Document Detail


Diagnostic agreement between panoramic radiographs and color Doppler images of carotid atheroma.
MedLine Citation:
PMID:  19148405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to investigate the agreement between diagnoses of calcified atheroma seen on panoramic radiographs and color Doppler images. Our interest stems from the fact that panoramic images can show the presence of atheroma regardless of the level of obstruction detected by color Doppler images. Panoramic and color Doppler images of 16 patients obtained from the archives of the Health Department of the city of Valença, RJ, Brazil, were analyzed in this study. Both sides of each patient were observed on the images, with a total of 32 analyzed cervical regions. The level of agreement between diagnoses was analyzed using the Kappa statistics. There was a high level of agreement, with a Kappa value of 0.78. In conclusion, panoramic radiographs can help detecting calcifications in the cervical region of patients susceptible to vascular diseases predisposing to myocardial infarction and cerebrovascular accidents. If properly trained and informed, dentists can refer their patients to a physician for a cardiovascular evaluation in order to receive proper and timely medical treatment.
Authors:
Claudia Maria Romano-Sousa; Laís Krejci; Flavilene Marchioro Martins Medeiros; Ricardo Gomes Graciosa-Filho; Maria Fernanda Fonseca Martins; Vanessa Novaes Guedes; Marlene Fenyo-Pereira
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of applied oral science : revista FOB     Volume:  17     ISSN:  1678-7765     ISO Abbreviation:  J Appl Oral Sci     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2009-01-16     Completed Date:  2009-04-27     Revised Date:  2009-08-18    
Medline Journal Info:
Nlm Unique ID:  101189774     Medline TA:  J Appl Oral Sci     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  45-8     Citation Subset:  D; IM    
Affiliation:
Oral Radiology Division, Dentistru School, Federal Fluminense University, Niterói, RJ, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Atherosclerosis / radiography*,  ultrasonography*
Calcinosis / radiography,  ultrasonography
Carotid Artery, External / radiography,  ultrasonography
Carotid Stenosis / radiography*,  ultrasonography*
Humans
Observer Variation
Radiography, Panoramic
Retrospective Studies
Sensitivity and Specificity
Ultrasonography, Doppler, Color

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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