Kaibuchi Nobuyuki, Shimasaki Akira, Ikeda Mizuho, Wadachi Reiko, Kawase-Koga Yoko, Okamoto Toshihiro
Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University School of Medicine, 8-1 Kawada-cho, Shinku-ku, Tokyo, 162-8666, Japan.
Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University (TWIns), 8-1 Kawada-cho, Hiroshima, Tokyo, 162-8666, Japan.
Oral Maxillofac Surg. 2025 Jun 21;29(1):128. doi: 10.1007/s10006-025-01423-6.
We have been offering 'remote imaging consultations' to local dental clinics via a mail-form service as diagnostic support for oral diseases. In this report, we present three cases in which oral cancer was detected and treated at an early stage through this project, along with associated statistical data.
Between July 2017 and December 2022, local dental clinics submitted image consultation requests through a dedicated website. Two oral and maxillofacial surgeons reviewed the findings and provided reports via e-mail.
Of the 38 registered clinics, 15 (39.5%) utilised the service, and 114 consultations were conducted (49 men and 65 women). Post-diagnostic testing showed that the provisional diagnosis corresponded with the actual diagnosis in 28 patients (53.8%). Malignancy was suspected in 13 patients, of whom three (23.1%) - two cases of tongue cancer and one case of buccal mucosa cancer - were confirmed to have malignant tumours. A questionnaire sent to the dentists who used this service revealed that 71.4% were 'very satisfied' with the system.
These findings suggest that remote imaging consultations may be beneficial for the early detection and treatment of oral cancer.
我们一直通过邮件表单服务为当地牙科诊所提供“远程影像会诊”，作为口腔疾病的诊断支持。在本报告中，我们介绍了通过该项目早期发现并治疗口腔癌的三例病例以及相关统计数据。
2017年7月至2022年12月期间，当地牙科诊所通过专用网站提交影像会诊请求。两名口腔颌面外科医生对检查结果进行评估，并通过电子邮件提供报告。
在38家注册诊所中，15家（39.5%）使用了该服务，共进行了114次会诊（男性49例，女性65例）。诊断后检查显示，28例患者（53.8%）的初步诊断与实际诊断相符。13例患者疑似患有恶性肿瘤，其中3例（23.1%）——2例舌癌和1例颊黏膜癌——被确诊患有恶性肿瘤。向使用该服务的牙医发放的问卷显示，71.4%的人对该系统“非常满意”。
这些结果表明，远程影像会诊可能有助于口腔癌的早期发现和治疗。
