Diagnostic Accuracy of Caries and Periapical Lesions on a Monitor with and without DICOM-GSDF Calibration Under Different Ambient Light Conditions

Freire, Rangel Teles; Prata-Júnior, Agnaldo Rocha; Pinho, John Nadson Andrade; Takeshita, Wilton Mitsunari

doi:10.1007/s10278-022-00596-w

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…The same order of magnitude was registered for the intra-rater reliability (mean CK of 0.778; Table 5 ). The comparison of our reliability results to other studies with the same methodology [ 28 ] indicated basically similar outcomes on periapical radiographs. However, it should be noted that detailed inter- and intra-rater agreement data cannot be taken from this article [ 28 ], which hinders further thorough comparisons.…”

Section: Discussionsupporting

confidence: 81%

“…The comparison of our reliability results to other studies with the same methodology [ 28 ] indicated basically similar outcomes on periapical radiographs. However, it should be noted that detailed inter- and intra-rater agreement data cannot be taken from this article [ 28 ], which hinders further thorough comparisons. Therefore, diagnostic reliability studies for caries detection on bitewing radiographs should be mentioned.…”

Section: Discussionsupporting

confidence: 81%

“…When analysing the available literature regarding inter- and intra-rater reliability among dental professionals, it appeared that several author groups investigated this issue [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. Interestingly, the overwhelming majority of scientific reports studied most commonly applied radiographic projection techniques for each pathology and their diagnostic accuracy without considering the inter- and intra-rater reliability.…”

Section: Introductionmentioning

confidence: 99%

“…For example, bitewing radiographs are the method of choice for caries detection [ 6 , 9 , 10 , 11 , 12 , 13 ], periapical and panoramic radiographs for detecting and classifying periapical lesions or PBL [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. In contrast, little is known about the inter- and intra-rater reliability for detecting caries [ 28 ] and periapical lesions [ 14 , 15 , 16 ] on periapical radiographs which are also among the routines in daily dental practice on this image type. In addition, there is limited data available on how reliable dentists detect PBL and endo-perio lesions on periapical radiographs.…”

Section: Introductionmentioning

confidence: 99%

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The Detection of Dental Pathologies on Periapical Radiographs—Results from a Reliability Study

Meusburger

Wülk

Keßler

et al. 2023

JCM

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(1) Background: Caries, periapical lesions, periodontal bone loss (PBL), and endo-perio lesions are common dental findings that require an accurate diagnostic assessment to allow appropriate disease management. The purpose of this reliability study was to compare the inter- and intra-rater reliability for the detection of the above-mentioned pathologies on periapical radiographs. (2) Methods: Fourteen dentists (three with more than two years and eleven with less than two years of work experience) participated in a training workshop prior to data acquisition. A total of 150 radiographs were assessed by all raters in two rounds. Cohen’s Kappa (CK) values and a binary logistic regression were calculated. (3) Results: The reliability was found in a moderate and substantial range of agreement: caries (mean inter-rater CK value/first round 0.704/mean inter-rater CK value/second round 0.659/mean intra-rater CK value 0.778), periapical lesions (0.643/0.611/0.768), PBL (0.454/0.482/0.739) and endo-perio lesion (0.702/0.689/0.840). The regression model revealed a significant influence of the clinical experience, and furthermore, periapical pathologies and PBL were identified less reliably in comparison to caries and endo-perio lesions. (4) Conclusions: The dentist’s ability to detect the chosen pathologies was linked with significant differences. Periapical lesions and PBL were identified less reliably than caries and endo-perio lesions.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 81%