Diagnostic criteria for the detection of mandibular osteomyelitis using cone-beam computed tomography.
Diagnostic criteria for the detection of mandibular osteomyelitis using cone-beam computed tomography.
复制标题
使用锥形束计算机断层扫描检测下颌骨髓炎的诊断标准。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Max Heiland
中科院分区：
文献类型：
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作者：
Dirk Schulze;M. Blessmann;P. Pohlenz;KW Wagner;Max Heiland
目标
探讨锥形束计算机断层扫描（CBCT）在疑似下颌骨骨髓炎（OM）病例中的作用。
方法
13例临床疑似下颌骨OM的患者使用NewTom QR-DVT 9000进行了锥形束计算机断层扫描。在CBCT显示确认OM诊断的体征后，进行活检。本研究仅纳入组织学证实OM的病例。
结果
CBCT充分显示OM典型病变，如溶骨性和骨质疏松区以及骨膜反应、边界不清的皮质骨和死骨。
结论
由于CBCT可以充分检测到疾病的局部扩展及其与解剖结构的关系，因此我们认为CBCT的使用是一个重要的额外适应症。对于不同的情况下，CBCT结合动脉造影似乎是一个足够的诊断策略怀疑OM。
OBJECTIVES
To investigate the usefulness of cone-beam computed tomography (CBCT) in cases of suspected osteomyelitis (OM) of the mandible.
METHODS
13 patients with clinical suspected OM of the mandible underwent cone-beam computed tomography with the NewTom QR-DVT 9000. After CBCT revealed signs confirming the diagnosis of OM, biopsies were performed. Only cases in which histology confirmed the OM were included in this study.
RESULTS
CBCT sufficiently depicts OM-typical lesions like osteolytic and osteosclerotic areas as well as periosteal reaction, ill-defined cortical borders and sequestra.
CONCLUSIONS
Because the local extension of the disease and its relationship to anatomic structures can be sufficiently detected by CBCT, we see an important additional indication for the usage of CBCT. With regard to distinct cases CBCT combined with scintigraphy seems to be a sufficient diagnostic strategy concerning suspected OM.