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J Endod：CBCT鉴定根尖周炎在观察者间以及个案处理间的可靠度评估

2018-03-21 lishiting MedSci原创

CBCT根尖周炎尖周阴影鉴定
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准确的X线片解读对患者的诊断和治疗具有极其重要的意义。之前的研究表明，不论使用常规的X线摄像、数字X线摄像或锥束CT（CBCT）影像，都存在对根尖组织X线解读的主观性。另外，还没有研究通过尖周X线可透射性(PAR)的范围来评估对尖周组织解读的可靠性。这篇研究的目的是通过不同领域和具有不同程度经验的读片者在鉴定不同大小PARs时评估CBCT影像解读在观察者间和个案处理间的可靠度。

准确的X线片解读对患者的诊断和治疗具有极其重要的意义。之前的研究表明，不论使用常规的X线摄像、数字X线摄像或锥束CT（CBCT）影像，都存在对根尖组织X线解读的主观性。另外，还没有研究通过尖周X线可透射性(PAR)的范围来评估对尖周组织解读的可靠性。这篇研究的目的是通过不同领域和具有不同程度经验的读片者在鉴定不同大小PARs时评估CBCT影像解读在观察者间和个案处理间的可靠度。

研究纳入了选择限定视野进行CBCT扫描的多种不小不一的PARs。由6名具有不同程度经验以及不同领域的观察者每隔1个月在3个独立的位置评估28个牙根CBCT扫描影像的根周组织。

结果显示，观察者间以及个案处理间的整个Fleiss kappa系数分别为0.88和0.85；PAR越大，X线解读的可信度越高。

结论：CBCT影像是解读PAR的一种可靠方法。PAR越大，X线影像的解读可靠性越高。

原始出处：

Barnett CW， Glickman GN， et al. Interobserver and Intraobserver Reliability of Cone-beam Computed Tomography in Identification of Apical Periodontitis. J Endod. 2018 Mar 14. pii： S0099-2399(18)30003-7. doi： 10.1016/j.joen.2017.12.022.

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    2018-03-28 明月清辉

    谢谢分享.学习了

    0

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    2018-03-23 hanhaisha2008

    #CBCT#

    0

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    2018-03-23 zhangbaojun

    #根尖周炎#

    0

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    2018-03-21 131****2916

    不错的文章值得推荐

    0

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    2018-03-21 1e1b8538m79(暂无匿称)

    不错的文章值得拥有

    0

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    2018-03-21 1e1b8538m79(暂无匿称)

    不错的文章值得拥有

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    2018-03-21 wqkm

    ^_^^_^^_^

    0

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