Cone-Beam Computed Tomography Findings in the Early Diagnosis of Calcified Atheromas

Soares, Artur dos Santos; Wanzeler, Ana Márcia Viana; Renda, Maria Daniela Oliveria; Marinho, Cláudia Gemaque; Tuji, Fabrício Mesquita

doi:10.1016/j.joms.2016.06.179

Cited by 8 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was a total of 137 (29.90%) patients with an incidentally detected head/neck atheroma. This percentage was higher than prior studies, which found the incidence of atheroma on CBCTs to be 17.89% 20 and incidence on panoramic radiographs at 0.43%-5%. 2 This higher percentage might be attributed to the fact that this study investigated both intracranial and extracranial lesions rather than only extracranial lesions.…”

Section: Discussioncontrasting

confidence: 66%

“…Patients with no recorded smoking or alcohol use were presumed to be nonusers, which may have underestimated the percentage of smokers and drinkers. This may explain the finding that there was no correlation between smoking and alcohol use and the different types of atheromas, when previous studies have shown this association 19,20 …”

Section: Discussionmentioning

confidence: 93%

“…18 When compared to panoramic radiographs, cone beam computed tomography (CBCT) offers a higher resolution and a three-dimensional (3D) image with greater reliability in detecting incidental atheroma. 19,20,22 In prior studies, the incidence of atheroma in CBCTs was estimated to be around 18% 20,21 and was significantly higher in men than in women. 20 However, data regarding the utility of CBCT for the diagnosis of lesions other than CCAA such as vertebral, ophthalmic, and intracranial arteries is lacking.…”

mentioning

confidence: 99%

“…19,20,22 In prior studies, the incidence of atheroma in CBCTs was estimated to be around 18% 20,21 and was significantly higher in men than in women. 20 However, data regarding the utility of CBCT for the diagnosis of lesions other than CCAA such as vertebral, ophthalmic, and intracranial arteries is lacking. There is also limited data on the impact of patient characteristics such as age, sex, ethnicity, and risk factors on the prevalence of intracranial (IC), extracranial (EC), and both IC and EC atheroma.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Incidental findings in cone beam computed tomography volumes: Calcified head‐and‐neck atheromas detected during dental evaluation

Alshalawi

Zaghlol

Price

et al. 2022

Journal of Prosthodontics

View full text Add to dashboard Cite

Atheromas can be detected incidentally in routine dental cone beam computed tomography (CBCT) images. This study aims to assess prevalence and risk factors associated with these vascular lesions. Materials and methods:The maxillofacial CBCTs of 458 subjects were evaluated and divided into 4 groups based on the presence of calcified atheroma: subjects with no calcified atheroma, subjects with intracranial calcified atheroma (ICA), subjects with extracranial calcified atheroma (ECA), and subjects exhibiting combined lesions. Age, sex, medical conditions, family history, and size were documented. Analysis of variance followed by a multiple comparison test was used for data satisfying parametric test assumptions. Chi-squared tests were used to assess categorical data. The Spearman Rho test was used to assess the correlation between the incidence of calcified atheroma and subjects' medical condition. Results: Of the 458 CBCTs evaluated, 29.90% presented with calcified atheroma. Calcified atheroma prevalence was significantly higher in older patients versus younger patients (p = 0.004) and in males compared to females (p = 0.004). Males were more likely to have the combination of ICA and ECA, whereas females were more likely to have ICA alone (p ≤ 0.040). Patients with calcified atheroma were significantly more likely to have a history of hyperlipidemia (p = 0.001), hypertension (p = 0.001), and myocardial infarction/coronary artery diseases (p = 0.001). Overall, patients exhibiting both intracranial and extracranial lesions were more likely to have cardiovascular risk factors (p = 0.001). Conclusion:Incidentally detected calcified atheromas in CBCTs are common. Subjects with combined atheroma lesions are at higher risk for cardiovascular disease. The diagnosis of incidental calcified atheromas in CBCT's warrants early referral to medical specialists, especially if there is no medical history of existing cardiovascular disease.

show abstract

Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 93%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Incidental findings in cone beam computed tomography volumes: Calcified head‐and‐neck atheromas detected during dental evaluation

Alshalawi

Zaghlol

Price

et al. 2022

Journal of Prosthodontics

View full text Add to dashboard Cite

show abstract

“…The most common calcifications in the mandibular region are tonsilloliths (TL), sialoliths of the submandibular salivary gland (SSG), carotid artery calcifications (CAC), calcified submandibular lymph nodes (hereafter referred to as CSL), and idiopathic osteosclerosis (IO) [1, 2, 3, 4]. As these calcifications are often detected on two-dimensional (2D) digital panoramic radiographs (DPRs), verification of their presence using 3D volume images may allow for an early diagnosis [5].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of mandibular calcification on 3D volume images

Schreiner-Tiefenbacher

Forster

Pauli

et al. 2019

Heliyon

View full text Add to dashboard Cite

Objectives Bone and soft-tissue calcifications are often coincidentally diagnosed on digital panoramic radiographs (DPRs). As the use of three-dimensional (3D) images has increased in the past decade for diagnostics in the mandibular region, we evaluated 3D volume images derived from 2D panoramic images to determine if this method is suitable for early detection of calcifications in this region. Methods In this study, three investigators retrospectively and independently evaluated 822 DPRs. If one or more calcifications were present, the 3D volume image from that patient was retrospectively evaluated to confirm the incidental findings. A radiographic system with a low-dose mode and a high-resolution 3D-image function was used. The investigators focussed on the most common calcifications, including tonsilloliths (TL), idiopathic osteosclerosis (IO) of the mandible, carotid artery calcifications (CAC), calcified submandibular lymph nodes (hereafter, CSL), and sialoliths of the submandibular salivary gland (SSG). Results One or more calcifications were identified in 415 (50.5%) DPRs. In total, 718 calcifications were detected, 30.2% of which were TL, 16.3% IO, 11.3% CAC, 8.8% CSL, and 1.7% SSG. Only 287 (39.97 %) of the calcifications were confirmed on 3D volume images; of these, 29.2% were TL, 58.5% IO, 0.2% CAC, and 1.4% SSG. No CSLs were detected. Conclusions Not all areas shown on the DPRs were visible in the retrospectively obtained 3D volume images. Whereas DPRs are used to diagnose calcifications such as IO, TL, SSG, CAC, and CSL, the 3D volume images were only useful for confirming the existence of IO, TL, and SSG calcifications.

show abstract

The relationship between diabetes and carotid artery calcifications detected via dental cone-beam computed tomography in patients undergoing implant treatment planning

Madern¹,

Anderson²,

Colosi³

et al. 2022

The Journal of the American Dental Association

View full text Add to dashboard Cite

Cone-Beam Computed Tomography Findings in the Early Diagnosis of Calcified Atheromas

Cited by 8 publications

References 20 publications

Incidental findings in cone beam computed tomography volumes: Calcified head‐and‐neck atheromas detected during dental evaluation

Incidental findings in cone beam computed tomography volumes: Calcified head‐and‐neck atheromas detected during dental evaluation

Evaluation of mandibular calcification on 3D volume images

The relationship between diabetes and carotid artery calcifications detected via dental cone-beam computed tomography in patients undergoing implant treatment planning

Contact Info

Product

Resources

About