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Estimation of possibilities of the cone-beam computed tomography and panoramic tomography in diagnostics of radiopack lesions in the maxillo-facial region
Author(s) -
В. С. Блинов,
В. С. Блинов,
М. В. Карташов,
М. В. Карташов,
Sergey Zholudev,
Sergey Zholudev,
О. Зорникова,
О. Зорникова
Publication year - 2016
Publication title -
problemy stomatologii
Language(s) - English
Resource type - Journals
eISSN - 2412-9461
pISSN - 2077-7566
DOI - 10.18481/2077-7566-2016-12-2-70-78
Subject(s) - cone beam computed tomography , medicine , tomography , computed tomography , nuclear medicine , kappa , radiology , diagnostic accuracy , mathematics , geometry
The purpose of the study was to assess the diagnostic possibilities and interobserver agreement between the radiologist the CBCT and panoramic tomography in diagnostics of radiopack lesions in the maxillo-facial region. The study design: the results of morphological and radial examination of 272 patients with radiopack lesions in the maxillo-facial region were assessed. Consistency among the radiologists was evaluated by means of Cohen»s kappa. The diagnostic signi cance of the results was assessed using Student»s t-test. Results: CBCT sensitivity was 98%, speci city – 89%, diagnostic accuracy – 97%. Sensitivity of the panoramic tomography of the dental alignments was 69%, speci city – 44%, diagnostic accuracy – 64%. The area under the ROC-curve for the panoramic tomography – 0,612 (p˂0,05), for the CBCT – 0,937 (p˂0,05). Interobserver agreement in estimating the panoramic tomography was satisfactory (k=0,24, p˂0,001), it was high for the CBCT (k=0,83, p˂0,0001). 

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