O uso de radiografias panorâmicas modificadas por um software de acesso gratuito na determinação do Índice da Cortical Mandibular

Autores

  • Luciana Munhoz Departamento de Estomatologia - Faculdade de Odontologia, Universidade de São Paulo http://orcid.org/0000-0003-2375-5935
  • Claudia Fabiana Joca de Arruda
  • Fernando Amorim Mendonça Alves
  • Emiko Saito Arita
  • Claudio Costa
  • Silvia Vanessa Lourenço

DOI:

https://doi.org/10.15448/1980-6523.2017.2.27721

Palavras-chave:

Osteoporose, Radiografia panorâmica, Radiografia dentária, Software

Resumo

OBJETIVO: Comparar a avaliação de radiografias panorâmicas usando o Índice Cortical Mandibular (ICM) por um radiologista com experiência e dois cirurgiões dentistas sem experiência neste índice usando imagens de radiografia originais e imagens invertidas.
METODOLOGIA: 64 radiografias panorâmicas foram analisadas por três observadores: um radiologista com experiência prévia com o ICM e dois dentistas treinados sem experiência prévia. Inicialmente, as imagens originais foram avaliadas pelo radiologista e definidas como padrão-ouro. Então, os dentistas receberam treinamento para aplicar o ICM. Os resultados da avaliação obtidos dos três observadores foram analisados.
RESULTADOS: Qquando comparados os resultados do radiologista experiente em imagens positivas e invertidas, não foi encontrada diferença estatística significante. Ao considerar os dois observadores treinados, descobrimos que as imagens invertidas apresentaram menor concordância com o padrão ouro.
CONCLUSÃO: Concluímos que, dentro das limitações deste estudo, as radiografias invertidas não são recomendadas para a avaliação do ICM.

Biografia do Autor

Luciana Munhoz, Departamento de Estomatologia - Faculdade de Odontologia, Universidade de São Paulo

Mestranda em Diagnóstico Bucal

Claudia Fabiana Joca de Arruda

Department of Stomatology, School of Dentistry,
University of São Paulo, São Paulo, Brazil

Fernando Amorim Mendonça Alves

Department of Stomatology, School of Dentistry,
University of São Paulo, São Paulo, Brazil

Emiko Saito Arita

Department of Stomatology, School of Dentistry,
University of São Paulo, São Paulo, Brazil

Claudio Costa

Department of Stomatology, School of Dentistry,
University of São Paulo, São Paulo, Brazil

Silvia Vanessa Lourenço

Department of Stomatology, School of Dentistry,
University of São Paulo, São Paulo, Brazil

Referências

Lippuner K. The future of osteoporosis treatment - a research update. Swiss Med Wkly. 2012;142:w13624. https://doi.org/10.4414/smw.2012. 13624

Calciolari E, Donos N, Park JC, Petrie A, Mardas N. Panoramic measures for oral bone mass in detecting osteoporosis: a systematic review and meta-analysis. J Dent Res. 2015;94(3 Suppl):17S-27S. https://doi.org/10.1177/0022034514554949

Nojiri S, Burge RT, Flynn JA, Foster SA, Sowa H. Osteoporosis and treatments in Japan: management for preventing subsequent fractures. J Bone Miner Metab. 2013;31(4):367-80. https://doi.org/10.1007/s00774-013-0444-y

Taguchi A. Triage screening for osteoporosis in dental clinics using panoramic radiographs. Oral diseases. 2010;16(4):316-27. https://doi.org/10.1111/j.1601-0825.2009.01615.x

Klop C, van Staa TP, Cooper C, Harvey NC, de Vries F. The epidemiology of mortality after fracture in England: variation by age, sex, time, geographic location, and ethnicity. Osteoporos Int. 2016;28(1 (28(1)):161-8.

Choi YJ. Dual-Energy X-Ray Absorptiometry: Beyond Bone Mineral Density Determination. Endocrinol Metab (Seoul). 2016;31(1):25-30. https://doi.org/10.3803/EnM.2016.31.1.25

Kanis JA, Johnell O. Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int. 2005;16(3):229-38. https://doi.org/10.1007/s00198-004-1811-2

Yamada S, Uchida K, Iwamoto Y, Sugino N, Yoshinari N, Kagami H, et al. Panoramic radiography measurements, osteoporosis diagnoses and fractures in Japanese men and women. Oral diseases. 2015;21(3):335 41. https://doi.org/10.1111/odi.12282

Panneman MJ, Lips P, Sen SS, Herings RM. Undertreatment with antiosteoporotic drugs after hospitalization for fracture. Osteoporos Int. 2004;15(2):120-4. https://doi.org/10.1007/s00198-003-1544-7

Briançon D, de Gaudemar JB, Forestier R. Management of osteoporosis in women with peripheral osteoporotic fractures after 50 years of age: a study of practices. Joint Bone Spine. 2004;71(2):128-30. https://doi.org/10.1016/S1297-319X(03)00060-5

Gulsahi A, Yüzügüllü B, Imirzalioglu P, Genç Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol. 2008;37(5):288-92.

https://doi.org/10.1259/dmfr/19491030

Devlin H, Whelton C. Can mandibular bone resorption predict hip fracture in elderly women? A systematic review of diagnostic test accuracy. Gerodontology. 2015;32(3):163-8. https://doi.org/10.1111/ger.12077

Guo Y, Wang D, Wang Y, Peng X, Guo C. Imaging features of medicinerelated osteonecrosis of the jaws: comparison between panoramic radiography and computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;122(2):e69-76. https://doi.org/10.1016/j.oooo.2016.04.007

Honda E, Inoue T, Domon M, Sasaki T, Uchida T. Dental radiographic signs characteristic to Hallermann-Streiff syndrome. Oral Surg Oral Med Oral Pathol. 1990;70(1):121-5. https://doi.org/10.1016/0030-4220(90) 90189-Y

Yasar F, Akgunlu F. The differences in panoramic mandibular indices and fractal dimension between patients with and without spinal osteoporosis. Dentomaxillofac Radiol. 2006;35(1):1-9. https://doi.org/10.1259/dmfr/97652136

Munhoz L, Cortes AR, Arita ES. Assessment of osteoporotic alterations in type 2 diabetes: a retrospective study. Dentomaxillofac Radiol. 2017;46(6):20160414. https://doi.org/10.1259/dmfr.20160414

Ohtsuki H, Kawakami M, Kawakami T, Takahashi K, Kirita T, Komasa Y. Risk of osteoporosis in elderly individuals attending a dental clinic. Int Dent J. 2016.

Savic Pavicin I, Dumancic J, Jukic T, Badel T, Badanjak A. Digital orthopantomograms in osteoporosis detection: mandibular density and mandibular radiographic indices as skeletal BMD predictors. Dentomaxillofac Radiol. 2014;43(7):20130366. https://doi.org/10.1259/dmfr.20130366

Valerio CS, Trindade AM, Mazzieiro ET, Amaral TP, Manzi FR. Use of digital panoramic radiography as an auxiliary means of low bone mineral density detection in post-menopausal women. Dentomaxillofac Radiol. 2013;42(10):20120059. https://doi.org/10.1259/dmfr.20120059

Leite AF, Figueiredo PT, Guia CM, Melo NS, de Paula AP. Correlations

between seven panoramic radiomorphometric indices and bone mineral

density in postmenopausal women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):449-56. https://doi.org/10.1016/j.tripleo.2009.02.028

Devlin H, Karayianni K, Mitsea A, Jacobs R, Lindh C, van der Stelt P, et al. Diagnosing osteoporosis by using dental panoramic radiographs: the OSTEODENT project. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(6):821-8. https://doi.org/10.1016/j.tripleo.2006.12.027

Lee K, Taguchi A, Ishii K, Suei Y, Fujita M, Nakamoto T, et al. Visual

assessment of the mandibular cortex on panoramic radiographs to identify postmenopausal women with low bone mineral densities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(2):226-31. https://doi.org/10.1016/j.tripleo.2004.11.052

Mohajery M, Brooks SL. Oral radiographs in the detection of early signs of

osteoporosis. Oral Surg Oral Med Oral Pathol. 1992;73(1):112-7. https://doi.org/10.1016/0030-4220(92)90167-O

Iwamoto Y, Uchida K, Sugino N, Kuroiwa H, Kitamura Y, Udagawa N, et al. Osteoporosis, osteoporotic fractures, and carotid artery calcification detected on panoramic radiographs in Japanese men and women. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):673-80. https://doi.org/10.1016/j.oooo.2016.02.006

Klemetti E, Kolmakov S, Kröger H. Pantomography in assessment of the

osteoporosis risk group. Scand J Dent Res. 1994;102(1):68-72. https://doi.org/10.1111/j.1600-0722.1994.tb01156.x

Taguchi A, Sanada M, Krall E, Nakamoto T, Ohtsuka M, Suei Y, et al. Relationship between dental panoramic radiographic findings and biochemical markers of bone turnover. J Bone Miner Res. 2003;18(9): 1689-94. https://doi.org/10.1359/jbmr.2003.18.9.1689

Miles DA, Razzano MR. The future of digital imaging in dentistry. Dental clinics of North America. 2000;44(2):427-38, viii.

Mol A. Image processing tools for dental applications. Dental clinics of North America. 2000;44(2):299-318.

Shrout MK, Hall JM, Hildebolt CE. Differentiation of periapical granulomas and radicular cysts by digital radiometric analysis. Oral surgery, oral medicine, and oral pathology. 1993;76(3):356-61. https://doi.org/10.1016/0030-4220(93)90268-9

Yasar F, Sener S, Yesilova E, Akgunlu F. Mandibular cortical index evaluation in masked and unmasked panoramic radiographs. Dentomaxillofac Radiol. 2009;38(2):86-91. https://doi.org/10.1259/dmfr/56808511

Halling A, Persson GR, Berglund J, Johansson O, Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int. 2005;16(8):999-1003. https://doi.org/10.1007/s00198-004-1796-x

Alapati S, Reddy RS, Tatapudi R, Kotha R, Bodu NK, Chennoju S. Identifying risk groups for osteoporosis by digital panoramic radiography. Contemporary clinical dentistry. 2015;6(Suppl 1):S253-7. https://doi.org/10.4103/0976-237X.166833

Taguchi A, Ohtsuka M, Nakamoto T, Naito K, Tsuda M, Kudo Y, et al. Identification of post-menopausal women at risk of osteoporosis by trained general dental practitioners using panoramic radiographs. Dentomaxillofac Radiol. 2007;36(3):149-54. https://doi.org/10.1259/dmfr/31116116

Wenzel A. Influence of computerized information technologies on image quality in dental radiographs. Tandlaegebladet. 1991;95(12): 527-9.

Raitz R, Correa L, Curi M, Dib L, Fenyo-Pereira M. Conventional and indirect digital radiographic interpretation of oral unilocular radiolucent lesions. Dentomaxillofac Radiol. 2006;35(3):165-9. https://doi.org/10.1259/dmfr/49307329

Kheddache S, Mansson LG, Angelhed JE, Denbratt L, Gottfridson B, Schlossman D. Digital chest radiography: should images be presented in negative or positive mode? European journal of radiology. 1991;13(2): 151-5. https://doi.org/10.1016/0720-048X(91)90098-G

Hintze H, Wenzel A, Andreasen FM, Swerin I. Digital subtraction radiography for assessment of simulated root resorption cavities. Performance of conventional and reverse contrast modes. Endodontics & dental traumatology. 1992;8(4):149-54. https://doi.org/10.1111/j.1600-9657.1992. tb00234.x

Wenzel A, Hintze H. Perception of image quality in direct digital radiography after application of various image treatment filters for detectability of dental disease. Dentomaxillofac Radiol. 1993;22(3):131-4. https://doi.org/10.1259/dmfr.22.3.8299831

Ferreira Junior O, Damante JH, Lauris JR. Simple bone cyst versus odontogenic keratocyst: differential diagnosis by digitized panoramic radiography. Dento maxillo facial radiology. 2004;33(6):373-8. https://doi.org/10.1259/dmfr/54063729

Ellingsen MA, Hollender LG, Harrington GW. Radiovisiography versus conventional radiography for detection of small instruments in endodontic length determination. II. In vivo evaluation. Journal of endodontics. 1995;21(10):516-20. https://doi.org/10.1016/S0099-2399(06)80525-X

Borrie F, Thomson D, McIntyre GT. Precision of measurements on conventional negative 'bones white' and inverted greyscale 'bones black' digital lateral cephalograms. European journal of orthodontics. 2012;34(1):57-61. https://doi.org/10.1093/ejo/cjq158

Haak R, Wicht MJ. Grey-scale reversed radiographic display in the detection of approximal caries. Journal of dentistry. 2005;33(1):65-71. https://doi.org/10.1016/j.jdent.2004.08.003

Buckley KM, Schaefer CM, Greene R, Agatston S, Fay J, Llewellyn HJ, et al. Detection of bullous lung disease: conventional radiography vs digital storage phosphor radiography. AJR American journal of roentgenology. 1991;156(3):467-70. https://doi.org/10.2214/ajr.156.3.1899739

Downloads

Publicado

2017-11-23

Edição

Seção

Artigo Original