FACTORS INFLUENCING THE RADIOGRAPHIC APPEARANCE OF BONY LESIONS
FACTORS INFLUENCING THE RADIOGRAPHIC APPEARANCE OF BONY LESIONS
复制标题
DOI：
10.1016/s0099-2399(82)80212-4
复制
发表时间：
1982-01-01
影响因子：
4.2
通讯作者：
BENDER, IB
中科院分区：
文献类型：
--
作者：
BENDER, IB
X线在诊断和随访研究中具有不可估量的价值。然而，放射学检查结果并不总是准确地反映存在的正常或致病条件的顶点的牙齿，或在下颌骨和上颌骨，代表转移或某些系统性病变。自从我们首次发现在松质骨结构内产生的实验性骨病变（未侵犯松质骨和皮质骨内表面之间的连接区域）无法在X线片上可视化以来，已经积累了相当多的证实文献。1-6上述研究强调，常规临床X线片可能无法检测到导致骨破坏的炎性病变或肿瘤的存在。微小病变7例。除了实验证据外，也有组织学和临床证据表明根尖和牙周病没有相关的放射学表现。人体尸检材料表明，在许多情况下，当松质骨患病时，有时当皮质受累时，放射学检查结果为阴性。此外，坏死的牙髓总是引起
The X ray is a tool of inestimable value in establishing a diagnosis and in follow-up studies. However, the radiographic findings do not always accurately reflect the existence of normal or pathogenic conditions at the apexes of teeth, or in the mandible and maxilla, represented by metastatic or certain systemic lesions. A considerable body of confirming literature has accumulated since we first showed that experimental bone lesions, created within the cancellous structure and not encroaching on the junction region between cancellous and inner surface of cortical bone, cannot be visualized on radiographs. 1-6 The aforementioned studies emphasize that routine clinical radiographs may not detect the presence of inflammatory lesions or neoplasms causing bone destruction. Whereas minute or small lesions 7 have been acknowledged. to go undetected, it has not been recdgnized that large lesions may also go undetected (Fig 1).Besides the experimental evidence, there is also histologic and clinical evidence of apical and periodontal disease without correlative radiographic manifestations? Human necropsy material has shown that, in many instances, radiographic examinations had negative results when cancellous bone was diseased and sometimes when cortex was involved. Furthermore, necrotic pulps invariably cause