cancer? |
| title_sort | is panoramic radiography really a key examination before chemo radiotherapy treatment for oropharyngeal cancer |
| topic | oropharyngeal cancer radiotherapy apical periodontitis panoramic radiography diagnostic accuracy |
| url | https://www.mdpi.com/2076-3417/11/17/7965 |
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