儿童和青少年形光束计算机断层扫描的偶然发现:系统性审查
T Vogiatzi1, S N Papageorgiou2, N Silikas1
1School of Medical Sciences, Division of Dentistry, The University of Manchester, Manchester, UK.
概括
在儿童和青少年的形光束计算机断层扫描 (CBCT) 中,偶然发现很常见. 牙医应该评估这些CBCT图像,以发现年轻患者的意外发现.
科学领域:
- 放射学 放射学是一门学科.
- 儿科牙科 儿科牙科
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 圆束计算断层扫描 (CBCT) 的使用在儿科牙科和正牙科中越来越多.
- 在儿童和青少年中,CBCT扫描中的偶然发现很常见.
研究的目的:
- 批判性地评估和总结关于儿科CBCT扫描中偶然发现的流行情况的证据.
- 审查报告儿童和青少年偶然发现的临床研究.
主要方法:
- 在8个数据库中进行系统的文献搜索,截至2024年3月.
- 综合了10项涉及1818名患者的研究的定性数据.
- 偏差风险评估使用一个定制工具,适用于流行率研究.
主要成果:
- 偶然发现的流行率差异很大 (0.4%至80.3%),异质性很高.
- 最常见的发现涉及呼吸道 (63.7%),骨 (23.6%),牙 (19.2%) 和脊椎 (26.2%).
- 在包括的研究中指出了方法上的局限性,包括报告和样本大小问题.
结论:
- 在儿科患者的CBCT扫描中经常观察到偶然的发现.
- 儿童和青少年的CBCT成像需要对偶然发现进行彻底评估.
- 建议由口腔和大面部放射科医生或训练有素的牙医进行专家口译.
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