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The Agreement Rate between Radiographic Interpretation and Histopathologic Diagnosis of Jaw Lesions
Soulafa Almazrooa1, Nada O Binmadi1, Hanadi M Khalifa1
1Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Background:
To determine the agreement rate between histopathologic diagnosis and radiographic interpretation of jaw lesions.
Methods:
Cases with jaw pathologies that have diagnostically adequate histopathologic samples and radiographic examinations were reviewed retrospectively. Two board-certified oral and maxillofacial pathologists (OMFP) independently determined the histopathologic diagnosis, while two board-certified oral and maxillofacial radiologists (OMFR) determined the radiographic interpretations independently. Then the histopathologic diagnosis and the radiographic interpretation were compared for agreement.
Results:
A total of 104 cases (53% females) were included with a mean age of 31 years. The agreement rate between histopathologic diagnosis and radiographic interpretation was 49%. OMFP required OMFR consultations to reach a diagnosis in 16% of cases. The most commonly encountered lesions were by far odontogenic cysts of inflammatory origin and the agreement for this disease category was 49.1%. However, agreement rates were highest for the disease category of tumors (62.5%).
Conclusion:
The agreement rate between OMFP and OMFR was higher for tumors than cysts. Agreement rates between OMFP and OMFR improved with efficient consultation between the two disciplines.
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