Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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The effect of radiographic imaging modalities and the observer's experience on postoperative maxillary cyst assessment

  • Gang, Tae-In (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Huh, Kyung-Hoe (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Yi, Won-Jin (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Lee, Sam-Sun (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Heo, Min-Suk (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Choi, Soon-Chul (Department of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University)
  • Received : 2014.07.22
  • Accepted : 2014.10.27
  • Published : 2014.12.31
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Abstract

Purpose: The purpose of this study was to compare the accuracy of postoperative maxillary cyst (POMC) diagnosis by panoramic radiographs versus computed tomography (CT) and by oral and maxillofacial radiologists versus non-specialists. Materials and Methods: Sixty-five maxillary sinuses with POMCs and 63 without any lesion were assessed using panoramic radiographs and CT images by five oral and maxillofacial radiologists and five non-specialists on a five-point scale. The areas under receiver operating characteristic (ROC) curves were analyzed to determine the differences in diagnostic accuracy between the two imaging modalities and between the two groups of observers. The intra-observer agreement was determined, too. Results: The diagnostic accuracy of CT images was higher than that of panoramic radiographs in both groups of observers (p<0.05). The diagnostic accuracy of oral and maxillofacial radiologists for each method was higher than that of non-specialists (p<0.05). Conclusion: The use of CT improves the diagnosis of POMC, and radiological training and experience leads to more accurate evaluation.

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References

  1. Yamamoto H, Takagi M. Clinicopathologic study of the postoperative maxillary cyst. Oral Surg Oral Med Oral Pathol 1986; 62: 544-8. https://doi.org/10.1016/0030-4220(86)90318-X
  2. Kaneshiro S, Nakajima T, Yoshikawa Y, Iwasaki H, Tokiwa N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg 1981; 39: 191-8.
  3. Lee GI, Park TW. Clinical and radiological study of the postoperative maxillary cyst. J Korean Acad Oral Maxillofac Radiol 1994; 24: 47-55.
  4. Lyon HE. Reliability of panoramic radiography in the diagnosis of maxillary sinus pathosis. Oral Surg Oral Med Oral Pathol 1973; 35: 124-8. https://doi.org/10.1016/0030-4220(73)90103-5
  5. Moilanen A. Panoramic zonography in the diagnosis of the maxillary sinus disease. Int J Oral Surg 1984; 13: 432-6. https://doi.org/10.1016/S0300-9785(84)80070-8
  6. Pe MB, Sano K, Kitamura A, Inokuchi T. Computed tomography in the evaluation of postoperative maxillary cysts. J Oral Maxillofac Surg 1990; 48: 679-84. https://doi.org/10.1016/0278-2391(90)90049-8
  7. Isoda H, Takehara Y, Masui T, Seki A, Takahashi M, Kaneko M. MRI of postoperative maxillary cysts. J Comput Assist Tomogr 1993; 17: 572-5. https://doi.org/10.1097/00004728-199307000-00010
  8. Chindasombatjaroen J, Uchiyama Y, Kakimoto N, Murakami S, Furukawa S, Kishino M. Postoperative maxillary cysts: magnetic resonance imaging compared with computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e38-44. https://doi.org/10.1016/j.tripleo.2009.02.012
  9. Park SH, Goo JM, Jo CH. Receiver operating characteristic (ROC) curve: practical review for radiologists. Korean J Radiol 2004; 5: 11-8. https://doi.org/10.3348/kjr.2004.5.1.11
  10. Basu MK, Rout PG, Rippin JW, Smith AJ. The post-operative maxillary cyst. Experience with 23 cases. Int J Oral Maxillofac Surg 1988; 17: 282-4. https://doi.org/10.1016/S0901-5027(88)80002-X
  11. Sugar AW, Walker DM, Bounds GA. Surgical ciliated (postoperative maxillary) cysts following mid-face osteotomies. Br J Oral Maxillofac Surg 1990; 28: 264-7. https://doi.org/10.1016/0266-4356(90)90064-R
  12. Hayhurst DL, Moenning JE, Summerlin DJ, Bussard DA. Surgical ciliated cyst: a delayed complication in a case of maxillary orthognathic surgery. J Oral Maxillofac Surg 1993; 51: 705-9. https://doi.org/10.1016/S0278-2391(10)80277-0
  13. Amin M, Witherow H, Lee R, Blenkinsopp P. Surgical ciliated cyst after maxillary orthognathic surgery: report of a case. J Oral Maxillofac Surg 2003; 61: 138-41. https://doi.org/10.1053/joms.2003.50050
  14. Kim JJ, Freire M, Yoon JH, Kim HK. Postoperative maxillary cyst after maxillary sinus augmentation. J Craniofac Surg 2013; 24: e521-3. https://doi.org/10.1097/SCS.0b013e3182a238a4
  15. Ohba T, Katayama H. Panoramic roentgen anatomy of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1975; 39: 658-64. https://doi.org/10.1016/0030-4220(75)90211-X
  16. Ohba T, Yang R, Chen C, Ogawa Y, Katayama H. Experimental explanation of maxillary sinus radiopacity as seen by Waters' and panoramic projections. Dentomaxillofac Radiol 1985; 14: 133-6. https://doi.org/10.1259/dmfr.1985.0019
  17. Ohba T, Ogawa Y, Hiromatsu T, Shinohara Y. Experimental comparison of radiographic techniques in the detection of maxillary sinus disease. Dentomaxillofac Radiol 1990; 19: 13-7. https://doi.org/10.1259/dmfr.19.1.2387471
  18. Heo MS, Song MY, Lee SS, Choi SC, Park TW. A comparative study of the radiological diagnosis of postoperative maxillary cyst. Dentomaxillofac Radiol 2000; 29: 347-51. https://doi.org/10.1038/sj.dmfr.4600552
  19. Cable HR, Jeans WD, Cullen RJ, Bull PD, Maw AR. Computerized tomography of the Caldwell-Luc cavity. J Laryngol Otol 1981; 95: 775-83. https://doi.org/10.1017/S0022215100091428
  20. Yoshimura Y, Matsuura R, Santo E. Various appearances of postoperative maxillary cysts with computerized tomography. Dentomaxillofac Radiol 1985; 14: 37-40. https://doi.org/10.1259/dmfr.1985.0004

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