形束计算机断层扫描用于内牙科:偶然发现和相应的意义
Erin J Key1, Nina K Anderson1, Dan Colosi1
1Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, 11794, USA.
Dento maxillo facial radiology
|July 16, 2025
概括
随机发现在形束计算断层扫描 (CBCT) 扫描中常见,用于内牙治疗,大多数需要牙科后续检查. 很少有百分比需要医疗或立即评估,强调需要专家审查.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和面放射学 口腔和面放射学
背景情况:
- 形束计算断层扫描 (CBCT) 经常用于内牙评估.
- 在CBCT扫描中偶然发现需要仔细评估和管理.
- 了解这些发现的流行程度和性质对于患者护理至关重要.
研究的目的:
- 确定内牙科CBCT扫描中偶然发现的患病率和分布.
- 分析这些偶然发现的后续建议.
- 强调彻底的放射学解释的重要性.
主要方法:
- 565个有限视野 (FOV) CBCT扫描的回顾性审查.
- 在2018年至2022年期间,为内牙评估而获得的扫描.
- 这些发现由口腔和面放射学 (OMR) 住院医生审查,并由董事会认证的OMR证实.
主要成果:
- 在CBCT扫描中的90.5%中存在偶然发现.
- 最常见的发现包括粘膜疾病 (21.4%) 和周围根病理 (15.2%).
- 牙科专业评估是最常见的建议 (46.2%),其中2.3%需要立即跟进.
结论:
- 在内牙科CBCT扫描中存在高频率的偶然发现.
- 很少,但很大一部分发现需要医疗或立即评估.
- 经过培训的专家对整个CBCT扫描进行彻底审查是必不可少的.
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