PDF(Pubmed)
Abstract：
OBJECTIVE: Computed tomography (CT) and cone beam computed tomography (CBCT) represent the main imaging modalities used in rhinosinusitis patients and are also important in odontogenic sinusitis (OS) diagnostics. Reports, however, often lack information on dentition. Here, we aimed to determine how maxillary dentition is initially interpreted in rhinosinusitis patients\' CT/CBCT reports and which dental findings in particular are potentially missed, thus needing more attention.
METHODS: CT/CBCT scans and radiological reports from 300 rhinosinusitis patients were analysed focusing specifically on dental findings. An experienced oral and maxillofacial radiologist re-evaluated the scans and the assessment was compared to the original reports using the McNemar test.
RESULTS: From the 300 original reports, 233 (77.7%) mentioned the maxillary teeth. The most frequent statement (126/300, 42.0%) was \'no apical periodontitis\'. Apical periodontitis and severe alveolar bone loss were significantly overlooked (p < 0.001). Amongst the 225 patients for whom the CT/CBCT report initially lacked information on dental pathology, 22 patients were diagnosed with apical periodontitis and 16 with severe alveolar bone loss upon re-evaluation.
CONCLUSIONS: Dental pathology remains underreported in rhinosinusitis patients\' CT/CBCT reports. Because these reports affect OS diagnostics, a routine and structured review of the maxillary teeth by a radiologist is necessary. Such examinations should encompass the maxillary teeth.
METHODS: CT/CBCT scans and radiological reports from 300 rhinosinusitis patients were analysed focusing specifically on dental findings. An experienced oral and maxillofacial radiologist re-evaluated the scans and the assessment was compared to the original reports using the McNemar test.
RESULTS: From the 300 original reports, 233 (77.7%) mentioned the maxillary teeth. The most frequent statement (126/300, 42.0%) was \'no apical periodontitis\'. Apical periodontitis and severe alveolar bone loss were significantly overlooked (p < 0.001). Amongst the 225 patients for whom the CT/CBCT report initially lacked information on dental pathology, 22 patients were diagnosed with apical periodontitis and 16 with severe alveolar bone loss upon re-evaluation.
CONCLUSIONS: Dental pathology remains underreported in rhinosinusitis patients\' CT/CBCT reports. Because these reports affect OS diagnostics, a routine and structured review of the maxillary teeth by a radiologist is necessary. Such examinations should encompass the maxillary teeth.
摘要：
目的：计算机断层扫描（CT）和锥形束计算机断层扫描（CBCT）是鼻窦炎患者的主要成像方式，在牙源性鼻窦炎（OS）诊断中也很重要。报告,然而,通常缺乏牙列信息。这里,我们旨在确定鼻窦炎患者的上颌牙列最初是如何解释的，尤其是CT/CBCT报告，以及哪些牙齿发现可能被遗漏，因此需要更多的关注。
方法：分析了300例鼻窦炎患者的CT/CBCT扫描和放射学报告，重点关注牙齿的发现。经验丰富的口腔颌面放射科医师重新评估了扫描，并使用McNemar测试将评估结果与原始报告进行了比较。
结果：从300份原始报告中，233（77.7％）提到上颌牙齿。最常见的陈述（126/300，42.0％）是“无根尖周炎”。根尖周炎和严重牙槽骨丢失明显被忽视（p<0.001）。在CT/CBCT报告最初缺乏牙科病理学信息的225例患者中，22例患者在重新评估后被诊断为根尖周炎，16例被诊断为严重的牙槽骨丢失。
结论：在鼻窦炎患者中，牙齿病理学仍未报告。因为这些报告会影响操作系统诊断，放射科医师对上颌牙齿进行常规和结构化的检查是必要的。此类检查应包括上颌牙齿。
方法：分析了300例鼻窦炎患者的CT/CBCT扫描和放射学报告，重点关注牙齿的发现。经验丰富的口腔颌面放射科医师重新评估了扫描，并使用McNemar测试将评估结果与原始报告进行了比较。
结果：从300份原始报告中，233（77.7％）提到上颌牙齿。最常见的陈述（126/300，42.0％）是“无根尖周炎”。根尖周炎和严重牙槽骨丢失明显被忽视（p<0.001）。在CT/CBCT报告最初缺乏牙科病理学信息的225例患者中，22例患者在重新评估后被诊断为根尖周炎，16例被诊断为严重的牙槽骨丢失。
结论：在鼻窦炎患者中，牙齿病理学仍未报告。因为这些报告会影响操作系统诊断，放射科医师对上颌牙齿进行常规和结构化的检查是必要的。此类检查应包括上颌牙齿。
