• Title/Summary/Keyword: Dental Imaging

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Lipomatosis: a diverse form of hemifacial hyperplasia

  • Arora, Preeti Chawla;Umarji, Hemant R.;Arora, Aman;Ramaswami, Easwaran
    • Imaging Science in Dentistry
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    • v.42 no.3
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    • pp.191-195
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    • 2012
  • A case of hemifacial hyperplasia that presented with muscular, skeletal, and dental hyperplasia along with lipomatous infiltration was described. Advanced imaging was useful in identifying the lipomatous infiltration present in the lesion, which raises the possibility of lipomatosis having a diverse presentation in hemifacial hyperplasia. As there was a scarcity of related literature in the field of dentomaxillofacial radiology, this report would make us familiar with its computed tomographic and magnetic resonance image findings.

Multiple myeloma: Report of two cases with emphasis on the panoramic imaging features (파노라마방사선영상에서 관찰되는 다발골수종: 증례보고)

  • Yeom, Han-Gyeol
    • The Journal of the Korean dental association
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    • v.56 no.12
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    • pp.707-713
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    • 2018
  • Multiple myeloma is a lymphohematopoietic disorder leading to abnormal hemostasis and significant pathologic changes of skeletal system. It induces multiple circular or oval-shaped radiolucent lesions which are characterized by 'punched-out appearance'. The surrounding trabecular bone normally shows no significant sclerotic reaction. Multiple myeloma patients may visit dental clinics, without perception of the disease themselves, due to discomfort from edema of orofacial region, oral ulcers, tooth mobility, pain or gingival bleeding. Multiple myeloma is susceptible to various complications, including delayed hemostasis and infection, which could occur during routine dental treatment such as periodontal and surgical operation. For radiographic diagnosis of multiple myeloma, common radiologic features of this tumor could be visualized by panoramic radiographs in the dental clinics, and further medical examinations and treatment can be recommended as a result.

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Development of Multi-Purpose Variable Polarization Imaging System for Clinical Diagnosis (임상 진단용 다목적 가변 편광 영상장치 개발)

  • Bae, Young-Woo;Jung, Byung-Jo
    • Journal of Biomedical Engineering Research
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    • v.28 no.2
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    • pp.265-270
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    • 2007
  • Polarization imaging systems have been widely used to selectively characterize skin lesions. Nevertheless, current systems are used in single-mode due to the limitations of a fixed polarization mode and a single-working distance of light source, in which uniform light distribution is achieved on target area. To address such limitations, we developed a variable polarization imaging system based on multi-working distance of light source for various clinical diagnoses. In this study, we characterize the imaging system and present experiment results demonstrating its clinical usefulness. The imaging system consists of a CCD color camera, linear polarization filters, and a single-layered LED ring light source which provides uniform light distribution at multi-working distances. The first polarizer was placed on the light source and the second polarizer placed on objective lens provides continuous linear polarization angle from $0^{\circ}\;to\;90^{\circ}$. The clinical efficacy of the imaging system was investigated by acquiring and analyzing clinical images of skin wrinkle and dental plaque. With the experiments, we verified the potential usefulness of the imaging system for other clinical applications.

Obstructive Sialadenitis associated with Injectable Facial Fillers

  • Kim, Sora;Hong, Youree;Kim, Bokeum;Park, YounJung;Ahn, Hyung-Joon;Kim, Seong-Taek;Choi, Jong-Hoon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.47 no.3
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    • pp.148-151
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    • 2022
  • Obstructive sialadenitis, one of the diseases that most frequently causes swelling and pain in the salivary glands, is mainly caused by structural obstructions. Sialolithiasis is the most frequent cause of the disease, and other causes include calculus formation, duct strictures, foreign bodies, and anatomical variations. Although there is a possibility that facial fillers directly block the salivary ducts, no cases of obstructive sialadenitis associated with them have been reported yet. We report the case of a 34-year-old female patient who complained of recurrent swelling and pain in the left buccal mucosa. She had undergone facial filler injection procedures on her facial area for cosmetic purposes several years before. Based on the findings of magnetic resonance imaging (MRI) and MR sialography, she was diagnosed with obstructive sialadenitis due to facial fillers. Through this case, we should remember to obtain a thorough history including filler treatments in the case of parotid gland swelling. We also suggest proper utilization of advanced imaging such as MRI in evaluating the location of facial fillers.

Development and validation of a clinical phantom reproducing various lesions for oral and maxillofacial radiology research

  • Han-Gyeol Yeom;Jo-Eun Kim;Kyung-Hoe Huh;Won-Jin Yi;Min-Suk Heo;Sam-Sun Lee
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.345-353
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    • 2023
  • Purpose: The objective of this study was to propose a method for developing a clinical phantom to reproduce various diseases that are clinically prevalent in the field of dentistry. This could facilitate diverse clinical research without unnecessarily exposing patients to radiation. Materials and Methods: This study utilized a single dry skull, which was visually and radiographically examined to evaluate its condition. Existing lesions on the dry skull were preserved, and other relevant lesions were artificially created as necessary. These lesions were then documented using intraoral radiography and cone-beam computed tomography. Once all pre-existing and reproduced lesions were confirmed by the consensus of 2 oral and maxillofacial radiologists, the skull was embedded in a soft tissue substitute. To validate the process, cone-beam computed tomography scans and panoramic radiographs were obtained of the fabricated phantom. All acquired images were subsequently evaluated. Results: Most lesions could be identified on panoramic radiographs, although some sialoliths and cracked teeth were confirmed only through cone-beam computed tomographic images. A small gap was observed between the epoxy resin and the bone structures. However, 2 oral and maxillofacial radiologists agreed that this space did not meaningfully impact the interpretation process. Conclusion: The newly developed phantom has potential for use as a standardized phantom within the dental field. It may be utilized for a variety of imaging studies, not only for optimization purposes, but also for addressing other experimental issues related to both 2- and 3-dimensional diagnostic radiography.

Development of an evidence-based clinical imaging diagnostic guideline for implant planning: Joint recommendations of the Korean Academy of Oral and Maxillofacial Radiology and National Evidence-based Healthcare Collaborating Agency

  • Kim, Min-Ji;Lee, Sam-Sun;Choi, Miyoung;Ha, Eun Ju;Lee, Chena;Kim, Jo-Eun;Heo, Min-Suk
    • Imaging Science in Dentistry
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    • v.50 no.1
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    • pp.45-52
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    • 2020
  • Purpose: This study was conducted to develop an evidence-based clinical imaging diagnostic guideline for implant planning, taking into account efficacy, benefits, and risks. Materials and Methods: The guideline development process employed the adaptation methodology used for Korean clinical imaging guidelines(K-CIG). Core databases(Ovid-Medline, Ovid-Embase, National Guideline Clearinghouse, Guideline International Network) and domestic databases (KoreaMed, KMbase, and KoMGI) were searched for guidelines. The retrieved articles were analyzed by 2 reviewers, and articles were selected using well-established inclusion criteria. Results: The search identified 294 articles, of which 3 were selected as relevant guidelines. Based on those 3 guidelines, 3 recommendations for implant planning were derived. Conclusion: We recommend radiography or cone-beam computed tomography (CBCT) scanning for individual patients judged to require a cross-sectional image after reading of a panoramic X-ray image and a conventional intraoral radiological image. Various steps should be taken to raise awareness of these recommendations among clinicians and the public, and K-CIG should be regularly reviewed and revised.

Planning and Evaluation of Orthognathic surgery using CBCT imaging (임상가를 위한 특집 3 - CBCT를 이용한 악교정수술 계획 수립 및 평가)

  • Choi, Jeong-Ho
    • The Journal of the Korean dental association
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    • v.52 no.1
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    • pp.27-36
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    • 2014
  • The introduction of cone-beam computed tomography(CBCT) and computer software in dentistry has allowed orthodontists and maxillofacial surgeons to provide more accurate diagnosis and treatment. In this article, a facial asymmetry patient who had orthodontic treatment combined with orthognathic surgery using CBCT imaging is introduced and the way how CBCT imaging could be applied in clinical orthodontics and orthognathic surgery is explained. Also, evaluation of treatment outcomes using CBCT is suggested. More accurate, predictable and efficient surgical orthodontic planning and treatment are expected in the near future through cutting edge medical imaging including CBCT and CAD/CAM technologies.

A comparison of film and 3 digital imaging systems for natural dental caries detection: CCD, CMOS, PSP and film (치아 우식증 진단시 필름 방사선사진상과 디지털 방사선영상의 비교:CCD, CMOS, PSP와 film)

  • Han Won-Jeong
    • Imaging Science in Dentistry
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    • v.34 no.1
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    • pp.1-5
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    • 2004
  • Purpose: To evaluate the diagnostic accuracy of occlusal and proximal caries detection using CCD, CMOS, PSP and film system. Materials and Methods : 32 occlusal and 30 proximal tooth surfaces were radiographed under standardized conditions using 3 digital systems; CCD (CDX-2000HQ, Biomedysis Co., Seoul, Korea), CMOS (Schick, Schick Inc., Long Island, USA), PSP (Digora/sup (R)/FMX, Orion Co./Soredex, Helsinki, Finland) and I film system (Kodak Insight, Eastman Kodak, Rochester, USA). 5 observers examined the radiographs for occlusal and proximal caries using a 5-point confidence scale. The presence of caries was validated histologically and radiographically. Diagnostic accuracy was evaluated using ROC curve areas (Az). Results: Analysis using ROC curves revealed the area under each curve which indicated a diagnostic accuracy. For occlusal caries, Kodak Insight film had an Az of 0.765, CCD one of 0.730, CMOS one of 0.742 and PSP one of 0.735. For proximal caries, Kodak Insight film had an Az of 0.833, CCD one of 0.832, CMOS one of 0.828 and PSP one of 0.868. No statistically significant difference was noted between any of the imaging modalities. Conclusion: CCD, CMOS, PSP and film performed equally well in the detection of occlusal and proximal dental caries. CCD, CMOS and PSP-based digital images provided a level of diagnostic performance comparable to Kodak Insight film.

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The current approach to the diagnosis of vascular anomalies of the head and neck: A pictorial essay

  • Goel, Sinny;Gupta, Swati;Singh, Aarti;Prakash, Anjali;Ghosh, Sujoy;Narang, Poonam;Gupta, Sunita
    • Imaging Science in Dentistry
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    • v.45 no.2
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    • pp.123-131
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    • 2015
  • Throughout the years, various classifications have evolved for the diagnosis of vascular anomalies. However, it remains difficult to classify a number of such lesions. Because all hemangiomas were previously considered to involute, if a lesion with imaging and clinical characteristics of hemangioma does not involute, then there is no subclass in which to classify such a lesion, as reported in one of our cases. The recent classification proposed by the International Society for the Study of Vascular Anomalies (ISSVA, 2014) has solved this problem by including non-involuting and partially involuting hemangioma in the classification. We present here five cases of vascular anomalies and discuss their diagnosis in accordance with the ISSVA (2014) classification. A non-involuting lesion should not always be diagnosed as a vascular malformation. A non-involuting lesion can be either a hemangioma or a vascular malformation depending upon its clinicopathologic and imaging characteristics.