Curved Planar Reformation: A Useful Method for Screening Dental Pathologies in Chronic Rhinosinusitis via Paranasal Sinus Computed Tomography.
Wei-Chih ChenLisa Alice HwangWei-Che LinChing-Nung WuWei-Chia SuKuan-Chung FangSheng-Dean LuoPublished in: Tomography (Ann Arbor, Mich.) (2022)
(1) Background: Curved planar reformation (CPR) is a multiplanar reformatting technique of computed tomography (CT) commonly used during dental cone-beam CT (CBCT) to generate panorex-like images for dental evaluation. Here, we evaluated the utility of an additional CPR sequence in detecting dental pathologies in patients with chronic rhinosinusitis (CRS). (2) Methods: CRS patients who underwent paranasal sinus CT were enrolled retrospectively. The CT images featured three orthogonal sequences and a reconstructed CPR sequence. Additional dental CBCT was performed in patients with pathologies with a strongly suspected odontogenic origin. Dental pathologies detected by CT, CPR, and CBCT were analyzed. (3) Results: A total of 82 CRS patients (37 females and 45 males; mean age 47.3 ± 13.7 years) were included, of whom 23 underwent dental CBCT. In total, 1058 maxillary teeth were evaluated. Compared with paranasal sinus CT, CPR identified greater frequencies of dental pathologies, particularly caries ( p < 0.001), periapical lesions ( p < 0.001), and fistulae ( p = 0.014). CBCT identified greater frequencies of periodontal dental pathologies ( p = 0.046) and premolar caries ( p = 0.002) compared with CPR. CBCT and CPR detected molar dental pathologies at similar frequencies. (4) Conclusions: CPR could increase the diagnostic rate of odontogenic pathologies compared with standard CT orthogonal views, especially when the sinusitis is caused by caries, periapical lesions, or fistulae. The addition of a CPR sequence allows for simple screening of dental pathologies in CRS patients without a need for additional radiation.
Keyphrases
- image quality
- oral health
- cardiac arrest
- computed tomography
- cardiopulmonary resuscitation
- dual energy
- contrast enhanced
- cone beam computed tomography
- positron emission tomography
- end stage renal disease
- ejection fraction
- newly diagnosed
- magnetic resonance imaging
- prognostic factors
- peritoneal dialysis
- chronic rhinosinusitis
- patient reported outcomes
- pulmonary embolism
- magnetic resonance
- radiation induced
- amino acid