关键词: cone beam computed tomography dental pathology diagnostic imaging incidental findings otolaryngology

Mesh : Cone-Beam Computed Tomography / methods Humans Incidental Findings Referral and Consultation Otorhinolaryngologic Diseases / diagnostic imaging therapy

来  源:   DOI:

Abstract:
Cone beam computed tomography (CBCT) frequently captures unexpected structural abnormalities unrelated to the original intent of the diagnostic test. Once identified by dentists, these findings often require appropriate clinical referral for further investigation. This study reviewed recent literature using a comprehensive search to identify and curate common CBCT incidental findings (IFs). Studies were included if they reported CBCT IFs and included more than 10 cases. The review included 16 primary studies in addition to 4 studies described in recent relevant systematic reviews. A total of 51 descriptive terms used to describe key IFs across studies were identified, and terms were organized semantically into 15 core finding categories. Recommendations for management and referral acuity were derived from otolaryngologic clinical practice guidelines and input from practicing otolaryngologists, and the results were integrated into a clinical management algorithm for acuity of referral. This comprehensive review offers practical recommendations to facilitate appropriate clinical management of CBCT IFs via otolaryngologic referral.
摘要:
锥形束计算机断层扫描(CBCT)经常捕获与诊断测试的原始意图无关的意外结构异常。一旦被牙医确认,这些发现通常需要适当的临床转诊以进行进一步调查.这项研究回顾了最近的文献,使用全面的搜索来识别和策划常见的CBCT偶然发现(IFs)。如果研究报告了CBCTIFs,并且包括10例以上,则纳入研究。该综述包括16项主要研究以及最近相关系统综述中描述的4项研究。总共确定了51个描述性术语,用于描述跨研究的关键IFs,和术语被语义地组织成15个核心发现类别。管理和转诊敏锐度的建议来自耳鼻喉科临床实践指南和执业耳鼻喉科医师的输入,并将结果整合到转诊的临床管理算法中.这篇全面的综述提供了实用的建议,以促进通过耳鼻喉科转诊对CBCTIFs进行适当的临床管理。
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