J Clin Periodontol:口腔磁共振成像评估上颌磨牙根分叉病变的准确性

2020-04-30 网络 网络

临床中通常使用X线片与锥形束计算机断层扫描(CBCT)进行口腔检查,口腔磁共振成像(dMRI)使用较少。本研究旨在探究口腔磁共振成像(dMRI)在评估上颌磨牙根分叉病变(FI)的准确性和可靠性。

临床中通常使用X线片与锥形束计算机断层扫描(CBCT)进行口腔检查,口腔磁共振成像(dMRI)使用较少。本研究旨在探究口腔磁共振成像(dMRI)在评估上颌磨牙根分叉病变(FI)的准确性和可靠性。

在这项前瞻性研究中,22名重度牙周炎患者接受了CBCT和dMRI。由两个独立的观察者对192个根分叉开口的水平FI进行评估,将dMRI与CBCT(参考形态)进行比较,评估dMRI的准确性。利用Cohen's kappa(κ)、敏感性和特异性计算FI分度。使用Bland-Altman分析和Kruskal-Wallis检验评估dMRI测量的准确性。

结果发现,在CBCT-findings的基础上,93个根分叉开口的FI的分度为,I/II/III:35/19/39。dMRI与CBCT的结果一致(bias:0.17mm;95%一致性界限:-1.05-1.38mm),不同分度FI之间的测量准确性没有差异(P = 0.67)。dMRI的灵敏度和特异性分别为98%和99%。dMRI在I/II/III度FI的灵敏度分别为89%/84%/100%。

因此,与CBCT(非侵入性金标准法)相比,dMRI在评估上颌磨牙FI时具有较高的准确性和可靠性。

原始出处:

Alexander Juerchott, In vivo accuracy of dental magnetic resonance imaging in assessing maxillary molar furcation involvement: a feasibility study in humans, journal of clinical periodontology, 2020, doi:10.1111/jcpe.13299

 

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组织驻留记忆T细胞(Trm)是一种驻留于组织的,新的长效记忆T细胞子集,它们驻留于之前发生过细菌或病毒感染的组织中,参与早期或即刻免疫防御机制,对病原体侵袭进行特异性保护。