Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study

(1) Background: Ultrasonography is gaining popularity as a diagnostic tool in the study of the oral mucosa. The precision of ultrasound has made it possible to identify the various layers, based on their echogenicity. The aim of this study was to perform a quantitative analysis of healthy oral mucos...

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Main Authors: Dario Di Stasio, Antonio Romano, Marco Montella, Maria Contaldo, Massimo Petruzzi, Iquebal Hasan, Rosario Serpico, Alberta Lucchese
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/14/6829
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author Dario Di Stasio
Antonio Romano
Marco Montella
Maria Contaldo
Massimo Petruzzi
Iquebal Hasan
Rosario Serpico
Alberta Lucchese
author_facet Dario Di Stasio
Antonio Romano
Marco Montella
Maria Contaldo
Massimo Petruzzi
Iquebal Hasan
Rosario Serpico
Alberta Lucchese
author_sort Dario Di Stasio
collection DOAJ
description (1) Background: Ultrasonography is gaining popularity as a diagnostic tool in the study of the oral mucosa. The precision of ultrasound has made it possible to identify the various layers, based on their echogenicity. The aim of this study was to perform a quantitative analysis of healthy oral mucosa based on the analysis of greyscale, echo levels (dB), and attenuation values (dB/cm). (2) Methods: Thirty-three patients (17 females and 16 males; 58.42 ± 13.29 y.o) were recruited for this study. The images were acquired with the GE Logiq-e R7 with a linear probe at 18 MHz frequency (harmonic). For each tissue (epithelium, rete ridges, connective tissue, muscle, and bone), regions of interest were traced for the analysis of echo levels, grey levels, and attenuation values. One-way ANOVA and pairwise comparison were performed. (3) Results: Three-hundred and thirty images were analyzed. Analysis of echo levels and grey levels showed a significant difference between epithelium and rete ridges (<i>p</i> = 0.001), and between rete ridges and connective tissue (<i>p</i> = 0.001), but not between epithelium and connective tissue (<i>p</i> = 0.831) or connective and muscle layers (<i>p</i> = 0.383). The attenuation values appeared to be specific for each tissue layer (<i>p</i> = 0.001). (4) Conclusions: Quantitative analysis applied to ultrasound imaging of the oral mucosa allows the definition of specific tissue areas.
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spelling doaj.art-6671426b5b244dd1b034824a52dd5c0b2023-12-03T14:34:39ZengMDPI AGApplied Sciences2076-34172022-07-011214682910.3390/app12146829Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional StudyDario Di Stasio0Antonio Romano1Marco Montella2Maria Contaldo3Massimo Petruzzi4Iquebal Hasan5Rosario Serpico6Alberta Lucchese7Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyInterdisciplinary Department of Medicine, University of Bari, 70121 Bari, ItalyUNC Adams School of Dentistry, 385 S Columbia St., Chapel Hill, NC 27599, USAMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy(1) Background: Ultrasonography is gaining popularity as a diagnostic tool in the study of the oral mucosa. The precision of ultrasound has made it possible to identify the various layers, based on their echogenicity. The aim of this study was to perform a quantitative analysis of healthy oral mucosa based on the analysis of greyscale, echo levels (dB), and attenuation values (dB/cm). (2) Methods: Thirty-three patients (17 females and 16 males; 58.42 ± 13.29 y.o) were recruited for this study. The images were acquired with the GE Logiq-e R7 with a linear probe at 18 MHz frequency (harmonic). For each tissue (epithelium, rete ridges, connective tissue, muscle, and bone), regions of interest were traced for the analysis of echo levels, grey levels, and attenuation values. One-way ANOVA and pairwise comparison were performed. (3) Results: Three-hundred and thirty images were analyzed. Analysis of echo levels and grey levels showed a significant difference between epithelium and rete ridges (<i>p</i> = 0.001), and between rete ridges and connective tissue (<i>p</i> = 0.001), but not between epithelium and connective tissue (<i>p</i> = 0.831) or connective and muscle layers (<i>p</i> = 0.383). The attenuation values appeared to be specific for each tissue layer (<i>p</i> = 0.001). (4) Conclusions: Quantitative analysis applied to ultrasound imaging of the oral mucosa allows the definition of specific tissue areas.https://www.mdpi.com/2076-3417/12/14/6829ultrasound imagingoral mucosaquantitative analysis
spellingShingle Dario Di Stasio
Antonio Romano
Marco Montella
Maria Contaldo
Massimo Petruzzi
Iquebal Hasan
Rosario Serpico
Alberta Lucchese
Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
Applied Sciences
ultrasound imaging
oral mucosa
quantitative analysis
title Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
title_full Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
title_fullStr Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
title_full_unstemmed Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
title_short Quantitative Ultrasound Analysis of Oral Mucosa: An Observational Cross-Sectional Study
title_sort quantitative ultrasound analysis of oral mucosa an observational cross sectional study
topic ultrasound imaging
oral mucosa
quantitative analysis
url https://www.mdpi.com/2076-3417/12/14/6829
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