Abstract
Objective
We assessed whether ultrasonography (US) can be used in combination with cone beam computed tomography (CBCT) to image intraosseous jaw lesions.
Material and methods
Using CBCT and US, we evaluated 123 lytic intraosseous jaw lesions diagnosed in 121 patients with guidance from the CBCT findings. The lesions were classified into two groups based on histopathological evaluation: (1) cysts and (2) tumors and tumor-like lesions. US and histopathological findings on the lesions of the two groups and their relationships with each other were also assessed. Results are reported as means ± standard errors, and p < 0.001 was accepted as indicating statistical significance.
Result
In total, 123 lesions were evaluated; 74 (60.2%) were cysts and 49 (39.8%) were tumors or tumor-like lesions. The CBCT and US findings were compatible as far as dimensional measurements of the lesions in the three planes (p < 0.001). The US and histopathological findings on the content of the lesions correlated (p < 0.001).
Conclusion
CBCT provides useful information for diagnosing intraosseous jaw lesions. Because it offers no valid Hounsfield unit (HU) value, it does not differentiate between solid and cystic masses. Thus, US can be used with CBCT to image intraosseous jaw lesions caused by buccal cortical thinning or perforation.
Clinical relevance
US provides useful information about intraosseous jaw lesions and can be used with CBCT to image such lesions caused by buccal cortical thinning or perforation. Clinicians can take this information into consideration when evaluating intraosseous jaw pathology.
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Change history
08 February 2018
In the original version of this article, ‘123 lytic intraosseous jaw lesions diagnosed in 112 patients’ was incorrectly presented as ‘123 lytic intraosseous jaw lesions diagnosed in 121 patients’ and ‘an average age of 31.7 ± 15.4 (range, 6–72)’ was incorrectly presented as ‘average age of 15.4 ± 31.7 (range, 6–72)’.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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This study was presented as a poster at the European Congress of DentoMaxillofacial Radiology (ECDMFR) 2016 in Cardiff, Wales, June 15–18, 2016, and won second prize for poster presentations at the European Academy Research Award Session.
A correction to this article is available online at https://doi.org/10.1007/s00784-018-2376-3.
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Bayrakdar, I.S., Yilmaz, A.B., Caglayan, F. et al. Cone beam computed tomography and ultrasonography imaging of benign intraosseous jaw lesion: a prospective radiopathological study. Clin Oral Invest 22, 1531–1539 (2018). https://doi.org/10.1007/s00784-017-2257-1
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DOI: https://doi.org/10.1007/s00784-017-2257-1