Sensitivity and accuracy of panoramic radiography in identifying calcified carotid atheroma plaques

Authors

  • Janaína Sens Bastos Federal University of Maranhão
  • Thalita Queiroz Abreu Federal University of Maranhão
  • Sebastião Barreto de Brito Filho Federal University of Maranhão
  • Kelston Paulo Felice de Sales University of São Paulo
  • Fernanda Ferreira Lopes Federal University of Maranhão
  • Ana Emília Figueiredo de Oliveira Federal University of Maranhão

DOI:

https://doi.org/10.20396/bjos.v11i2.8641411

Keywords:

Stroke, Carotid artery diseases, Radiography, Panoramic

Abstract

Atherosclerosis is a chronic inflammatory disease that can cause death and physical and/or mental disabilities. It represents a serious public health problem owing to the high healthcare costs involved in rehabilitating patients. Among the different methods available for diagnosing atherosclerotic disease, color Doppler examination may be considered the “gold standard.” On the other hand, panoramic radiography of the jaws (PRJ) is a diagnostic resource commonly used by dentists, and the obtained images allow examining other structures apart from the maxilla and the mandible. Aim: To evaluate the sensitivity and accuracy of panoramic radiography in identifying calcified carotid atheroma, and compare the results to those obtained with color Doppler examination. Methods: Forty-two cervical regions were evaluated in panoramic radiographs and color Doppler scans. The kappa test (p < 0.05) was used to assess agreement between the examinations. Data were tested for sensitivity, specificity and negative predictive value, as well as positive and negative likelihood ratios. Results: The kappa value was 0.11. The sensitivity and specificity of PRJ were 73.9 and 36.8%, respectively, and the positive and negative likelihood ratios were 1.2 and 0.7, respectively. Conclusions: Although a low correlation between PRJ and color Doppler examination was observed, as shown by the kappa test, the sensitivity of PRJ in identifying calcified carotid atheroma was considered acceptable.

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Author Biographies

Janaína Sens Bastos, Federal University of Maranhão

MSc student, Graduate Program in Dentistry, School of Dentistry, Federal University of Maranhão

Thalita Queiroz Abreu, Federal University of Maranhão

MSc student, Graduate Program in Dentistry, School of Dentistry, Federal University of Maranhão

Sebastião Barreto de Brito Filho, Federal University of Maranhão

MSc, Professor, Department of Medicine II, School of Medicine, Federal University of Maranhão

Kelston Paulo Felice de Sales, University of São Paulo

MSc student in Vascular Surgery, School of Medicine, Federal University of São Paulo

Fernanda Ferreira Lopes, Federal University of Maranhão

PhD, Professor, Discipline of Semiology, Department of Dentistry I, School of Dentistry, Federal University of Maranhão

Ana Emília Figueiredo de Oliveira, Federal University of Maranhão

PhD, Professor, Department of Dentistry I, School of Dentistry, Federal University of Maranhão

Published

2015-10-30

How to Cite

1.
Bastos JS, Abreu TQ, Brito Filho SB de, Sales KPF de, Lopes FF, Oliveira AEF de. Sensitivity and accuracy of panoramic radiography in identifying calcified carotid atheroma plaques. Braz. J. Oral Sci. [Internet]. 2015 Oct. 30 [cited 2022 Oct. 1];11(2):88-93. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8641411

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