Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study

Background: This study aimed to analyze the diagnostic reliability of radiographic assessment of cystic lesions using a pre-set, manufacturer-specific, low-dose mode compared to a standard-dose dental cone-beam computed tomography (CBCT) imaging protocol. Methods: Forty pig mandible models were prep...

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Autores principales:	Adib Al-Haj Husain, Quirin Döbelin, Barbara Giacomelli-Hiestand, Daniel B. Wiedemeier, Bernd Stadlinger, Silvio Valdec
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cone-beam computed tomography low-dose cone-beam computed tomography low dose protocols cystic lesion oral surgery oral anatomy Chemical technology TP1-1185
Acceso en línea:	https://doaj.org/article/6891209960ba484882269947cc76b047
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spelling	oai:doaj.org-article:6891209960ba484882269947cc76b0472021-11-11T19:19:36ZDiagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study10.3390/s212174021424-8220https://doaj.org/article/6891209960ba484882269947cc76b0472021-11-01T00:00:00Zhttps://www.mdpi.com/1424-8220/21/21/7402https://doaj.org/toc/1424-8220Background: This study aimed to analyze the diagnostic reliability of radiographic assessment of cystic lesions using a pre-set, manufacturer-specific, low-dose mode compared to a standard-dose dental cone-beam computed tomography (CBCT) imaging protocol. Methods: Forty pig mandible models were prepared with cystic lesions and underwent both CBCT protocols on an Orthophos SL Unit (Dentsply-Sirona, Bensheim, Germany). Qualitative and quantitative analysis of CBCT data was performed by twelve investigators independently in SIDEXIS 4 (Dentsply-Sirona) using a trial-specific digital examination software tool. Thereby, the effect of the two dose types on overall detectability rate, the visibility on a scale of 1 (very low) to 10 (very high) and the difference between measured radiographic and actual lesion size was assessed. Results: Low-dose CBCT imaging showed no significant differences considering detectability (78.8% vs. 81.6%) and visibility (9.16 vs. 9.19) of cystic lesions compared to the standard protocol. Both imaging protocols performed very similarly in lesion size assessment, with an apparent underestimation of the actual size. Conclusion: Low-dose protocols providing confidential diagnostic evaluation with an improved benefit–risk ratio according to the ALADA principle could become a promising alternative as a primary diagnostic tool as well as for radiological follow-up in the treatment of cystic lesions.Adib Al-Haj HusainQuirin DöbelinBarbara Giacomelli-HiestandDaniel B. WiedemeierBernd StadlingerSilvio ValdecMDPI AGarticlecone-beam computed tomographylow-dose cone-beam computed tomographylow dose protocolscystic lesionoral surgeryoral anatomyChemical technologyTP1-1185ENSensors, Vol 21, Iss 7402, p 7402 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cone-beam computed tomography low-dose cone-beam computed tomography low dose protocols cystic lesion oral surgery oral anatomy Chemical technology TP1-1185
spellingShingle	cone-beam computed tomography low-dose cone-beam computed tomography low dose protocols cystic lesion oral surgery oral anatomy Chemical technology TP1-1185 Adib Al-Haj Husain Quirin Döbelin Barbara Giacomelli-Hiestand Daniel B. Wiedemeier Bernd Stadlinger Silvio Valdec Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
description	Background: This study aimed to analyze the diagnostic reliability of radiographic assessment of cystic lesions using a pre-set, manufacturer-specific, low-dose mode compared to a standard-dose dental cone-beam computed tomography (CBCT) imaging protocol. Methods: Forty pig mandible models were prepared with cystic lesions and underwent both CBCT protocols on an Orthophos SL Unit (Dentsply-Sirona, Bensheim, Germany). Qualitative and quantitative analysis of CBCT data was performed by twelve investigators independently in SIDEXIS 4 (Dentsply-Sirona) using a trial-specific digital examination software tool. Thereby, the effect of the two dose types on overall detectability rate, the visibility on a scale of 1 (very low) to 10 (very high) and the difference between measured radiographic and actual lesion size was assessed. Results: Low-dose CBCT imaging showed no significant differences considering detectability (78.8% vs. 81.6%) and visibility (9.16 vs. 9.19) of cystic lesions compared to the standard protocol. Both imaging protocols performed very similarly in lesion size assessment, with an apparent underestimation of the actual size. Conclusion: Low-dose protocols providing confidential diagnostic evaluation with an improved benefit–risk ratio according to the ALADA principle could become a promising alternative as a primary diagnostic tool as well as for radiological follow-up in the treatment of cystic lesions.
format	article
author	Adib Al-Haj Husain Quirin Döbelin Barbara Giacomelli-Hiestand Daniel B. Wiedemeier Bernd Stadlinger Silvio Valdec
author_facet	Adib Al-Haj Husain Quirin Döbelin Barbara Giacomelli-Hiestand Daniel B. Wiedemeier Bernd Stadlinger Silvio Valdec
author_sort	Adib Al-Haj Husain
title	Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
title_short	Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
title_full	Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
title_fullStr	Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
title_full_unstemmed	Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study
title_sort	diagnostic accuracy of cystic lesions using a pre-programmed low-dose and standard-dose dental cone-beam computed tomography protocol: an ex vivo comparison study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6891209960ba484882269947cc76b047
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Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study

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