Tidmarsh B G
Int Dent J. 1987 Mar;37(1):10-5.
The radiographic interpretation of pathological lesions which are endodontic in origin is relatively imprecise as so many variables are involved. Even the presence or absence of a lesion cannot be determined with accuracy and there is little agreement on the criteria which should be applied. Strict attention to the technique of exposing, processing and viewing radiographs is necessary if the information to be gained is to be optimal. The major problem of visual interpretation and the psychological factors involved have been subjected to a certain amount of study and recent work on the mental processes of clinical decision making provide further insight. There is considerable promise being shown by methods of computer analysis and image enhancement and it may be that further development in these fields will provide the degree of objectivity that is essential if improved accuracy in diagnosis is to be achieved.
对于源于牙髓病的病理损害，由于涉及诸多变量，其影像学解读相对不精确。甚至连损害的存在与否都无法准确判定，而且对于应采用的标准也几乎没有共识。如果要获取最佳信息，就必须严格注意X线片的投照、冲洗和观察技术。视觉解读的主要问题以及所涉及的心理因素已经过一定程度的研究，近期关于临床决策思维过程的研究提供了进一步的见解。计算机分析和图像增强方法展现出了相当大的前景，也许这些领域的进一步发展将提供实现诊断准确性提高所必需的客观性程度。
