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01-06-2010 | Original Article

Effect of computer assistance on observer performance of approximal caries diagnosis using intraoral digital radiography

Authors: Kazuyuki Araki, Yukiko Matsuda, Kenji Seki, Tomohiro Okano

Published in: Clinical Oral Investigations | Issue 3/2010

Abstract

Logicon Caries Detector™ (LDDC) is the only commercially available computer-assisted diagnostic system for caries diagnosis. The object of this study is to elucidate the efficacy of LDDC when used by inexperienced dentists. Fifty extracted teeth were imaged using an RVG6000. Seven dentists who had just passed the Japanese National Dental Board Examination observed those images without LDDC (woLDDC) and assessed the probability that caries lesions were present, then re-assessed the same teeth using LDDC (wLDDC). The areas under the receiver operating characteristic curves (Az) were compared. No statistically significant difference was found between woLDDC Az values and wLDDC Az values when caries lesions of all depths were considered. When positive cases were restricted to caries lesions in the inner half of the enamel or to dentine caries lesions, however, wLDDC Az values were significantly larger than woLDDC (p = 0.043 and 0.018, respectively).

Schneiderman A, Elbaum M, Shultz T, Keem S, Greenebaum M, Driller J (1997) Assessment of dental caries with Digital Imaging Fiber-Optic TransIllumination (DIFOTI): in vitro study. Caries Res 31:103–110CrossRefPubMed

Matalon S, Feuerstein O, Calderon S, Mittleman A, Kaffe I (2007) Detection of cavitated carious lesions in approximal tooth surfaces by ultrasonic caries detector. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:109–113CrossRefPubMed

Peker I, Toraman Alkurt M, Altunkaynak B (2007) Film tomography compared with film and digital bitewing radiography for proximal caries detection. Dento-Maxillo-Facial Radiol 36:495–499

Kidd EA, Pitts NB (1990) A reappraisal of the value of the bitewing radiograph in the diagnosis of posterior approximal caries. Br Dent J 169:195–200PubMed

Pitts NB, Rimmer PA (1992) An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res 26:146–152CrossRefPubMed

Pitts NB, Renson CE (1985) Reproducibility of computer-aided image-analysis-derived estimates of the depth and area of radiolucencies in approximal enamel. J Dent Res 64:1221–1224PubMed

Pitts NB, Renson CE (1986) Image analysis of bitewing radiographs: a histologically validated comparison with visual assessments of radiolucency depth in enamel. Br Dent J 160:205–209CrossRefPubMed

Pitts NB, Renson CE (1986) Further development of a computer-aided image analysis method of quantifying radiolucencies in approximal enamel. Caries Res 20:361–370CrossRefPubMed

Pitts NB (1987) Detection of approximal radiolucencies in enamel: a preliminary comparison between experienced clinicians and an image analysis method. J Dent 15:191–197CrossRefPubMed

10.

Heaven TJ, Firestone AR, Feagin FF (1992) Computer-based image analysis of natural approximal caries on radiographic films. J Dent Res 71:846–849 Spec NoPubMed

11.

Zubery Y, Dove SB, Ebersole J (1993) An in vitro study of the characteristics of a computer-aided radiographic evaluation (CARE) system for longitudinal assessment of density changes. J Periodontal Res 28:233–240CrossRefPubMed

12.

Sund T, Møystad A (2006) Sliding window adaptive histogram equalization of intraoral radiographs: effect on image quality. Dento-Maxillo-Facial Radiol 35:133–138

13.

Maggio JJ, Hausmann EM, Allen K, Potts TV (1990) A model for dentinal caries progression by digital subtraction radiography. J Prosthet Dent 64:727–732CrossRefPubMed

14.

Heaven TJ, Weems RA, Firestone AR (1994) The use of a computer-based image analysis program for the diagnosis of approximal caries from bitewing radiographs. Caries Res 28:55–58CrossRefPubMed

15.

Duncan RC, Heaven T, Weems RA, Firestone AR, Greer DF, Patel JR (1995) Using computers to diagnose and plan treatment of approximal caries. Detected in radiographs. J Am Dent Assoc 126:873–882PubMed

16.

Gakenheimer DC (2002) The efficacy of a computerized caries detector in intraoral digital radiography. J Am Dent Assoc 133:883–890PubMed

17.

Schmidlin PR, Tepper SA, Scriba H, Lutz F (2002) In vitro assessment of incipient approximal carious lesions using computer-assisted densitometric image analysis. J Dent 30:305–311CrossRefPubMed

18.

Li S, Fevens T, Krzyzak A, Jin C, Li S (2005) Toward automatic computer aided dental X-ray analysis using level set method. Med Image Comput Comput Assist Interv 8:670–678CrossRefPubMed

19.

Kositbowornchai S, Siriteptawee S, Plermkamon S, Bureerat S, Chetchotsak D (2006) An artificial neural network for detection of simulated dental caries. Int J CARS 1:91–96CrossRef

20.

Yoon DC, Wilensky GD, Neuhaus JA, Manukian N and Gakenheimer DC (1998) Quantitative dental caries detection system and method. US patent number5742700, Apr 21

21.

Wenzel A, Hintze H, Kold LM, Kold S (2002) Accuracy of computer-automated caries detection in digital radiographs compared with human observers. Eur J Oral Sci 110:199–203CrossRefPubMed

22.

Navarro FL, Llena Puy MC, Godoy GF (2008) Diagnostic performance of radiovisiography in combination with a diagnosis assisting program versus conventional radiography and radiovisiography in basic mode and with magnification. Med Oral Patol Oral Cir Bucal 13:E261–E265

23.

U.S. Food and Drug Administration, Center for Devices and Radiological Health. Summary of Safety and Effectiveness data: Logicon Caries Detector (1998) PMA No.980025, Sept.1998. www.fda.gov/cdrh/pma/pmasep98.html.A

24.

Wenzel A (2001) Computer-Automated Caries Detection in Digital Bitewings: Consistency of a Program and Its Influence on Observer Agreement. Oper Dent 35:12–20

25.

Harase Y, Araki K, Okano T (2006) Accuracy of extraoral tuned aperture computed tomography (TACT) for proximal caries detection. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101:791–796CrossRefPubMed

26.

Tsuchida R, Araki K, Okano T (2007) Evaluation of a limited cone-beam volumetric imaging system: comparison with film radiography in detecting incipient proximal caries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:412–416CrossRefPubMed

27.

Hahn SK, Kim JW, Lee SH, Kim CC, Hahn SH, Jang KT (2004) Microcomputed tomographic assessment of chemomechanical caries removal. Caries Res 38:75–78CrossRefPubMed

28.

Lee HS, Berg JH, Garcia-Godoy F, Jang KT (2008) Long-term evaluation of the remineralization of interproximal caries-like lesions adjacent to glass-ionomer restorations: a micro-CT study. Am J Dent 21:129–132PubMed

29.

Khan EA, Tyndall DA, Ludlow JB, Caplan D (2005) Proximal caries detection: Sirona Sidexis versus Kodak Ektaspeed Plus. Gen Dent 53:43–48PubMed

30.

Moystad A, Svanaes DB, Risnes S, Larheim TA, Grondahl HG (1996) Detection of approximal caries with a storage phosphor system. A comparison of enhanced digital images with dental X-ray film. Dento-Maxillo-Fac Radiol 25:202–206

31.

Naitoh M, Yuasa H, Toyama M, Shiojima M, Nakamura M, Ushida M et al (1998) Observer agreement in the detection of proximal caries with direct digital intraoral radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:107–112CrossRefPubMed

32.

Syriopoulos K, Sanderink GC, Velders XL, van der Stelt PF (2000) Radiographic detection of approximal caries: a comparison of dental films and digital imaging systems. Dento-Maxillo-Fac Radiol 29:312–318

33.

Tyndall DA, Ludlow JB, Platin E, Nair M (1998) A comparison of Kodak Ektaspeed Plus film and the Siemens Sidexis digital imaging system for caries detection using receiver operating characteristic analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:113–118CrossRefPubMed

34.

Wenzel A (2004) Bitewing and digital bitewing radiography for detection of caries lesions. J Dent Res 83:C72–C75 Spec No CCrossRefPubMed

35.

Pitts NB (2004) Are we ready to move from operative to non-operative/preventive treatment of dental caries in clinical practice? Caries Res 38:294–304CrossRefPubMed

36.

Pitts NB (2004) Modern concepts of caries measurement. J Dent Res 83:C43–C47 Spec No CCrossRefPubMed

37.

Selwitz RH, Ismail AI, Pitts NB (2007) Dental caries. Lancet 369:51–59CrossRefPubMed

38.

Faculty of GDP (1998) Selection criteria for dental radiography. Faculty of General Dental Practitioners The Royal college of Surgeons of England, London

39.

Wenzel A, Haiter-Neto F, Gotfredsen E (2007) Risk factors for a false positive test outcome in diagnosis of caries in approximal surfaces: impact of radiographic modality and observer characteristics. Caries Res 41:170–176CrossRefPubMed

40.

Mileman PA, van den Hout WB (2002) Comparing the accuracy of Dutch dentists and dental students in the radiographic diagnosis of dentinal caries. Dento-Maxillo-Facial Radiol 31:7–14

41.

Schulze RK, Nackat D, D'hoedt B (2004) In vitro carious lesion detection on D-, E-, and F-speed radiographic films. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:529–534CrossRefPubMed

Title: Effect of computer assistance on observer performance of approximal caries diagnosis using intraoral digital radiography
Authors: Kazuyuki Araki
Yukiko Matsuda
Kenji Seki
Tomohiro Okano
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 3/2010
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-009-0307-z

At a glance: The STEP trials

Springer Medicine

Effect of computer assistance on observer performance of approximal caries diagnosis using intraoral digital radiography

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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