牙损伤诊断中的放射文物:通过元分析进行系统审查
Mario Dioguardi1, Ciro Guerra2, Diego Sovereto2
1Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia, 71122, Italy. mario.dioguardi@unifg.it.
Oral radiology
|December 2, 2025
概括
牙科X射线中常见的放射光学效应如三角形放射光 (TSR) 和马赫波段效应,导致约13%的虚假阳性病诊断. 临床医生必须谨慎使用和临床检查,以避免过度诊断.
科学领域:
- 牙科放射学 牙科放射学
- 诊断的准确性 诊断的准确性
- 口腔健康 口腔健康
背景情况:
- 放射学光学效应,包括马赫波段和三角形形状的射电光 (TSR),可以在放射图上模仿牙损伤.
- 这些现象可能导致误解,可能导致错误的阳性诊断,并影响治疗决策.
- 这些光学效应对虫检测准确性的流行和影响需要澄清.
研究的目的:
- 系统地审查和元分析牙科放射图中放射光学效应 (马赫波段和TSR) 的流行情况.
- 量化这些影响对病检测诊断错误的影响.
- 评估对临床决策和潜在的过度诊断的影响.
主要方法:
- 按照PRISMA指导方针进行系统的文献审查,在PROSPERO.中注册.
- 在PubMed,Scopus,Cochrane图书馆和灰色文献中搜索关于光学效应和口腔内射线图的研究.
- 包括评估诊断绩效,流行率或误解率的研究;由两个独立审查员进行数据提取和偏差风险评估;随机效应的元分析.
主要成果:
- 从640份已识别的报告中,包括了5项研究.
- 在上大上,非癌性TSR的患病率为26.44%.
- 光学效应 (TSR或马赫频段) 在约13%的观察结果中导致虚假阳性诊断,即或骨折,具有很高的异质性和低至非常低的证据确定性.
结论:
- 放射学光学效应,特别是TSR和马赫波段效应,在咬伤翼图像中普遍存在,并增加了虚假阳性病诊断的风险,特别是在儿童中.
- 现有证据的确定性较低,需要谨慎地解释放射性发现.
- 与彻底的临床检查的相关性至关重要;需要进一步的高质量研究来制定标准化的诊断标准和缓解策略.
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