■我们旨在对检查锥形束计算机断层扫描(CBCT)成像在根尖周炎(AP)预测中的性能的研究进行系统综述和荟萃分析。这样做是为了解决关于该主题的现有文献中报道的矛盾结果。
■我们搜索了Embase,PubMed,科克伦图书馆,和Scopus数据库,用于使用适当的关键字在没有语言限制的情况下发布至2023年6月30日的文献。我们纳入了通过将AP诊断与没有病变的对照组进行比较来报道CBCT在人类AP检测中的诊断准确性值的研究。我们使用随机效应模型汇总了诊断准确性值,并以百分比和95%置信区间(CI)表示估计值。通过I2统计量探索了调查之间的异质性。
■在最初确定的301篇引文中,最终纳入了8项符合条件的研究.根据分析,总体汇集灵敏度,特异性,阳性预测值(PPV),CBCT的阴性预测值(NPV)为94.6%(95%CI:90.2-97.1;I2=55.9%,p=0.026),91.2%(95%CI:81.7-96.0;I2=81.6%,p<0.001),93.0%(95%CI:87.4-96.2;I2=56.5%,p=0.024),和92.3%(95%CI:82.3-96.8;I2=86.4%,p<0.001),分别。总体合并敏感性,特异性,PPV,数字X线摄影的NPV为61.0%(95%CI:38.3-79.8;I2=94.4%,p<0.001),97.3%(95%CI:85.6-99.5;I2=86.7%,p<0.001),98.3%(95%CI:92.0-99.6;I2=74.4%,p=0.002),和41.6%(95%CI:28.0-56.6;I2=89.5%,p<0.001),分别。
■CBCT成像在AP预测中具有出色的诊断准确性。此外,与数字射线照相相比,CBCT对AP具有更好的判别测试性能。
UNASSIGNED: We aimed to conduct a systematic
review and meta-analysis of studies examining the performance of cone-beam computed tomography (CBCT) imaging in apical periodontitis (AP) prediction. This was done to address the contradictory results reported in the existing literature on this topic.
UNASSIGNED: We searched the Embase, PubMed, Cochrane library, and Scopus databases for literature published from inception to 30 June 2023 without language restriction using appropriate keywords. We included studies that reported the diagnostic accuracy values of CBCT in AP detection among humans by comparing AP diagnosis with a control group without lesions. We pooled the diagnostic accuracy values using a random effects model and presented the estimates as percentage and 95% confidence interval (CI). The heterogeneity between the surveys was explored by I2 statistic.
UNASSIGNED: Out of 301 citations initially identified, a total of 8 eligible studies were finally included. According to the analyses, the overall pooled sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) estimated for CBCT were 94.6% (95% CI: 90.2-97.1; I2 = 55.9%, p = 0.026), 91.2% (95% CI: 81.7-96.0; I2 = 81.6%, p < 0.001), 93.0% (95% CI: 87.4-96.2; I2 = 56.5%, p = 0.024), and 92.3% (95% CI: 82.3-96.8; I2 = 86.4%, p < 0.001), respectively. The overall pooled sensitivity, specificity, PPV, and NPV of digital radiography were 61.0% (95% CI: 38.3-79.8; I2 = 94.4%, p < 0.001), 97.3% (95% CI: 85.6-99.5; I2 = 86.7%, p < 0.001), 98.3% (95% CI: 92.0-99.6; I2 = 74.4%, p = 0.002), and 41.6% (95% CI: 28.0-56.6; I2 = 89.5%, p < 0.001), respectively.
UNASSIGNED: CBCT imaging has excellent diagnostic accuracy in AP prediction. Also, CBCT has better discriminant test performance for AP than digital radiography.