Diagnostic agreement between panoramic radiographs and color doppler images of carotid atheroma

Romano-Sousa, Claudia Maria; Krejci, Laís; Medeiros, Flavilene Marchioro Martins; Graciosa-Filho, Ricardo Gomes; Martins, Maria Fernanda Fonseca; Guedes, Vanessa Novaes; Fenyo-Pereira, Marlene

doi:10.1590/s1678-77572009000100009

Cited by 37 publications

(51 citation statements)

References 23 publications

(41 reference statements)

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“…7,8 Confirmation of the presence of such lesions by ultrasound demonstrates that panoramic imaging is highly accurate with an 80% sensitivity, 81% specificity and 81% accurancy. 9,10 The purpose of this study was to investigate whether CCAP on panoramic images of older white and black females is related to low BMD on DXA. We hypothesized that white females and possibly black females with CCAP on the panoramic images would have greater evidence of osteopenia on their DXA scan than females free of CCAP on their images.…”

Section: Introductionmentioning

confidence: 99%

Panoramic images of white and black post-menopausal females evidencing carotid calcifications are at high risk of comorbid osteopenia of the femoral neck

Ti²,

Aghazadehsanai³

et al. 2013

Dentomaxillofacial Radiology

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Objectives: Femoral neck fractures in older females resulting from decreased bone mineral density (BMD; osteopenia) are associated with increased morbidity and mortality. Bone mineralization inhibition is probably controlled by proteins which also foster vascular calcification. Therefore, we evaluated the relationship between calcified carotid artery plaque (CCAP) on panoramic images and BMD on dual energy X-ray absorptiometry (DXA) bone scans. Methods: Images and hospital records identified by dentists defined two study groups (20 white females and 24 black females) having CCAP and an incidentally obtained bone scan. Ethnically matched (age67 years, body mass index 63 units) control groups with panoramic images devoid of CCAP and accompanying DXA scan were likewise constituted. A physician determined the BMD on the DXA. Results: Females with CCAP had significantly (p 5 0.03) poorer BMD at the femoral neck than those without CCAP. Although mean femoral neck BMD was significantly lower (p 5 0.009) for white than for black females, there was no significant interaction between race and CCAP (p 5 0.80). Conclusion: We observed a significant inverse association between the CCAP on panoramic images and femoral neck BMD in post-menopausal white females.

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Section: Introductionmentioning

confidence: 99%

Panoramic images of white and black post-menopausal females evidencing carotid calcifications are at high risk of comorbid osteopenia of the femoral neck

Ti²,

Aghazadehsanai³

et al. 2013

Dentomaxillofacial Radiology

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“…18 In a study conducted by Romano Sousa et al showed that there was a high level of agreement between diagnosis of calcified carotid atheromas seen on panoramic radiographs and color Doppler images with a k ¼ 0.78. 12 According to these studies panoramic radiographs had low to moderate specificity and low positive predictive value. In our study however panoramic radiography has 76% sensitivity at detecting calcified carotid artery atheromatous plaques.…”

Section: Evaluation Of Carotid Artery Atheromatous Plaquesmentioning

confidence: 95%

Evaluation of carotid artery atheromatous plaques using digital panoramic radiographs with Doppler sonography as the ground truth

Khambete¹,

Kumar

Risbud³

et al. 2012

Journal of Oral Biology and Craniofacial Research

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Objectives: The objective of the study was to determine whether digital panoramic radiography is a reliable method to detect calcified carotid artery atheromatous plaques (CCAAP) as compared to ultrasonography.Study design: Digital panoramic radiographs were obtained from 50 patients who also underwent carotid ultrasound examination. The images were interpreted by trained maxillofacial radiologist for the presence or absence of calcified atheromatous plaques. The extent of carotid calcification on carotid ultrasonography was determined by a trained sonologist which was considered as gold standard assessment.Results: Digital panoramic radiographs had sensitivity of 76% and specificity of 98.66% in determining calcified carotid artery atheromatous plaques. There was a high level of agreement between diagnoses, with a kappa value of 0.8. Conclusion:To conclude, digital panoramic radiographs had good sensitivity and high specificity in detecting calcified carotid artery atheromatous plaques. If properly trained, dentists can detect such plaques and can refer patients to physician for timely medical treatment.

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“…These plaques become thick, may suffer calcification and project themselves into the vessel lumen, determining blood flow change (1,2,3). Panoramic Radiographs help us to a diagnostic and detecting common carotid artery calcifications and the early diagnosis can be decrease the morbidity and mortality for subjects with common carotid artery calcifications .…”

Section: Introductionmentioning

confidence: 99%

Detection of Common Carotid Artery Calcifications in Panoramic Radiographs and its Relationship to Some Chronic Diseases for Local Population in Abha Southern Kingdom of Saudi Arabia -2017-2018: Prevalence and Reliability

Halwani¹,

Alshahrani²,

Motaen³

et al. 2017

IAM

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Introduction: Atherosclerosis is a disease of the arteries characterized by the deposition of fatty material on its wall, forming atheroma plaques, which are composed of lipids and inflammatory cells. These plaques become thick, may suffer calcification and project themselves into the vessel lumen, determining blood flow change. Aim: The aim of the present study is to determine the prevalence of common carotid artery calcifications (CCAC) detected on panoramic radiographs (PR) in a group of Saudi population living in Abha region, and main risk factors. Materials and Method: The study is based on 412 Standard digital panoramic radiographs (Figure 1) retrieved from the archival records. All the panoramic radiographs were taken between 2010 to 2018 at the King Khalid University Faculty of Dentistry, The patients with or without dental problems were older than 18 years and treated with this clinic. Results: The study population consisted of total 412 , 190 of them males and 222 was females with age (range: 18-83 years) at the time of panoramic radiographs taken. Of the 412 individuals, 50 (12.2%) were detected to have common carotid artery calcifications on panoramic radiographs. The 50 individuals who had common carotid artery calcifications consisted of 22 males (41.7%) and 28 females (58.3%). Discussion: Carotid artery calcification, especially close to carotid bifurcation, can result in important vascular obstruction causing stroke. Several factors for the stroke are stratified into no modifiable and modifiable risk factors. The former are gender, age, ethnicity, and heredity, and the latter are hypertension, diabetes mellitus, hyperlipidemia, obesity, smoking, and carotid atherosclerotic disease. Conclusion: As a result, common carotid artery calcifications found as incidental findings on standard panoramic radiographs may be important markers for future coronary artery disease, strokes and death. panoramic radiographs should be carefully examined in the area of the carotid artery in not only patients with systemic disease such as diabetes, renal disease etc, but also asymptomatic patients.

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Diagnostic agreement between panoramic radiographs and color doppler images of carotid atheroma

Cited by 37 publications

References 23 publications

Panoramic images of white and black post-menopausal females evidencing carotid calcifications are at high risk of comorbid osteopenia of the femoral neck

Panoramic images of white and black post-menopausal females evidencing carotid calcifications are at high risk of comorbid osteopenia of the femoral neck

Evaluation of carotid artery atheromatous plaques using digital panoramic radiographs with Doppler sonography as the ground truth

Detection of Common Carotid Artery Calcifications in Panoramic Radiographs and its Relationship to Some Chronic Diseases for Local Population in Abha Southern Kingdom of Saudi Arabia -2017-2018: Prevalence and Reliability

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