Parameters in panoramic radiography for differentiation of radiolucent lesions

OBJECTIVE: The aims of this study were to establish parameters in panoramic radiography for interpretation of unilocular radiolucent lesions, and to compare the accuracy of diagnoses given by examiners before and after using these parameters. MATERIAL AND METHODS: In Part I, 12 specialists analyzed...

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Main Authors: Ricardo Raitz, José Narciso Rosa Assunção Júnior, Luciana Correa, Marlene Fenyo-Pereira
Format: Article
Language:English
Published: University of São Paulo 2009-10-01
Series:Journal of Applied Oral Science
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000500006
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author Ricardo Raitz
José Narciso Rosa Assunção Júnior
Luciana Correa
Marlene Fenyo-Pereira
author_facet Ricardo Raitz
José Narciso Rosa Assunção Júnior
Luciana Correa
Marlene Fenyo-Pereira
author_sort Ricardo Raitz
collection DOAJ
description OBJECTIVE: The aims of this study were to establish parameters in panoramic radiography for interpretation of unilocular radiolucent lesions, and to compare the accuracy of diagnoses given by examiners before and after using these parameters. MATERIAL AND METHODS: In Part I, 12 specialists analyzed 24 images and the diagnostic criteria used by each examiner to make correct diagnoses were used to build a list of basic radiographic parameters for each pathology (ameloblastoma, keratocystic odontogenic tumor, dentigerous cyst, and idiopathic bone cavity). In Part II, this list was used by 6 undergraduate students (Un), 8 recently graduated dentists (D), 3 oral pathologists, 3 stomatologists, 3 oral radiologists, and 3 oral surgeons to diagnose the corresponding pathologies in the other set of 24 panoramic radiographs (T2). The same analysis occurred without using this list (T1). The method of generalized estimating equations (GEE) was used in order to estimate the probability of making a correct diagnosis depending on the specialty of the examiner, type of lesion, and moment of the evaluation, T1 or T2 (before or after they had access to the list of parameters, respectively). RESULTS: Higher values were obtained for the probability (GEE) of making a correct diagnosis on T2; the group Un presented the highest improvement (14.6 %); no differences between the probabilities were observed either between Un and D, or among the different groups of specialists. CONCLUSIONS: The use of panoramic radiographic parameters did allow improving the diagnostic accuracy for all groups of examiners.
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spelling doaj.art-69fc6d16bddb4a71a0df5cae5de261312022-12-21T19:58:00ZengUniversity of São PauloJournal of Applied Oral Science1678-77571678-77652009-10-0117538138710.1590/S1678-77572009000500006Parameters in panoramic radiography for differentiation of radiolucent lesionsRicardo RaitzJosé Narciso Rosa Assunção JúniorLuciana CorreaMarlene Fenyo-PereiraOBJECTIVE: The aims of this study were to establish parameters in panoramic radiography for interpretation of unilocular radiolucent lesions, and to compare the accuracy of diagnoses given by examiners before and after using these parameters. MATERIAL AND METHODS: In Part I, 12 specialists analyzed 24 images and the diagnostic criteria used by each examiner to make correct diagnoses were used to build a list of basic radiographic parameters for each pathology (ameloblastoma, keratocystic odontogenic tumor, dentigerous cyst, and idiopathic bone cavity). In Part II, this list was used by 6 undergraduate students (Un), 8 recently graduated dentists (D), 3 oral pathologists, 3 stomatologists, 3 oral radiologists, and 3 oral surgeons to diagnose the corresponding pathologies in the other set of 24 panoramic radiographs (T2). The same analysis occurred without using this list (T1). The method of generalized estimating equations (GEE) was used in order to estimate the probability of making a correct diagnosis depending on the specialty of the examiner, type of lesion, and moment of the evaluation, T1 or T2 (before or after they had access to the list of parameters, respectively). RESULTS: Higher values were obtained for the probability (GEE) of making a correct diagnosis on T2; the group Un presented the highest improvement (14.6 %); no differences between the probabilities were observed either between Un and D, or among the different groups of specialists. CONCLUSIONS: The use of panoramic radiographic parameters did allow improving the diagnostic accuracy for all groups of examiners.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000500006Image interpretationJaw diseasesDifferential diagnosisEducationRadiologic parametersRadiolucent lesions
spellingShingle Ricardo Raitz
José Narciso Rosa Assunção Júnior
Luciana Correa
Marlene Fenyo-Pereira
Parameters in panoramic radiography for differentiation of radiolucent lesions
Journal of Applied Oral Science
Image interpretation
Jaw diseases
Differential diagnosis
Education
Radiologic parameters
Radiolucent lesions
title Parameters in panoramic radiography for differentiation of radiolucent lesions
title_full Parameters in panoramic radiography for differentiation of radiolucent lesions
title_fullStr Parameters in panoramic radiography for differentiation of radiolucent lesions
title_full_unstemmed Parameters in panoramic radiography for differentiation of radiolucent lesions
title_short Parameters in panoramic radiography for differentiation of radiolucent lesions
title_sort parameters in panoramic radiography for differentiation of radiolucent lesions
topic Image interpretation
Jaw diseases
Differential diagnosis
Education
Radiologic parameters
Radiolucent lesions
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-77572009000500006
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AT lucianacorrea parametersinpanoramicradiographyfordifferentiationofradiolucentlesions
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