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Utilization of computer-aided detection system in diagnosing unilateral maxillary sinusitis on panoramic radiographs.

Identifieur interne : 000134 ( Main/Exploration ); précédent : 000133; suivant : 000135

Utilization of computer-aided detection system in diagnosing unilateral maxillary sinusitis on panoramic radiographs.

Auteurs : Yasufumi Ohashi [Japon] ; Yoshiko Ariji [Japon] ; Akitoshi Katsumata [Japon] ; Hiroshi Fujita [Japon] ; Miwa Nakayama [Japon] ; Motoki Fukuda [Japon] ; Michihito Nozawa [Japon] ; Eiichiro Ariji [Japon]

Source :

RBID : pubmed:26837670

Descripteurs français

English descriptors

Abstract

OBJECTIVES

It is unclear whether computer-aided detection (CAD) systems for panoramic radiography can help inexperienced dentists to diagnose maxillary sinusitis. The aim of this study was to clarify whether a CAD system for panoramic radiography can contribute to improved diagnostic performance for maxillary sinusitis by inexperienced dentists.

METHODS

The panoramic radiographs of 49 patients with maxillary sinusitis and 49 patients with healthy sinuses were evaluated in this study. The diagnostic performance of the CAD system was determined. 12 inexperienced dentists and 4 expert oral and maxillofacial radiologists observed the total of 98 panoramic radiographs and judged the presence or absence of maxillary sinusitis, under conditions with and without the support of the CAD system. The receiver operating characteristic curves of the two groups were compared.

RESULTS

The CAD system provided sensitivity of 77.6%, specificity of 69.4% and accuracy of 73.5%. The diagnostic performance of the inexperienced dentists increased with the support of the CAD system. When the inexperienced dentists diagnosed maxillary sinusitis with CAD support, the area under the curve (AUC) was significantly higher than that without CAD support. When the focus was only on panoramic radiographs in which CAD support led to a correct diagnosis, the AUC of the inexperienced dentists increased to an equivalent level to that of the experienced radiologists.

CONCLUSIONS

The CAD system supported the inexperienced dentists in diagnosing maxillary sinusitis on the panoramic radiographs. If the accuracy of the CAD system can be increased, the benefits of CAD support will be further enhanced.


DOI: 10.1259/dmfr.20150419
PubMed: 26837670
PubMed Central: PMC4846153


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
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<term>Maxillary Sinusitis</term>
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<term>Sinusite maxillaire</term>
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<term>Area Under Curve</term>
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<p>
<b>OBJECTIVES</b>
</p>
<p>It is unclear whether computer-aided detection (CAD) systems for panoramic radiography can help inexperienced dentists to diagnose maxillary sinusitis. The aim of this study was to clarify whether a CAD system for panoramic radiography can contribute to improved diagnostic performance for maxillary sinusitis by inexperienced dentists.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>The panoramic radiographs of 49 patients with maxillary sinusitis and 49 patients with healthy sinuses were evaluated in this study. The diagnostic performance of the CAD system was determined. 12 inexperienced dentists and 4 expert oral and maxillofacial radiologists observed the total of 98 panoramic radiographs and judged the presence or absence of maxillary sinusitis, under conditions with and without the support of the CAD system. The receiver operating characteristic curves of the two groups were compared.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The CAD system provided sensitivity of 77.6%, specificity of 69.4% and accuracy of 73.5%. The diagnostic performance of the inexperienced dentists increased with the support of the CAD system. When the inexperienced dentists diagnosed maxillary sinusitis with CAD support, the area under the curve (AUC) was significantly higher than that without CAD support. When the focus was only on panoramic radiographs in which CAD support led to a correct diagnosis, the AUC of the inexperienced dentists increased to an equivalent level to that of the experienced radiologists.</p>
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<p>
<b>CONCLUSIONS</b>
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<p>The CAD system supported the inexperienced dentists in diagnosing maxillary sinusitis on the panoramic radiographs. If the accuracy of the CAD system can be increased, the benefits of CAD support will be further enhanced.</p>
</div>
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