Department of Stomatology, School of Dentistry, São Paulo University, São Paulo, Brazil.
Department of Stomatology, School of Dentistry, São Paulo University, São Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Jul;130(1):85-100.e1. doi: 10.1016/j.oooo.2019.11.009. Epub 2019 Nov 22.
This systematic literature review addresses the use of diffusion-weighted magnetic resonance imaging (DWI) and apparent diffusion coefficient (ADC) for the evaluation of benign maxillomandibular odontogenic lesions.
Databases were searched, and original research studies or case report manuscripts up to April 2019 were included, using the keyword "diffusion," combined with the keywords "maxillofacial pathology," "oral pathology," "odontogenic tumors," "dental tissue neoplasms," "odontogenic cysts," and the histologic denomination of benign odontogenic lesions, according to the World Health Organization classification. Only English language articles and studies pertaining to DWI were selected.
Fifteen investigations (11 original articles and 4 case reports) of distinct benign odontogenic lesions were included. Most studies did not include exclusively odontogenic lesions in their samples.
It is too early to reach a conclusion that DWI and ADC can provide useful information in the differentiation of the histologic type of some benign odontogenic lesions on the basis of available data in the literature.
本系统文献回顾探讨了扩散加权磁共振成像（DWI）和表观扩散系数（ADC）在评估良性颌面部牙源性病变中的应用。
检索数据库，纳入截至 2019 年 4 月的原始研究或病例报告手稿，使用关键词“扩散”，结合关键词“颌面病理学”、“口腔病理学”、“牙源性肿瘤”、“牙源性肿瘤”、“牙源性囊肿”和根据世界卫生组织分类的良性牙源性病变的组织学命名。仅选择与 DWI 相关的英文文章和研究。
纳入了 15 项不同良性牙源性病变的研究（11 项原始文章和 4 项病例报告）。大多数研究的样本中并未包含单纯的牙源性病变。
根据文献中现有的数据，DWI 和 ADC 尚无法为某些良性牙源性病变的组织学类型的鉴别提供有用信息，因此目前还不能得出结论。
