口腔病理学中全景放射摄影诊断准确性的纵向分析。
Longitudinal Analysis of Diagnostic Accuracy of Panoramic Radiography in Oral Pathology.
作者信息
Nayak Suryakanta, Sahoo Sanjay, Chaturvedi Mudita, Jerry Aldrin, Al-Ghaith Ayoub R A, Ausare Surabhi S, Bagewadi Shivanand
机构信息
Department of Oral and Maxillofacial Pathology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
Reader, Department of Periodontics, Kalinga Institute of Dental Science, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
出版信息
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2378-S2380. doi: 10.4103/jpbs.jpbs_290_24. Epub 2024 Jul 31.
OBJECTIVE
The purpose of this 5-year longitudinal study was to assess the diagnostic accuracy of panoramic radiography (PR) in identifying oral pathology at a tertiary care facility.
METHODS
A retrospective review of patient files was done, encompassing those of patients who had PR for suspected oral lesions, followed by a biopsy. At various times, several diagnostic accuracy metrics were computed, such as sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic odds ratio (DOR).
RESULTS
The research had 250 patients in total. In terms of identifying oral pathology, PR showed a sensitivity of 85% and a specificity of 90%. There were 80% and 92% PPV and NPV, respectively. With a computed DOR of 25, PR's total discriminating power was found to be high.
CONCLUSION
In summary, PR consistently demonstrates great diagnostic accuracy in identifying oral pathology at a tertiary care facility. These results confirm that PR is a useful screening technique for oral lesions in standard clinical practice. In order to overcome PR's shortcomings and investigate methods for enhancing its diagnostic effectiveness, more investigation is necessary.
目的
这项为期5年的纵向研究旨在评估全景X线摄影（PR）在三级医疗机构中识别口腔病变的诊断准确性。
方法
对患者档案进行回顾性研究，涵盖因疑似口腔病变接受PR检查并随后进行活检的患者。在不同时间计算了几个诊断准确性指标，如敏感性、特异性、阳性预测值（PPV）、阴性预测值（NPV）和诊断比值比（DOR）。
结果
该研究共有250名患者。在识别口腔病变方面，PR的敏感性为85%，特异性为90%。PPV和NPV分别为80%和92%。计算得出的DOR为25，发现PR的总体鉴别能力较高。
结论
总之，PR在三级医疗机构中识别口腔病变时始终表现出较高的诊断准确性。这些结果证实，PR是标准临床实践中用于口腔病变的一种有用的筛查技术。为了克服PR的缺点并研究提高其诊断效果的方法，还需要更多的研究。
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