Mohd Nizar Muhammad Aiman, Nabil Syed
Department of Craniofacial Diagnostic and Biosciences, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Diagnostics (Basel). 2025 May 29;15(11):1378. doi: 10.3390/diagnostics15111378.
: The present scoping review aims to explore and provide an overview of the current applications of cone beam computed tomography (CBCT) in the management of oral cancer. : This study was conducted in accordance with the JBI Guidance for Scoping Reviews and reported following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). A systematic search was performed across the following databases: PubMed, OVID, Scopus, Web of Science, and the Cochrane Library to answer the research question: "What are the current applications of CBCT in the perioperative management of patients with oral cancer?". : A total of 52 studies met the inclusion criteria. Four major areas of CBCT application in oral cancer were identified: radiotherapy planning and monitoring (25 studies), assessment of bone invasion (16 studies), intraoperative surgical guidance (6 studies), and evaluation of treatment-related complications (5 studies). These findings highlight the diverse but focused use of CBCT across different stages of oral cancer management. : CBCT is increasingly utilized in the perioperative management of oral cancer, with its application in radiotherapy planning and assessment being the most well-established. However, other uses, such as for surgical navigation and complication assessment, are still emerging, with promising evidence. Further research is needed to expand and validate these applications.
本综述旨在探讨并概述锥形束计算机断层扫描(CBCT)在口腔癌管理中的当前应用。本研究遵循JBI综述指南进行,并按照系统综述扩展版(PRISMA-ScR)进行报告。通过在以下数据库进行系统检索:PubMed、OVID、Scopus、科学网和Cochrane图书馆,以回答研究问题:“CBCT在口腔癌患者围手术期管理中的当前应用有哪些?”。共有52项研究符合纳入标准。确定了CBCT在口腔癌中的四个主要应用领域:放射治疗计划与监测(25项研究)、骨侵犯评估(16项研究)、术中手术指导(6项研究)以及治疗相关并发症评估(5项研究)。这些发现凸显了CBCT在口腔癌管理不同阶段的多样但有重点的应用。CBCT在口腔癌围手术期管理中的应用日益增多,其在放射治疗计划与评估中的应用最为成熟。然而,其他用途,如手术导航和并发症评估,仍在不断涌现,且有很有前景的证据。需要进一步研究以扩展和验证这些应用。