超声成像与X线片在鉴别根尖周病变中的应用：一项系统评价
Ultrasound Imaging versus Radiographs in Differentiating Periapical Lesions: A Systematic Review.
作者信息
Patil Shankargouda, Alkahtani Ahmed, Bhandi Shilpa, Mashyakhy Mohammed, Alvarez Mario, Alroomy Riyadh, Hendi Ali, Varadarajan Saranya, Reda Rodolfo, Raj A Thirumal, Testarelli Luca
机构信息
Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia.
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia.
出版信息
Diagnostics (Basel). 2021 Jul 3;11(7):1208. doi: 10.3390/diagnostics11071208.
BACKGROUND
Ultrasonography is a non-invasive method of diagnosing periapical lesions while radiologic methods are more common. Periapical lesions due to endodontic infection are one of the most common causes of periapical radiolucency that need to be distinguished to help determine the course of treatment. This review aimed to examine the accuracy of ultrasound and compare it to radiographs in distinguishing these lesions in vivo.
METHODS
This review process followed the PRISMA guidelines. A literature search of databases (PubMed, Scopus, Embase, and Web of Science) was conducted without any restrictions on time. Articles available in English were included. The selection was done according to the inclusion and exclusion criteria. The QUADAS-2 tool was used to assess the quality of the studies.
RESULTS
The search provided a total of 87 articles, out of which, five were selected for the final review. In all the studies, ultrasound had higher accuracy in distinguishing periapical lesions. All the studies indicated a risk of bias, especially in patient selection.
CONCLUSION
Within limitations, the study indicates that ultrasound is a better diagnostic tool to distinguish periapical lesions compared to radiographs but further studies with well-designed, rigorous protocols and low risk of bias are needed to provide stronger evidence.
背景
超声检查是诊断根尖周病变的一种非侵入性方法，而放射学方法更为常用。牙髓感染引起的根尖周病变是根尖周透射区最常见的原因之一，需要加以区分以帮助确定治疗方案。本综述旨在研究超声在体内区分这些病变的准确性，并与X线片进行比较。
方法
本综述过程遵循PRISMA指南。对数据库（PubMed、Scopus、Embase和Web of Science）进行文献检索，时间无限制。纳入英文文献。根据纳入和排除标准进行筛选。使用QUADAS-2工具评估研究质量。
结果
检索共得到87篇文章，其中5篇被选入最终综述。在所有研究中，超声在区分根尖周病变方面具有更高的准确性。所有研究均表明存在偏倚风险，尤其是在患者选择方面。
结论
在一定局限性内，该研究表明与X线片相比，超声是区分根尖周病变的更好诊断工具，但需要进一步开展设计良好、方案严谨且偏倚风险低的研究以提供更有力的证据。
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