Accuracy of radiographic caries diagnosis using different X-ray generators

Dental X-ray machines utilizing five different combinations of X-ray generators and tube voltages (Philips Oralix 65 kV, Siemens Heliodent EC 60 kV, Siemens Heliodent 70 kV, Soredex Minray DC 60 kV and Soredex Minray DC 70 kV) were compared with respect to the accuracy of radiographic diagnosis of proximal caries. Nine observers diagnosed proximal caries in radiographs of extracted premolars. The findings of the observers were compared to the actual presence or absence of caries. The ROC-curve technique was used to evaluate differences in diagnostic accuracy between the X-ray machines. The results showed small differences in diagnostic accuracy between the different X-ray generators but they proved to be statistically non-significant.