COMPARISON OF CONE BEAM COMPUTED TOMOGRAPHY, PANORAMIC RADIOGRAPHY AND ULTRASONOGRAPHY FOR THE DETECTION OF SOFT TISSUE CALCIFICATION
Journal Title: Uluslararası Dis Hekimligi Bilimleri Dergisi - Year 2024, Vol 10, Issue 1
Abstract
Aim: The aim of the study is to determine the distribution of soft tissue calcifications according to age, gender and localization and to compare 3 different imaging techniques in the detection of these heterotopic structures. Methods: The data of 1150 patients who were previously examined and known to have calcification were scanned. 102 patients, aged between 13 and 90, with calcification detected in cone beam computed tomography (CBCT), panoramic radiography and ultrasonography(USG) images, were selected and included in the study. Patient data were evaluated by two dentomaxillofacial radiology specialists retrospectively one month apart to evaluate the detectability of calcifications. A two-degree scale was adopted for the presence/absence of lesions. Results: When it was evaluated whether there was a difference between the three different imaging techniques in detecting calcification, a statistically significant difference was found between CBCT, panoramic radiography and USG (p<0.001). The sensitivity of panoramic radiography was lower compared to CBCT in the detection of tonsillolith, arterial calcification, antrolith and triticeous cartilage calcifications (34%, 75%, 40%, 75%, respectively). The sensitivity of ultrasonography (USG) was found to be quite low compared to CBCT in the detection of tonsillolith and triticeous cartilage calcifications (5.7%, 12.5%, respectively). Laryngeal cartilage calcification, anthrolith, rhinolith, and stylohyoid ligament ossification could not be detected by USG. Conclusions: Panoramic radiography can be used as an alternative imaging method compared to CBCT in the detection of maxillofacial soft tissue calcifications. USG is useful in evaluating some calcifications noticed on radiographs. The detectability of soft tissue calcifications with USG will increase with the widespread use of USG in the field of dentistry and the increase in the experience of physicians.
Authors and Affiliations
Çiğdem Şeker, Gediz Geduk, Murat İçen
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