Dental Flat Panel Conebeam CT in the Evaluation of Patients with Inflammatory Sinonasal Disease: Diagnostic Efficacy and Radiation Dose Savings

Leiva‐Salinas, Carlos; Flors, Lucía; Gras, P.; Más-Estellés, Fernando; Lemercier, Pierre; Patrie, James T.; Wintermark, Max; Martí‐Bonmatí, Luis

doi:10.3174/ajnr.a4019

Cited by 15 publications

(14 citation statements)

References 22 publications

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“…26 Instead of using doseequivalent scan protocols, however, only "manufacturer recommended" protocols were applied; this application makes the comparison unbalanced in terms of dose and image quality. In another recent study, a comparison of MDCT and "simulated" CBCT was performed to evaluate the percentage of missed softtissue lesions, which was as low as 3.3%.…”

Section: Discussionmentioning

confidence: 99%

Imaging the Parasinus Region with a Third-Generation Dual-Source CT and the Effect of Tin Filtration on Image Quality and Radiation Dose

Lell¹,

May²,

Brand³

et al. 2015

American Journal of Neuroradiology

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Section: Discussionmentioning

confidence: 99%

Imaging the Parasinus Region with a Third-Generation Dual-Source CT and the Effect of Tin Filtration on Image Quality and Radiation Dose

Lell¹,

May²,

Brand³

et al. 2015

American Journal of Neuroradiology

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“…However, precise measurements of radiation dose exposure from CBCT are difficult to quantify because of absence of accepted dose metrics. CBCT imaging may be utilized for the assessment of sinus anatomy and pathology in uncomplicated cases of sinusitis, although it has limitations in assessing soft-tissue structures, and it may aid in the diagnosis of odontogenic sinusitis, which may occur when periapical infections spread from the molar teeth into the floor of the maxillary sinus and may be the etiology of maxillary sinusitis in about 10% to 12% of patients [40,41]. Appropriateness for patient selection may be made either clinically or by endoscopy [42].…”

Section: Cbct Cbct Became Commercially Available In 2001mentioning

confidence: 99%

ACR Appropriateness Criteria ® Sinonasal Disease

Kirsch

Bykowski

Aulino

et al. 2017

Journal of the American College of Radiology

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Imaging of sinonasal pathology may occur for assessment of rhinosinusitis or mass lesions. Rhinosinusitis is prevalent in up to 16% of the US population with annual economic burdens estimated at 22 billion dollars. Rhinosinusitis is characterized as acute or chronic based on symptom duration; if four or more episodes occur annually, the term recurrent acute rhinosinusitis (RARS) is used. In acute uncomplicated rhinosinusitis when inflammatory change remains in the paranasal sinuses and nasal cavity, imaging may not be required. Distinction between viral or bacterial rhinosinusitis is a clinical diagnosis, and imaging should be interpreted in conjunction with clinical and endoscopic findings. Sinus CT imaging is appropriate per clinical judgment in associated complications including headache, facial pain, swelling, orbital proptosis, or cranial nerve palsies. In maxillary sinusitis, teeth may require assessment because 20% may be odontogenic in origin. MRI may be complementary in aggressive infections with intraocular/intracranial complications, invasive fungal sinusitis, or sinonasal masses. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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“…auch eine Magnetresonanztomografie (MRT) als diagnostische Alternative diskutiert werden [7]. Die Strahlenbelastung einer konventionellen CT-Untersuchung ist höher als die einer DVT-Untersuchung [16]. Es ist aber zu beachten, dass vergleichbare Untersuchungen an verschiedenen DVT-Systemen mit einer hohen Variabilität der effektiven Dosis für eine Untersuchung aufweisen, wie Rottke et al [15] …”

Section: Konventionelleunclassified

Optimierte Bildgebung des Mittelgesichtes und der Orbita

Langner

2015

Laryngo-Rhino-Otol

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Dental Flat Panel Conebeam CT in the Evaluation of Patients with Inflammatory Sinonasal Disease: Diagnostic Efficacy and Radiation Dose Savings

Cited by 15 publications

References 22 publications

Imaging the Parasinus Region with a Third-Generation Dual-Source CT and the Effect of Tin Filtration on Image Quality and Radiation Dose

Imaging the Parasinus Region with a Third-Generation Dual-Source CT and the Effect of Tin Filtration on Image Quality and Radiation Dose

ACR Appropriateness Criteria ® Sinonasal Disease

Optimierte Bildgebung des Mittelgesichtes und der Orbita

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