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Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions

BACKGROUND: Thermography is a contemporary imaging modality based on acquiring and analyzing thermal data using non-contact devices. The aim of the present study was to assess the validity of thermography, compared with that of the reference-standard, for the diagnosis of periapical inflammatory les...

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Autores principales: Aboushady, M. Atef, Talaat, Wael, Hamdoon, Zaid, M.Elshazly, Tarek, Ragy, Nivin, Bourauel, Christoph, Talaat, Sameh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8120841/
https://www.ncbi.nlm.nih.gov/pubmed/33985486
http://dx.doi.org/10.1186/s12903-021-01618-9
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author Aboushady, M. Atef
Talaat, Wael
Hamdoon, Zaid
M.Elshazly, Tarek
Ragy, Nivin
Bourauel, Christoph
Talaat, Sameh
author_facet Aboushady, M. Atef
Talaat, Wael
Hamdoon, Zaid
M.Elshazly, Tarek
Ragy, Nivin
Bourauel, Christoph
Talaat, Sameh
author_sort Aboushady, M. Atef
collection PubMed
description BACKGROUND: Thermography is a contemporary imaging modality based on acquiring and analyzing thermal data using non-contact devices. The aim of the present study was to assess the validity of thermography, compared with that of the reference-standard, for the diagnosis of periapical inflammatory lesions and to evaluate the temperature ranges for acute pulpitis with apical periodontitis (AAP), acute periapical abscess (AA) and chronic periapical abscess (CA). METHODS: AAP, AA and CA were diagnosed based on clinical and radiographic criteria. Thermographic data were acquired using the FLIR E-5 Infrared Camera. Extraoral thermal images were taken from the front and right and left sides of patients whose mouths were closed, and one intraoral thermal image was taken from the palatal perspective. Agreement in the diagnoses based on the combination of clinical and radiographic assessments and the thermographic evaluation was calculated. The temperature ranges of the three diagnostic subgroups were also measured. RESULTS: A total of 80 patients were enrolled in this study. The mean intraoral thermal image temperature for AA was 37.26 ± 0.36, that for CA was 35.03 ± 0.63 and that for AAP was 36.07 ± 0.45. The differences between the mean intraoral thermal temperatures of the three diagnostic groups were statistically significant (P < 0.001). The result of the Kappa coefficient of agreement between the combination of clinical and radiographic assessments and the thermographic evaluation was significant (P < 0.001). CONCLUSIONS: Thermography is an effective, quantitative and nonionizing approach that can be used for the diagnosis of periapical inflammatory lesions. The results of the present study indicated that the highest thermal image temperatures were recorded for AA. Thermography might be able to detect inflammatory reactions during the preclinical stage, leading to early diagnosis.
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spelling pubmed-81208412021-05-17 Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions Aboushady, M. Atef Talaat, Wael Hamdoon, Zaid M.Elshazly, Tarek Ragy, Nivin Bourauel, Christoph Talaat, Sameh BMC Oral Health Research Article BACKGROUND: Thermography is a contemporary imaging modality based on acquiring and analyzing thermal data using non-contact devices. The aim of the present study was to assess the validity of thermography, compared with that of the reference-standard, for the diagnosis of periapical inflammatory lesions and to evaluate the temperature ranges for acute pulpitis with apical periodontitis (AAP), acute periapical abscess (AA) and chronic periapical abscess (CA). METHODS: AAP, AA and CA were diagnosed based on clinical and radiographic criteria. Thermographic data were acquired using the FLIR E-5 Infrared Camera. Extraoral thermal images were taken from the front and right and left sides of patients whose mouths were closed, and one intraoral thermal image was taken from the palatal perspective. Agreement in the diagnoses based on the combination of clinical and radiographic assessments and the thermographic evaluation was calculated. The temperature ranges of the three diagnostic subgroups were also measured. RESULTS: A total of 80 patients were enrolled in this study. The mean intraoral thermal image temperature for AA was 37.26 ± 0.36, that for CA was 35.03 ± 0.63 and that for AAP was 36.07 ± 0.45. The differences between the mean intraoral thermal temperatures of the three diagnostic groups were statistically significant (P < 0.001). The result of the Kappa coefficient of agreement between the combination of clinical and radiographic assessments and the thermographic evaluation was significant (P < 0.001). CONCLUSIONS: Thermography is an effective, quantitative and nonionizing approach that can be used for the diagnosis of periapical inflammatory lesions. The results of the present study indicated that the highest thermal image temperatures were recorded for AA. Thermography might be able to detect inflammatory reactions during the preclinical stage, leading to early diagnosis. BioMed Central 2021-05-13 /pmc/articles/PMC8120841/ /pubmed/33985486 http://dx.doi.org/10.1186/s12903-021-01618-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Aboushady, M. Atef
Talaat, Wael
Hamdoon, Zaid
M.Elshazly, Tarek
Ragy, Nivin
Bourauel, Christoph
Talaat, Sameh
Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title_full Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title_fullStr Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title_full_unstemmed Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title_short Thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
title_sort thermography as a non-ionizing quantitative tool for diagnosing periapical inflammatory lesions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8120841/
https://www.ncbi.nlm.nih.gov/pubmed/33985486
http://dx.doi.org/10.1186/s12903-021-01618-9
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