Performance of a fluorescence camera for detection of occlusal caries in vitro.
Identifieur interne : 000313 ( Main/Exploration ); précédent : 000312; suivant : 000314Performance of a fluorescence camera for detection of occlusal caries in vitro.
Auteurs : Anahita Jablonski-Momeni [Allemagne] ; Helge Marten Schipper [Allemagne] ; Simon Martin Rosen [Allemagne] ; Monika Heinzel-Gutenbrunner [Allemagne] ; Matthias Johannes Roggendorf [Allemagne] ; Richard Stoll [Allemagne] ; Vitus Stachniss [Allemagne] ; Klaus Pieper [Allemagne]Source :
- Odontology [ 1618-1255 ] ; 2011.
Descripteurs français
- KwdFr :
- Aire sous la courbe (MeSH), Biais de l'observateur (MeSH), Caries dentaires (diagnostic), Compétence clinique (MeSH), Dentine (anatomopathologie), Fluorescence (MeSH), Humains (MeSH), Photographie dentaire (instrumentation), Reproductibilité des résultats (MeSH), Sensibilité et spécificité (MeSH), Statistique non paramétrique (MeSH), Tests d'évaluation de l'activité carieuse (MeSH), Émail dentaire (anatomopathologie).
- MESH :
- anatomopathologie : Dentine, Émail dentaire.
- diagnostic : Caries dentaires.
- instrumentation : Aire sous la courbe, Biais de l'observateur, Compétence clinique, Fluorescence, Humains, Photographie dentaire, Reproductibilité des résultats, Sensibilité et spécificité, Statistique non paramétrique, Tests d'évaluation de l'activité carieuse.
English descriptors
- KwdEn :
- Area Under Curve (MeSH), Clinical Competence (MeSH), Dental Caries (diagnosis), Dental Caries Activity Tests (MeSH), Dental Enamel (pathology), Dentin (pathology), Fluorescence (MeSH), Humans (MeSH), Observer Variation (MeSH), Photography, Dental (instrumentation), Reproducibility of Results (MeSH), Sensitivity and Specificity (MeSH), Statistics, Nonparametric (MeSH).
- MESH :
- diagnosis : Dental Caries.
- instrumentation : Photography, Dental.
- pathology : Dental Enamel, Dentin.
- Area Under Curve, Clinical Competence, Dental Caries Activity Tests, Fluorescence, Humans, Observer Variation, Reproducibility of Results, Sensitivity and Specificity, Statistics, Nonparametric.
Abstract
The aim of this study was to assess inter- and intra-examiner reproducibility and accuracy in the detection and assessment of occlusal caries in extracted human teeth using the newly developed fluorescence based camera VistaProof. Serial sectioning and microscopy are considered the gold standard. The occlusal surfaces of 53 teeth (99 investigation sites) were examined by two examiners with different levels of experience in cariology (one experienced dentist, one final-year dental student) and the VistaProof. Thereafter, the teeth were serially sectioned and assessed for lesion depth. The intraclass correlation coefficients for inter- and intra-examiner reproducibility for the fluorescence-based examinations were 0.76-0.95. There was a significant correlation between the fluorescence and histological examinations for both examiners (r (s) = 0.47 and 0.55, P < 0.01). At the D₁ diagnostic threshold (enamel and dentin lesions), sensitivity was 0.71-0.86 and specificity was between 0.32 and 0.76 at different cutoff values. At the D₃ diagnostic threshold (dentin lesions), sensitivity was 0.04-0.91 and specificity was 0.56-0.99 for both examiners. When the areas under the receiver-operating characteristic curves were compared, there was no significant difference in the performance between the examiners (P = 0.52 at the D₁ threshold, P = 0.81 at the D₃ threshold). The VistaProof demonstrated high reproducibility and good diagnostic performance for the detection of occlusal caries at various stages of the disease process. Novice and experienced examiners were able to apply this system as a supportive device for caries diagnostic and monitoring purposes. Sensitivity and specificity values varied depending on the cutoff values.
DOI: 10.1007/s10266-010-0139-y
PubMed: 21271327
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Operative Dentistry, Philipps University of Marburg, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Rosen, Simon Martin" sort="Rosen, Simon Martin" uniqKey="Rosen S" first="Simon Martin" last="Rosen">Simon Martin Rosen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Heinzel Gutenbrunner, Monika" sort="Heinzel Gutenbrunner, Monika" uniqKey="Heinzel Gutenbrunner M" first="Monika" last="Heinzel-Gutenbrunner">Monika Heinzel-Gutenbrunner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Roggendorf, Matthias Johannes" sort="Roggendorf, Matthias Johannes" uniqKey="Roggendorf M" first="Matthias Johannes" last="Roggendorf">Matthias Johannes Roggendorf</name><affiliation wicri:level="3"><nlm:affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Operative Dentistry, Philipps University of Marburg, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Stoll, Richard" sort="Stoll, Richard" uniqKey="Stoll R" first="Richard" last="Stoll">Richard Stoll</name><affiliation wicri:level="3"><nlm:affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Operative Dentistry, Philipps University of Marburg, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Stachniss, Vitus" sort="Stachniss, Vitus" uniqKey="Stachniss V" first="Vitus" last="Stachniss">Vitus Stachniss</name><affiliation wicri:level="3"><nlm:affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Operative Dentistry, Philipps University of Marburg, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author><author><name sortKey="Pieper, Klaus" sort="Pieper, Klaus" uniqKey="Pieper K" first="Klaus" last="Pieper">Klaus Pieper</name><affiliation wicri:level="3"><nlm:affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Giessen</region><settlement type="city">Marbourg</settlement></placeName></affiliation></author></analytic><series><title level="j">Odontology</title><idno type="eISSN">1618-1255</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Area Under Curve (MeSH)</term><term>Clinical Competence (MeSH)</term><term>Dental Caries (diagnosis)</term><term>Dental Caries Activity Tests (MeSH)</term><term>Dental Enamel (pathology)</term><term>Dentin (pathology)</term><term>Fluorescence (MeSH)</term><term>Humans (MeSH)</term><term>Observer Variation (MeSH)</term><term>Photography, Dental (instrumentation)</term><term>Reproducibility of Results (MeSH)</term><term>Sensitivity and Specificity (MeSH)</term><term>Statistics, Nonparametric (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aire sous la courbe (MeSH)</term><term>Biais de l'observateur (MeSH)</term><term>Caries dentaires (diagnostic)</term><term>Compétence clinique (MeSH)</term><term>Dentine (anatomopathologie)</term><term>Fluorescence (MeSH)</term><term>Humains (MeSH)</term><term>Photographie dentaire (instrumentation)</term><term>Reproductibilité des résultats (MeSH)</term><term>Sensibilité et spécificité (MeSH)</term><term>Statistique non paramétrique (MeSH)</term><term>Tests d'évaluation de l'activité carieuse (MeSH)</term><term>Émail dentaire (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Dentine</term><term>Émail dentaire</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Caries</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Caries dentaires</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Photography, Dental</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dental Enamel</term><term>Dentin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Area Under Curve</term><term>Clinical Competence</term><term>Dental Caries Activity Tests</term><term>Fluorescence</term><term>Humans</term><term>Observer Variation</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Statistics, Nonparametric</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Aire sous la courbe</term><term>Biais de l'observateur</term><term>Compétence clinique</term><term>Fluorescence</term><term>Humains</term><term>Photographie dentaire</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Statistique non paramétrique</term><term>Tests d'évaluation de l'activité carieuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to assess inter- and intra-examiner reproducibility and accuracy in the detection and assessment of occlusal caries in extracted human teeth using the newly developed fluorescence based camera VistaProof. Serial sectioning and microscopy are considered the gold standard. The occlusal surfaces of 53 teeth (99 investigation sites) were examined by two examiners with different levels of experience in cariology (one experienced dentist, one final-year dental student) and the VistaProof. Thereafter, the teeth were serially sectioned and assessed for lesion depth. The intraclass correlation coefficients for inter- and intra-examiner reproducibility for the fluorescence-based examinations were 0.76-0.95. There was a significant correlation between the fluorescence and histological examinations for both examiners (r (s) = 0.47 and 0.55, P < 0.01). At the D₁ diagnostic threshold (enamel and dentin lesions), sensitivity was 0.71-0.86 and specificity was between 0.32 and 0.76 at different cutoff values. At the D₃ diagnostic threshold (dentin lesions), sensitivity was 0.04-0.91 and specificity was 0.56-0.99 for both examiners. When the areas under the receiver-operating characteristic curves were compared, there was no significant difference in the performance between the examiners (P = 0.52 at the D₁ threshold, P = 0.81 at the D₃ threshold). The VistaProof demonstrated high reproducibility and good diagnostic performance for the detection of occlusal caries at various stages of the disease process. Novice and experienced examiners were able to apply this system as a supportive device for caries diagnostic and monitoring purposes. Sensitivity and specificity values varied depending on the cutoff values.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21271327</PMID><DateCompleted><Year>2011</Year><Month>05</Month><Day>31</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1618-1255</ISSN><JournalIssue CitedMedium="Internet"><Volume>99</Volume><Issue>1</Issue><PubDate><Year>2011</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Odontology</Title><ISOAbbreviation>Odontology</ISOAbbreviation></Journal><ArticleTitle>Performance of a fluorescence camera for detection of occlusal caries in vitro.</ArticleTitle><Pagination><MedlinePgn>55-61</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10266-010-0139-y</ELocationID><Abstract><AbstractText>The aim of this study was to assess inter- and intra-examiner reproducibility and accuracy in the detection and assessment of occlusal caries in extracted human teeth using the newly developed fluorescence based camera VistaProof. Serial sectioning and microscopy are considered the gold standard. The occlusal surfaces of 53 teeth (99 investigation sites) were examined by two examiners with different levels of experience in cariology (one experienced dentist, one final-year dental student) and the VistaProof. Thereafter, the teeth were serially sectioned and assessed for lesion depth. The intraclass correlation coefficients for inter- and intra-examiner reproducibility for the fluorescence-based examinations were 0.76-0.95. There was a significant correlation between the fluorescence and histological examinations for both examiners (r (s) = 0.47 and 0.55, P < 0.01). At the D₁ diagnostic threshold (enamel and dentin lesions), sensitivity was 0.71-0.86 and specificity was between 0.32 and 0.76 at different cutoff values. At the D₃ diagnostic threshold (dentin lesions), sensitivity was 0.04-0.91 and specificity was 0.56-0.99 for both examiners. When the areas under the receiver-operating characteristic curves were compared, there was no significant difference in the performance between the examiners (P = 0.52 at the D₁ threshold, P = 0.81 at the D₃ threshold). The VistaProof demonstrated high reproducibility and good diagnostic performance for the detection of occlusal caries at various stages of the disease process. Novice and experienced examiners were able to apply this system as a supportive device for caries diagnostic and monitoring purposes. Sensitivity and specificity values varied depending on the cutoff values.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jablonski-Momeni</LastName><ForeName>Anahita</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany. momeni@staff.uni-marburg.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schipper</LastName><ForeName>Helge Marten</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosen</LastName><ForeName>Simon Martin</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heinzel-Gutenbrunner</LastName><ForeName>Monika</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roggendorf</LastName><ForeName>Matthias Johannes</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stoll</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stachniss</LastName><ForeName>Vitus</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Operative Dentistry, Philipps University of Marburg, Marburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pieper</LastName><ForeName>Klaus</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt-Str. 3, D-35033, Marburg, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>01</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Odontology</MedlineTA><NlmUniqueID>101134822</NlmUniqueID><ISSNLinking>1618-1247</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D019540" MajorTopicYN="N">Area Under Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003732" MajorTopicYN="Y">Dental Caries Activity Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003743" MajorTopicYN="N">Dental Enamel</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003804" MajorTopicYN="N">Dentin</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005453" MajorTopicYN="N">Fluorescence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015588" MajorTopicYN="N">Observer Variation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D023861" MajorTopicYN="N">Photography, Dental</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018709" 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sort="Jablonski Momeni, Anahita" uniqKey="Jablonski Momeni A" first="Anahita" last="Jablonski-Momeni">Anahita Jablonski-Momeni</name></region><name sortKey="Heinzel Gutenbrunner, Monika" sort="Heinzel Gutenbrunner, Monika" uniqKey="Heinzel Gutenbrunner M" first="Monika" last="Heinzel-Gutenbrunner">Monika Heinzel-Gutenbrunner</name><name sortKey="Pieper, Klaus" sort="Pieper, Klaus" uniqKey="Pieper K" first="Klaus" last="Pieper">Klaus Pieper</name><name sortKey="Roggendorf, Matthias Johannes" sort="Roggendorf, Matthias Johannes" uniqKey="Roggendorf M" first="Matthias Johannes" last="Roggendorf">Matthias Johannes Roggendorf</name><name sortKey="Rosen, Simon Martin" sort="Rosen, Simon Martin" uniqKey="Rosen S" first="Simon Martin" last="Rosen">Simon Martin Rosen</name><name sortKey="Schipper, Helge Marten" sort="Schipper, Helge Marten" uniqKey="Schipper H" first="Helge Marten" last="Schipper">Helge Marten Schipper</name><name sortKey="Stachniss, Vitus" sort="Stachniss, Vitus" 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