Abstract：
BACKGROUND: Magnetic resonance imaging (MRI) is a non-ionizing imaging technique. Using MRI in dentistry may potentially lower the general radiation dose of the examined population, provided MRI can replace various radiation-based images. Furthermore, novel MRI imaging modalities for three-dimensional and two-dimensional cephalometrics have recently been developed for orthodontic diagnosis.
OBJECTIVE: This systematic review aimed to determine the diagnostic accuracy and reliability of MRI in orthodontic diagnosis and treatment planning.
METHODS: An electronic search was conducted on 20 November 2022 in the following databases: PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane. The search was updated on 30 August 2023. Furthermore, a grey literature search was performed in Google Scholar and Open-Grey.
METHODS: This review included descriptive, observational, cohort studies, cross-sectional, case-control studies, and randomized/non-randomized trials related to the research question. The study excluded studies related to patients with syndromes, chronic diseases, craniofacial anomalies, or bone diseases.
METHODS: The included studies were quality assessed using the \"Joanna Brigg\'s Critical Appraisal Tool for diagnostic test accuracy\". The GRADE approach for non-randomized studies was used for strength-of-evidence analysis.
RESULTS: Eight of the 10 included studies compared MRI with either cone beam computed tomography or lateral cephalogram and found a high intra- and inter-rater agreement for landmark identification. The risk of bias was high in four studies, moderate in three, and low in three studies. Homogeneity was lacking among the included studies in terms of MRI imaging parameters and sample characteristics. This should be taken into consideration by future studies where uniformity with respect to these parameters may be considered.
CONCLUSIONS: Despite dissimilarity and heterogeneity in the sample population and other methodological aspects, all the included studies concluded that MRI enjoyed considerable intra- and inter-examiner reliability and was comparable to current diagnostic standards in orthodontics. Furthermore, the studies agreed on the innovative potential of MRI in radiation-free diagnosis and treatment planning in orthodontics in the future.
BACKGROUND: CRD number: CRD420223XXXXX.
OBJECTIVE: This systematic review aimed to determine the diagnostic accuracy and reliability of MRI in orthodontic diagnosis and treatment planning.
METHODS: An electronic search was conducted on 20 November 2022 in the following databases: PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane. The search was updated on 30 August 2023. Furthermore, a grey literature search was performed in Google Scholar and Open-Grey.
METHODS: This review included descriptive, observational, cohort studies, cross-sectional, case-control studies, and randomized/non-randomized trials related to the research question. The study excluded studies related to patients with syndromes, chronic diseases, craniofacial anomalies, or bone diseases.
METHODS: The included studies were quality assessed using the \"Joanna Brigg\'s Critical Appraisal Tool for diagnostic test accuracy\". The GRADE approach for non-randomized studies was used for strength-of-evidence analysis.
RESULTS: Eight of the 10 included studies compared MRI with either cone beam computed tomography or lateral cephalogram and found a high intra- and inter-rater agreement for landmark identification. The risk of bias was high in four studies, moderate in three, and low in three studies. Homogeneity was lacking among the included studies in terms of MRI imaging parameters and sample characteristics. This should be taken into consideration by future studies where uniformity with respect to these parameters may be considered.
CONCLUSIONS: Despite dissimilarity and heterogeneity in the sample population and other methodological aspects, all the included studies concluded that MRI enjoyed considerable intra- and inter-examiner reliability and was comparable to current diagnostic standards in orthodontics. Furthermore, the studies agreed on the innovative potential of MRI in radiation-free diagnosis and treatment planning in orthodontics in the future.
BACKGROUND: CRD number: CRD420223XXXXX.
摘要：
背景：磁共振成像（MRI）是一种非电离成像技术。在牙科中使用MRI可能会降低被检查人群的总体辐射剂量，提供MRI可以取代各种基于辐射的图像。此外，最近开发了用于三维和二维头颅测量的新型MRI成像方式，用于正畸诊断。
目的：本系统综述旨在确定MRI在正畸诊断和治疗计划中的诊断准确性和可靠性。
方法：2022年11月20日在以下数据库中进行了电子搜索：PubMed，LILACS,WebofScience,EMBASE,Scopus,还有Cochrane.搜索于2023年8月30日更新。此外，在GoogleScholar和Open-Grey中进行了灰色文献检索。
方法：本综述包括描述性，观察,队列研究，横截面,病例对照研究，以及与研究问题相关的随机/非随机试验。该研究排除了与综合征患者相关的研究，慢性疾病,颅面异常,或骨骼疾病。
方法：使用“JoannaBrigg的诊断测试准确性关键评估工具”对纳入的研究进行质量评估。非随机研究的GRADE方法用于证据强度分析。
结果：纳入的10项研究中有8项将MRI与锥形束计算机断层扫描或侧位头影进行了比较，发现在界标识别中，评分者之间具有很高的一致性。在四项研究中，偏倚的风险很高，中度三分，在三项研究中都很低。在MRI成像参数和样本特征方面，纳入的研究缺乏一致性。这应该在未来的研究中考虑，在这些研究中可以考虑这些参数的一致性。
结论：尽管样本群体和其他方法学方面存在差异和异质性，所有纳入的研究均得出结论,MRI具有相当的检查内和检查间可靠性,与目前正畸学的诊断标准相当.此外，这些研究一致认为MRI在未来正畸学无辐射诊断和治疗计划中的创新潜力。
背景：CRD编号：CRD420223XXXXX。
目的：本系统综述旨在确定MRI在正畸诊断和治疗计划中的诊断准确性和可靠性。
方法：2022年11月20日在以下数据库中进行了电子搜索：PubMed，LILACS,WebofScience,EMBASE,Scopus,还有Cochrane.搜索于2023年8月30日更新。此外，在GoogleScholar和Open-Grey中进行了灰色文献检索。
方法：本综述包括描述性，观察,队列研究，横截面,病例对照研究，以及与研究问题相关的随机/非随机试验。该研究排除了与综合征患者相关的研究，慢性疾病,颅面异常,或骨骼疾病。
方法：使用“JoannaBrigg的诊断测试准确性关键评估工具”对纳入的研究进行质量评估。非随机研究的GRADE方法用于证据强度分析。
结果：纳入的10项研究中有8项将MRI与锥形束计算机断层扫描或侧位头影进行了比较，发现在界标识别中，评分者之间具有很高的一致性。在四项研究中，偏倚的风险很高，中度三分，在三项研究中都很低。在MRI成像参数和样本特征方面，纳入的研究缺乏一致性。这应该在未来的研究中考虑，在这些研究中可以考虑这些参数的一致性。
结论：尽管样本群体和其他方法学方面存在差异和异质性，所有纳入的研究均得出结论,MRI具有相当的检查内和检查间可靠性,与目前正畸学的诊断标准相当.此外，这些研究一致认为MRI在未来正畸学无辐射诊断和治疗计划中的创新潜力。
背景：CRD编号：CRD420223XXXXX。
