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Evaluation of fluorescence imaging with reflectance enhancement technology for early caries detection.

Identifieur interne : 000219 ( Main/Exploration ); précédent : 000218; suivant : 000220

Evaluation of fluorescence imaging with reflectance enhancement technology for early caries detection.

Auteurs : Bennett T. Amaechi ; Karthikeyan Ramalingam

Source :

RBID : pubmed:25000670

Descripteurs français

English descriptors

Abstract

PURPOSE

A technology based on fluorescence imaging with reflectance enhancement (FIRE) was validated for early detection of caries.

METHODS

In Phase-I, caries-like lesions were created in a defined window on 85 teeth by 14-day demineralization in acidified gel. During demineralization, teeth were examined for caries every 6 hours for 24 hours, and thereafter daily by visual examination (VE), FIRE, Quantitative light-induced Fluorescence (QLF), and DIAGNOdent pen (DDp). Five teeth were withdrawn after each examination. A tooth slice was cut from each window and examined under polarizing-light microscopy (PLM) for lesion presence/absence and lesion depth quantification. In Phase-II, 56 teeth assembled on mouth models were examined twice by two dentists for caries using the four methods. Each scored area was examined with PLM. Using Dentist-1/Examination-1 data, the Areas under Receiver Operating Characteristics curves (A-ROC-c) defined by each diagnostic method were compared using Chi-squared tests. Using same data, the validity of each diagnostic method in detecting caries relative to PLM was calculated by Kappa statistics.

RESULTS

Earliest lesion depth detected by FIRE, QLF, and VE was 9.09 +/- 0.03 microm. DDp detected from 14.00 microm. A-ROC-c were significantly (P< 0.001) greater with FIRE compared with QLF and DDp. Similar results were observed with subsequent examinations by both dentists. Sensitivity, specificity and validity of each method are: FIRE (0.98, 0.80, 0.79), QLF (0.66, 0.81, 0.46), DDp (0.35, 0.94, 0.23) and VE (0.78, 0.85, 0.63), respectively.


PubMed: 25000670


Affiliations:


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Le document en format XML

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<title xml:lang="en">Evaluation of fluorescence imaging with reflectance enhancement technology for early caries detection.</title>
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<name sortKey="Ramalingam, Karthikeyan" sort="Ramalingam, Karthikeyan" uniqKey="Ramalingam K" first="Karthikeyan" last="Ramalingam">Karthikeyan Ramalingam</name>
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<term>Area Under Curve (MeSH)</term>
<term>Dental Caries (diagnosis)</term>
<term>Dental Caries (pathology)</term>
<term>Dental Enamel (pathology)</term>
<term>Disease Progression (MeSH)</term>
<term>Early Diagnosis (MeSH)</term>
<term>Fluorescence (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Image Enhancement (methods)</term>
<term>Lasers (MeSH)</term>
<term>Microscopy, Polarization (MeSH)</term>
<term>Optical Imaging (methods)</term>
<term>Optical Imaging (statistics & numerical data)</term>
<term>Physical Examination (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Scattering, Radiation (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Tooth Demineralization (pathology)</term>
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<term>Aire sous la courbe (MeSH)</term>
<term>Amélioration d'image (méthodes)</term>
<term>Caries dentaires (anatomopathologie)</term>
<term>Caries dentaires (diagnostic)</term>
<term>Courbe ROC (MeSH)</term>
<term>Diagnostic précoce (MeSH)</term>
<term>Diffusion de rayonnements (MeSH)</term>
<term>Déminéralisation dentaire (anatomopathologie)</term>
<term>Examen physique (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Fluorescence (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Imagerie optique (méthodes)</term>
<term>Imagerie optique (statistiques et données numériques)</term>
<term>Lasers (MeSH)</term>
<term>Microscopie en lumière polarisée (MeSH)</term>
<term>Reproductibilité des résultats (MeSH)</term>
<term>Sensibilité et spécificité (MeSH)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Émail dentaire (anatomopathologie)</term>
<term>Évolution de la maladie (MeSH)</term>
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<term>Caries dentaires</term>
<term>Déminéralisation dentaire</term>
<term>Émail dentaire</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Dental Caries</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Caries dentaires</term>
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<term>Image Enhancement</term>
<term>Optical Imaging</term>
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<term>Amélioration d'image</term>
<term>Imagerie optique</term>
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<term>Dental Caries</term>
<term>Dental Enamel</term>
<term>Tooth Demineralization</term>
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<term>Optical Imaging</term>
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<term>Imagerie optique</term>
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<term>Area Under Curve</term>
<term>Disease Progression</term>
<term>Early Diagnosis</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Lasers</term>
<term>Microscopy, Polarization</term>
<term>Physical Examination</term>
<term>Predictive Value of Tests</term>
<term>ROC Curve</term>
<term>Reproducibility of Results</term>
<term>Scattering, Radiation</term>
<term>Sensitivity and Specificity</term>
<term>Time Factors</term>
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<term>Aire sous la courbe</term>
<term>Courbe ROC</term>
<term>Diagnostic précoce</term>
<term>Diffusion de rayonnements</term>
<term>Examen physique</term>
<term>Facteurs temps</term>
<term>Fluorescence</term>
<term>Humains</term>
<term>Lasers</term>
<term>Microscopie en lumière polarisée</term>
<term>Reproductibilité des résultats</term>
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<b>PURPOSE</b>
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<p>A technology based on fluorescence imaging with reflectance enhancement (FIRE) was validated for early detection of caries.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
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<p>In Phase-I, caries-like lesions were created in a defined window on 85 teeth by 14-day demineralization in acidified gel. During demineralization, teeth were examined for caries every 6 hours for 24 hours, and thereafter daily by visual examination (VE), FIRE, Quantitative light-induced Fluorescence (QLF), and DIAGNOdent pen (DDp). Five teeth were withdrawn after each examination. A tooth slice was cut from each window and examined under polarizing-light microscopy (PLM) for lesion presence/absence and lesion depth quantification. In Phase-II, 56 teeth assembled on mouth models were examined twice by two dentists for caries using the four methods. Each scored area was examined with PLM. Using Dentist-1/Examination-1 data, the Areas under Receiver Operating Characteristics curves (A-ROC-c) defined by each diagnostic method were compared using Chi-squared tests. Using same data, the validity of each diagnostic method in detecting caries relative to PLM was calculated by Kappa statistics.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
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<p>Earliest lesion depth detected by FIRE, QLF, and VE was 9.09 +/- 0.03 microm. DDp detected from 14.00 microm. A-ROC-c were significantly (P< 0.001) greater with FIRE compared with QLF and DDp. Similar results were observed with subsequent examinations by both dentists. Sensitivity, specificity and validity of each method are: FIRE (0.98, 0.80, 0.79), QLF (0.66, 0.81, 0.46), DDp (0.35, 0.94, 0.23) and VE (0.78, 0.85, 0.63), respectively.</p>
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