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Diagnostic validity (sensitivity and specificity) of panoramic X-rays in osteoarthrosis of the temporomandibular joint.
- Source :
-
Cranio : the journal of craniomandibular practice [Cranio] 2015 Jul; Vol. 33 (3), pp. 189-94. Date of Electronic Publication: 2014 Jul 31. - Publication Year :
- 2015
-
Abstract
- Objective: To establish the diagnostic validity of panoramic X-rays (PRx) in temporomandibular osteoarthrosis (OA) using the clinical and imaging criteria (magnetic resonance imaging, MRI) of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) as gold standards.<br />Methods: Eighty-four patients with full clinical records (RDC/TMD), PRx, and MRI scans were selected. Two stomatologists evaluated the PRx for OA. The MRI findings were derived from the radiologist report. Intra/inter-examiner concordance was established. The diagnostic concordance between clinical signs and MRI was determined. Both were used as gold standards to calculate the validity of PRx in OA.<br />Results: The diagnostic validity of PRx with MRI as gold standard was sensitivity=69.0% and specificity=67.9%. The diagnostic validity of PRx with clinical criteria as gold standard was sensitivity=61.6% and specificity=57.9%.<br />Discussion: Panoramic X-rays have scant diagnostic validity in temporomandibular osteoarthrosis when taking MRI or clinical criteria of RDC/TMD as gold standards.
Details
- Language :
- English
- ISSN :
- 0886-9634
- Volume :
- 33
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cranio : the journal of craniomandibular practice
- Publication Type :
- Academic Journal
- Accession number :
- 25079854
- Full Text :
- https://doi.org/10.1179/2151090314Y.0000000018