Document Detail

Utility of panoramic radiographs in detecting cervical calcified carotid atheroma.
MedLine Citation:
PMID:  17395069     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of this study was to determine the utility of panoramic radiographs for detecting extracranial calcified carotid atheroma and carotid luminal stenosis. STUDY DESIGN: Panoramic radiographs were obtained on 52 adult participants who had carotid ultrasound examination. Extent of carotid calcification and stenosis was determined by a cardiologist from ultrasound reports, which were considered gold standard assessments. A trained and calibrated oral and maxillofacial radiologist interpreted the radiographs for presence or absence of carotid calcifications. We examined the utility of panoramic radiographs to diagnose any carotid artery changes (diagnostic scheme 1) or only moderate to severe changes (scheme 2). Generalized estimating equations were used to account for clustering of observations within subjects. RESULTS: Under diagnostic schemes 1 and 2, radiographs had low sensitivity to detect carotid calcifications (31.1% and 25.0%, respectively) and stenoses (22.7% and 21.4%, respectively). CONCLUSIONS: When compared to ultrasonography, panoramic radiography is not a reliable means to detect carotid artery calcifications or stenoses.
Richard P Madden; James S Hodges; Charles W Salmen; D Brad Rindal; Javed Tunio; Bryan S Michalowicz; Mansur Ahmad
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2006-09-01
Journal Detail:
Title:  Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics     Volume:  103     ISSN:  1528-395X     ISO Abbreviation:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-30     Completed Date:  2007-04-26     Revised Date:  2008-01-08    
Medline Journal Info:
Nlm Unique ID:  9508562     Medline TA:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  543-8     Citation Subset:  D; IM    
Department of Diagnostic and Biological Sciences, University of Minnesota School of Dentistry, Minneapolis, MN 55455, USA.
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MeSH Terms
Aged, 80 and over
Atherosclerosis / radiography*,  ultrasonography
Carotid Arteries / radiography*,  ultrasonography
Carotid Stenosis / radiography*,  ultrasonography
Middle Aged
Neck / radiography,  ultrasonography
Predictive Value of Tests
Radiography, Panoramic*
Sensitivity and Specificity
Comment In:
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Oct;104(4):451-2; author reply 452-4   [PMID:  17629519 ]
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Apr;103(4):549   [PMID:  17395070 ]
J Evid Based Dent Pract. 2007 Dec;7(4):172-3   [PMID:  18155085 ]
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Oct;104(4):451   [PMID:  17629521 ]

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

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