Department of Propedeutics and Integrated Clinic, Division of Oral Radiology, School of Dentistry, Federal University of Bahia, Salvador, Brazil.
Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
Dentomaxillofac Radiol. 2021 Oct 1;50(7):20200578. doi: 10.1259/dmfr.20200578. Epub 2021 Apr 9.
To compare the diagnostic efficacy of different devices for visualizing digital images in detecting simulated internal root resorption (IRR).
26 uniradicular human teeth were sectioned along its long axis and randomly divided into two groups. Then, they were submerged in hydrochloric acid (HCl) P.A 37% at different times to make two types of defects: Type 1 (2 hours), and type 2 (3 hours). Digital periapical radiographs were acquired in three moments: before section, after section and after immersion in acid. The images were evaluated on three different devices: 27-inch iMac Desktop, 8-inch Android Tablet, and 5.5-inch iPhone 8 Plus using a 5-point scale.
The sensitivity and accuracy values were higher with the use of the Android Tablet, for both types of defects. For the values of the area under ROC curve, higher results were observed with the Android Tablet and lower results with the iMac, showing a significant difference ( < 0.05) when comparing the use of the iMac with the Android Tablet and iPhone 8, for type 1 defects. When comparing the different devices, in the evaluation of images of type 2 defects, the values showed no statistical difference, regardless of the device evaluated ( > 0.05).
The size of the lesion interferes with the detection capacity in the image. However, the use of portable devices does not impair the diagnosis of IRR, regardless of size and the dental practioners may use different devices/display, under optimal viewing conditions, to detect IRR lesions, without jeopardizing the diagnostic ability.
比较不同设备在检测模拟内吸收(IRR)时可视化数字图像的诊断效能。
将 26 颗单根人牙沿长轴切开,随机分为两组。然后,将它们分别浸入盐酸(HCl)PA 37%中不同时间,以制作两种类型的缺陷:1 型(2 小时)和 2 型(3 小时)。在三个时刻获取数字根尖射线照片:切开前、切开后和浸入酸后。在三种不同的设备上评估图像:27 英寸 iMac 台式机、8 英寸 Android 平板电脑和 5.5 英寸 iPhone 8 Plus,使用 5 分制进行评估。
对于两种类型的缺陷,使用 Android 平板电脑时灵敏度和准确性值更高。对于 ROC 曲线下面积的数值,使用 Android 平板电脑时观察到更高的结果,而使用 iMac 时则较低,当将 iMac 与 Android 平板电脑和 iPhone 8 进行比较时,差异具有统计学意义(<0.05)。对于 1 型缺陷。当比较不同设备时,在评估 2 型缺陷的图像时,无论评估的设备如何,值均无统计学差异(>0.05)。
病变的大小会影响图像的检测能力。然而,使用便携式设备不会损害 IRR 的诊断能力,无论病变的大小和牙医可能使用不同的设备/显示器,在最佳观察条件下,都可以检测到 IRR 病变,而不会影响诊断能力。