TY - JOUR
T1 - The use of visual assessment of dental radiographs for identifying women at risk of having osteoporosis: the OSTEODENT project
AU - Lindh, Christina
AU - Horner, Keith
AU - Jonasson, Grethe
AU - Olsson, Peter
AU - Rohlin, Madeleine
AU - Jacobs, Reinhilde
AU - Karayianni, Kety
AU - van der Stelt, Paul
AU - Adams, Judith
AU - Marjanovic, Elizabeth
AU - Pavitt, Sue
AU - Devlin, Hugh
PY - 2008/8
Y1 - 2008/8
N2 - Objective: The objective of this study was to investigate the diagnostic accuracy of visual assessment of the trabecular pattern in intraoral periapical radiographs to identify female subjects at risk of having osteoporosis. Study design: Six hundred female subjects underwent intraoral periapical radiography of the maxillary and mandibular premolar region. Five observers assessed the trabecular pattern as dense, heterogeneous, or sparse, with the aid of reference images. All patients received a central dual energy x-ray absorptiometry (DXA) examination of the hip and lumbar spine. Results: With sparse trabecular pattern as indicative of osteoporosis, mean specificity was high (91.6 for the upper jaw and 90.8 for the lower jaw) while the sensitivity was low (28.2 for the upper and lower jaw). The mean intraobserver agreement was comparable for radiographs of the upper and lower jaw (median κw 0.53 and 0.57, respectively). Conclusion: Visual assessment of the trabecular pattern in intraoral periapical radiographs of premolar regions is a potential method to identify women at risk of having osteoporosis. © 2008 Mosby, Inc. All rights reserved.
AB - Objective: The objective of this study was to investigate the diagnostic accuracy of visual assessment of the trabecular pattern in intraoral periapical radiographs to identify female subjects at risk of having osteoporosis. Study design: Six hundred female subjects underwent intraoral periapical radiography of the maxillary and mandibular premolar region. Five observers assessed the trabecular pattern as dense, heterogeneous, or sparse, with the aid of reference images. All patients received a central dual energy x-ray absorptiometry (DXA) examination of the hip and lumbar spine. Results: With sparse trabecular pattern as indicative of osteoporosis, mean specificity was high (91.6 for the upper jaw and 90.8 for the lower jaw) while the sensitivity was low (28.2 for the upper and lower jaw). The mean intraobserver agreement was comparable for radiographs of the upper and lower jaw (median κw 0.53 and 0.57, respectively). Conclusion: Visual assessment of the trabecular pattern in intraoral periapical radiographs of premolar regions is a potential method to identify women at risk of having osteoporosis. © 2008 Mosby, Inc. All rights reserved.
U2 - 10.1016/j.tripleo.2007.09.008
DO - 10.1016/j.tripleo.2007.09.008
M3 - Article
SN - 1528-395X
VL - 106
SP - 285
EP - 293
JO - Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics
JF - Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics
IS - 2
ER -