Prevalence of suggestive images of carotid artery calcifications on panoramic radiographs and its relationship with predisposing factors

Brito, Ana Caroline Ramos de; Nascimento, Helena Aguiar Ribeiro do; Argento, Rafaela; Beline, Thamara; Ambrosano, Gláucia María Bovi; Freitas, Deborah Queiroz

doi:10.1590/1413-81232015217.06622015

Cited by 17 publications

(18 citation statements)

References 19 publications

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“…However, no statistical significance was observed for the outcomes based on the association with sex. In accordance to the current study, Brito et al 8 (2016) also observed a higher prevalence of CAC in elder individuals (19.85% of patients were aged 61-80 years). Similarly, in this study, most CAC patients were aged >50 years (mean age, 58 years).…”

Section: Discussionsupporting

confidence: 92%

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Structures Suggestive of Carotid Artery Calcifications and Their Prevalence on Digital Panoramic Radiographs Prevalence on Digital Panoramic Radiograp

et al. 2019

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Objectives: To investigate prevalence of carotid artery calcifications via digital panoramic radiographs of patients who underwent dental treatment. Methods: Panoramic radiographs of 12.687 patients who underwent dental treatment at a federal university, were collected (male, n = 5.169, 40.7%; female, n = 7.518, 59.3%). Patients were aged 2-87 years (mean age, 34 years). Radiographs were obtained using a digital device. Two trained examiners analyzed the images with an imaging software package. Radiopaque images in the C3 and C4 cervical vertebrae region were searched for. Statistical outcomes were analyzed based on their association with sex and age. Results: The prevalence rate of carotid artery calcifications was 1.8% (n = 227). We identified unilateral (n = 140, 61.67%) and bilateral (n = 87, 38.33%) calcifications. Prevalence and sex (130 females, 97 males) were not statistically significant (p > 0.05). We observed calcifications predominantly in patients aged 50-60 years (p < 0.05). Conclusion: Awareness by physicians and dentists of the possible presence of carotid artery calcifications on digital panoramic radiographs is necessary. To optimize the risk management of vascular diseases, asymptomatic patients in their fifties or sixties must receive additional attention because panoramic radiographs may lead to diagnosis.

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Section: Discussionsupporting

confidence: 92%

“…However, a statistically significant association was observed between age and prevalence of CAC (p < 0.05). Recently, Brito et al 8 (2016) detected CAC in 7.92% of the 505 panoramic radiographs analyzed. The authors found a higher prevalence of CAC in females (8.82%) than in males.…”

Section: Discussionmentioning

confidence: 99%

Structures Suggestive of Carotid Artery Calcifications and Their Prevalence on Digital Panoramic Radiographs Prevalence on Digital Panoramic Radiograp

et al. 2019

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“…Khambet et al (8) reported values for sensitivity of 76% and specificity of 99% for DPR detecting calcified carotid artery atheromatous plaques. With this in mind we aimed to analyse the relation The risk factors for atherosclerosis, according to the literature, coincide with cardiovascular disease (13), such as increasing age (14), history of stroke, hypertension, diabetes, smoking, hypercholesterolemia (1,6,9,11,12,14), alcohol consumption (4,15) and obesity (16). Zheng et al (15) reported statistical significance between alcohol consumption in a population with atherosclerosis and cardiovascular accidents.…”

Section: Discussionmentioning

confidence: 99%

“…This may be due, once again, to sample bias or recall bias. In the literature there is no consensus regarding this association, with some articles demonstrating a relationship between smoking and carotid atheromas detected by DPR (14) and others not reaching statistical significance (9).…”

Section: Discussionmentioning

confidence: 99%

Assessment of carotid calcifications on digital panoramic radiographs: Retrospective analysis and review of the literature

Monteiro

Ibrahim²,

Albuquerque

et al. 2018

Journal of Stomatology, Oral and Maxillofacial Surgery

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“…To verify the presence of a potential carotid artery calcification, conventional anteroposterior projections (APPs) of the neck have been used to complement PRs. 1,10,11 However, carotid calcifications in APPs may be missed because of superimposition on the cervical…”

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confidence: 99%

Calcifications in the neck region of patients with carotid artery stenosis: a computed tomography angiography study of topographic anatomy

Barut

Ahlqvist

Garoff

et al. 2020

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Objectives. The aim of this study was to map the vertical locations of calcified carotid plaques (CCPs), osseous anatomic structures, and calcified soft tissues in the area of the carotid artery, determine to what extent CCPs are superimposed on the cervical spine in coronal images, and analyze the differences between men and women. Study Design. Computed tomography angiography (CTA) scans of 79 patients were studied. CCPs were discovered in 152 of the total 158 neck sides. Evaluations were performed by using sagittal and coronal reformatted CTA images with maximum intensity projection.Results. Most of the calcified anatomic structures studied, including the carotid bifurcation, were found in close relationship to the level of the third and fourth cervical vertebrae. In the coronal view, all or most of the areas of the CCPs were superimposed on the cervical spine in 22 of 44 (50%) neck sides with CCP in women and in 37 of 108 (34.2%) in men (P = .070).Conclusions. The carotid bifurcation is in close proximity to various calcified anatomic structures. This should be taken into account when diagnosing CCPs in panoramic radiographs. In the coronal view, CCPs and the cervical spine are often superimposed; thus, coronal images are not recommended for confirmation of putative carotid calcifications diagnosed on the basis of

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Prevalence of suggestive images of carotid artery calcifications on panoramic radiographs and its relationship with predisposing factors

Abstract: Prevalence of suggestive images of carotid artery calcifications on panoramic radiographs and its relationship with predisposing factorsPrevalência de imagens sugestivas de calcificações da artéria carótida em radiografias panorâmicas e sua relação com fatores predisponentes

Cited by 17 publications

References 19 publications

Structures Suggestive of Carotid Artery Calcifications and Their Prevalence on Digital Panoramic Radiographs Prevalence on Digital Panoramic Radiograp

Structures Suggestive of Carotid Artery Calcifications and Their Prevalence on Digital Panoramic Radiographs Prevalence on Digital Panoramic Radiograp

Assessment of carotid calcifications on digital panoramic radiographs: Retrospective analysis and review of the literature

Calcifications in the neck region of patients with carotid artery stenosis: a computed tomography angiography study of topographic anatomy

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