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锥形束计算机断层扫描图像中颈内动脉走行内动脉粥样硬化患病率的评估

Evaluation of the Prevalence of Atherosclerosis Within the Course of Internal Carotid Artery in Cone Beam Computed Tomography Images.

作者信息

Paknahad Maryam, Shahidi Shoaleh, Abbasi Roshanak, Paknahad Majid

机构信息

Oral and Dental Disease Research Center, Oral and Maxillofacial Radiology Department, Dental School, Shiraz University of Medical Sciences, Zand Street, Shiraz, 7144833586 Iran.

Biomaterials Research Center, Oral and Maxillofacial Radiology Department, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5242-5251. doi: 10.1007/s12070-020-01958-y. Epub 2020 Jul 15.

Abstract

The aim of the present study was to retrospectively evaluate the gender-related and age-related prevalence and severity of calcifications within the segments of the internal carotid artery in cone beam computed tomography (CBCT). By using a documented visual scale, out of 400 CBCT examinations a total of 304 CBCT scans of adult patients over 40 years old were evaluated as to the prevalence and severity of intracranial calcifications within the segments of the internal carotid artery. Calcifications were found in 117 CBCT scans. These calcifications were detected along the extracranial (C1: 53%), petrous (C2: 22.2%), Lacerum (C3:27%), cavernous (C4: 94%), and ophthalmic-clinoid (C5/C6: 65%) segments. The Friedman test showed significant differences in the severity of calcifications among the internal carotid artery segments. The McNemar test showed no significant differences between calcifications on the right or left side segments. The Chi square test showed no significant differences in the prevalence of calcifications between men and women; it also showed that the prevalence of calcifications increased with increase in age ( < 0.05). In this study, the frequency and severity of calcifications decreased throughout the C4, C5/C6, and C1 segments in a descending order; moreover, an increased incidence of calcifications by increase in age was documented irrespective of gender.

摘要

本研究的目的是回顾性评估锥形束计算机断层扫描(CBCT)中颈内动脉各节段钙化的性别和年龄相关患病率及严重程度。通过使用记录的视觉量表,在400例CBCT检查中,对40岁以上成年患者的304例CBCT扫描评估了颈内动脉各节段颅内钙化的患病率和严重程度。在117例CBCT扫描中发现了钙化。这些钙化沿颅外段(C1:53%)、岩骨段(C2:22.2%)、破裂孔段(C3:27%)、海绵窦段(C4:94%)和眼-床突段(C5/C6:65%)被检测到。Friedman检验显示颈内动脉各节段钙化严重程度存在显著差异。McNemar检验显示左右侧节段钙化之间无显著差异。卡方检验显示男性和女性钙化患病率无显著差异;还显示钙化患病率随年龄增长而增加(<0.05)。在本研究中,钙化的频率和严重程度在C4、C5/C6和C1节段中按降序降低;此外,无论性别,均记录到钙化发生率随年龄增长而增加。

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