Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients

Abstract Some craniofacial diseases or anatomical variations are found in radiographic images taken for other purposes. These incidental findings (IFs) can be detected in orthodontic patients, as various radiographs are required for orthodontic diagnosis. The radiographic data of 1020-orthodontic pa...

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Autores principales: Jin-Young Choi, Song Hee Oh, Seong-Hun Kim, Hyo-Won Ahn, Yoon-Goo Kang, Yong-Suk Choi, Yoon-Ah Kook, Gerald Nelson
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/3407c58c77f54d47b531ffc7f8c6116f
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spelling oai:doaj.org-article:3407c58c77f54d47b531ffc7f8c6116f2021-12-02T17:15:17ZEffectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients10.1038/s41598-021-88795-32045-2322https://doaj.org/article/3407c58c77f54d47b531ffc7f8c6116f2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88795-3https://doaj.org/toc/2045-2322Abstract Some craniofacial diseases or anatomical variations are found in radiographic images taken for other purposes. These incidental findings (IFs) can be detected in orthodontic patients, as various radiographs are required for orthodontic diagnosis. The radiographic data of 1020-orthodontic patients were interpreted to evaluate the rates of IFs in three-dimensional (3D) cone-beam-computed tomography (CBCT) with a large field of view (FOV) and investigate the effectiveness and accuracy of two-dimensional (2D) radiographs for detecting IFs compared to CBCT. Prevalence and accuracy in five areas was measured for sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). The accuracies of various 2D-radiograph were compared through a proportion test. A total of 709-cases (69.5%) of 1020-subjects showed one or more IFs in CBCT images. Nasal cavity was the most affected area. Based on the CBCT images as a gold standard, different accuracies of various 2D-radiographs were observed in each area of the findings. The highest accuracy was confirmed in soft tissue calcifications with comprehensive radiographs. For detecting nasal septum deviations, postero-anterior cephalograms were the most accurate 2D radiograph. In cases the IFs were not determined because of its ambiguity in 2D radiographs, considering them as an absence of findings increased the accuracy.Jin-Young ChoiSong Hee OhSeong-Hun KimHyo-Won AhnYoon-Goo KangYong-Suk ChoiYoon-Ah KookGerald NelsonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jin-Young Choi
Song Hee Oh
Seong-Hun Kim
Hyo-Won Ahn
Yoon-Goo Kang
Yong-Suk Choi
Yoon-Ah Kook
Gerald Nelson
Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
description Abstract Some craniofacial diseases or anatomical variations are found in radiographic images taken for other purposes. These incidental findings (IFs) can be detected in orthodontic patients, as various radiographs are required for orthodontic diagnosis. The radiographic data of 1020-orthodontic patients were interpreted to evaluate the rates of IFs in three-dimensional (3D) cone-beam-computed tomography (CBCT) with a large field of view (FOV) and investigate the effectiveness and accuracy of two-dimensional (2D) radiographs for detecting IFs compared to CBCT. Prevalence and accuracy in five areas was measured for sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). The accuracies of various 2D-radiograph were compared through a proportion test. A total of 709-cases (69.5%) of 1020-subjects showed one or more IFs in CBCT images. Nasal cavity was the most affected area. Based on the CBCT images as a gold standard, different accuracies of various 2D-radiographs were observed in each area of the findings. The highest accuracy was confirmed in soft tissue calcifications with comprehensive radiographs. For detecting nasal septum deviations, postero-anterior cephalograms were the most accurate 2D radiograph. In cases the IFs were not determined because of its ambiguity in 2D radiographs, considering them as an absence of findings increased the accuracy.
format article
author Jin-Young Choi
Song Hee Oh
Seong-Hun Kim
Hyo-Won Ahn
Yoon-Goo Kang
Yong-Suk Choi
Yoon-Ah Kook
Gerald Nelson
author_facet Jin-Young Choi
Song Hee Oh
Seong-Hun Kim
Hyo-Won Ahn
Yoon-Goo Kang
Yong-Suk Choi
Yoon-Ah Kook
Gerald Nelson
author_sort Jin-Young Choi
title Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
title_short Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
title_full Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
title_fullStr Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
title_full_unstemmed Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients
title_sort effectiveness of 2d radiographs in detecting cbct-based incidental findings in orthodontic patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/3407c58c77f54d47b531ffc7f8c6116f
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