Abstract
Introduction
Cone beam computed tomography (CBCT) scans are routinely used by endodontic residents
and faculty at Tufts University School of Dental Medicine for diagnostic purposes
but are not routinely read for pathologic findings by a radiologist. In a 2017 study
by Oser et al (Part 1), endodontic residents and a radiologist interpreted CBCT scans
taken for endodontic diagnostic purposes, and their findings were compared. The results
demonstrated that a radiologist is significantly more likely to report incidental
findings in small FOV scans. A limitation of this study was that the radiologist used
a checklist of common findings to review the scans. The purpose of this study was
to examine whether the use of a checklist would improve the sensitivity of the endodontic residents’ reporting of incidental findings in small FOV CBCT scans.
Methods
The 203 small FOV CBCT scans used in Part 1 were obtained and reviewed by endodontic
residents in a systematic fashion. Radiographic findings were reported using a blank
checklist. The results were compared with those previously reported.
Results
The radiologist reported abnormalities in 176 of the 203 subjects (87%), and the residents
reported abnormalities in 184 of the 203 subjects (91%). There was an increase in
false positive findings when the residents were using a checklist.
Conclusions
The use of a checklist improved the sensitivity but decreased the specificity of the reporting of incidental
findings in small FOV CBCT scans by endodontic residents.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of EndodonticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Use of Cone Beam Computed Tomography in Endodontics 2015 Update.Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 120: 508-512https://doi.org/10.1016/j.oooo.2015.07.033
- The frequency and nature of incidental findings in cone-beam computed tomographic scans of the head and neck region: a systematic review.J Am Dent Assoc. 2013; 144: 161-170https://doi.org/10.14219/jada.archive.2013.0095
- Frequency and types of incidental findings on limited field of view CBCT scans.Gen Dent. 2021; 69: 42-45
- A systematic review on incidental findings in cone beam computed tomography (CBCT) scans.Dento Maxillo Facial Radiol. 2019; 4820180396https://doi.org/10.1259/dmfr.20180396
- Incidental findings from a retrospective study of 318 cone beam computed tomography consultation reports.Int J Oral Maxillofac Implants. 2012; 27: 595-603
- Incidental findings from cone beam computed tomography of the maxillofacial region: a descriptive retrospective study.Clin Oral Implants Res. 2012; 23: 1261-1268https://doi.org/10.1111/j.1600-0501.2011.02299.x
- Incidental findings on cone beam computed tomography images.Int J Dent. 2012; 871532https://doi.org/10.1155/2012/871532
- Incidental Findings in Small Field of View Cone-beam Computed Tomography Scans.J Endod. 2017; 43: 901-904https://doi.org/10.1016/j.joen.2017.01.033
- Nature and clinical significance of incidental findings in maxillofacial cone-beam computed tomography: a systematic review.Oral Radiol. 2021; https://doi.org/10.1007/s11282-020-00499-y
- Maxillary sinusitis of endodontic origin: AAE Position Statement.Am Assoc Endod. 2018;
Article info
Publication history
Accepted:
January 18,
2023
Received in revised form:
January 18,
2023
Received:
October 20,
2022
Publication stage
In Press Accepted ManuscriptFootnotes
CRediT author statement
Jessica Langella: Investigation, Data Curation, Writing – original draft, Methodology, Visualization. Matthew Finkelman: Data Curation, Formal Analysis, Validation, Writing – Review & Editing. Elinor Alon: Writing – Review & Editing, Project administration. Zameera Fida: Conceptualization, Methodology. Alexa Martin: Conceptualization, Methodology. Robert Amato: Conceptualization, Supervision, Project administration.
Identification
Copyright
© 2023 Published by Elsevier Inc. on behalf of American Association of Endodontists.
