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VOLUME 25 , ISSUE 10 ( October, 2024 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of the Efficiency of Ultrasonography and Color Doppler in Diagnosis of Intraosseous Jaw Lesions: An In Vivo Study

Vivek K Sidhu, Sangita Nath, Hamari Debbarma, Banibrata Lahiri, Reshma Amin, Sheen Chakraborty

Keywords : Color Doppler, Conventional radiography, Histopathology, Jaw lesions, Ultrasonography

Citation Information : Sidhu VK, Nath S, Debbarma H, Lahiri B, Amin R, Chakraborty S. Evaluation of the Efficiency of Ultrasonography and Color Doppler in Diagnosis of Intraosseous Jaw Lesions: An In Vivo Study. J Contemp Dent Pract 2024; 25 (10):963-967.

DOI: 10.5005/jp-journals-10024-3733

License: CC BY-NC 4.0

Published Online: 13-01-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: The current in vivo investigation aimed to evaluate the accuracy of ultrasonography and color Doppler performed in the diagnosis of intraosseous jaw lesions. Materials and methods: A total of 30 patients with intraosseous jaw lesions between the ages of 12 and 60 were selected for the present study. For every jaw lesion, a preliminary diagnosis was done using preoperative conventional radiographs. A sonologist evaluated the preoperative ultrasound examination and color Doppler images to determine the lesion's content, vascular supply, and preliminary classification was made as either a cyst or a tumor. The tissue was curetted during the surgical procedure to facilitate the histological examination. Every measurement and result were compared, and a statistical analysis was performed. Results: On ultrasound and color Doppler examination out of 8 solid lesions, 2 (25%) were non-vascular and 6 (75%) were vascular.11 (64.7%) out of 17 cystic lesions were non-vascular and 6 (35.3%) were vascular. About 2 (66.7%) out of 3 complex lesions were non-vascular and 1 (33.3%) was vascular. And out of 2 Inconclusive lesions 1 (50%) was vascular and another 1 (50%) was non-vascular. There was a statistically significant difference found between color Doppler and ultrasound characteristics (0.001). Histopathological examination determined that 8 (100%) solids were diagnosed as the tumor. And 8 (47.1%) out of 17 cystic lesions were diagnosed as the tumor and 9 (52.9%) as cysts on histopathological examination. Out of 3 complex lesions 2 (66.7%) lesions were diagnosed as the tumor and 1(33.3%) as cysts. And 2 cases which were inconclusive were diagnosed as cysts and 1 tumor each. There was no statistically significant difference found between histopathological characteristics and ultrasound characteristics (p = 0.081). Conclusion: The current investigation came to the conclusion that ultrasound can reliably distinguish between a cyst and a tumor and provide correct information about the pathological nature of a jaw lesion. Clinical significance: Ultrasound has been a crucial diagnostic tool for numerous medical specialties. It is simple to use and can provide a detailed representation of soft tissues. Furthermore, it facilitates the accurate localization of samples when necessary and the evaluation of the solid and cystic components of lesions.


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  1. Sumer AP, Danaci M, Ozen Sandikçi E, et al. Ultrasonography and Doppler ultrasonography in the evaluation of intraosseous lesions of the jaws. Dentomaxillofac Radiol. 2009;38(1):23–27. DOI: 10.1259/dmfr/20664232.
  2. Bagewadi S, Mahima VG, Patil K. Ultrasonography of swelling in orofacial region. J Indian Acad Oral Med Radiol 2010;22:18–26. DOI: 10.4103/0972-1363.166899.
  3. Aggarwal V, Logani A, Shah N. The evaluation of computed tomography scans and ultrasound in the differential diagnosis of periapical lesions. J Endod 2008;34(11):1312–1315. DOI: 10.1016/j.joen.2017.03.042.
  4. Cotti E, Campisi G. Advanced radiographic techniques for the detection of lesions in bone. Endod Top 2004;7(1):52–72. DOI: 10.1111/j.1601-1546.2004.00064.x
  5. Dib LL, Curi MM, Chammas MC. Ultrasonography evaluation of bone lesions of the jaw. Oral Surg. Oral Med. Oral Pathol. Oral Radiol Endod 1996;82:351–357. DOI: 10.1016/S1079-2104(96)80365-9.
  6. Cotti E, Simbola V, Dettori C, et al. Echographic evaluation of bone lesions of endodontic origin: Report of two cases in the same patient. J Endod 2006;32(9):901–905. DOI: 10.1016/j.joen.2006.01.013.
  7. Cotti E, Campisi G, Garau V. A new technique for the study of bone lesions. Ultrasound real time imaging. Int Endod J 2002;35:148–152. DOI: 10.1046/j.1365-2591.2002.00458.x.
  8. Gundappa M, Ng SY, Whaites EJ. Comparison of ultrasound, digital and conventional radiography in differentiating periapical lesions. Dentomaxillofac Radiol 2006;35:326–333. DOI: 10.1259/dmfr/60326577.
  9. Mehdizadeh M, Movahedian B, Mehdizadeh M, et al. Comparison ultrasound, indirect digital panoramic radiography in differential radiolucent mandible lesions. Res J Biolo Sci 2009;4(11):1169–1170. Available from: https://scholar.google.com/scholar_lookup?journal=Res%20J%20Biol%20Sci& title=Comparison%20ultrasound,%20indirect%20digital%20panoramic%20radiography%20in%20differentional%20radiolucent%20mandible%20lesions&author=M%20Mehdiza deh&author=B%20Movahedian&author=M%20Babasafari &author=P%20Mohammadi&volume=4&publication_year=2009& pages=1169-1170&.
  10. Uysal S, Kansu H, Akhna O. Comparison of ultrasonography with magnetic resonance imaging in the diagnosis of temporomandibular joint internal derangements: A preliminary investigation., Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:115–121. DOI: 10.1067/moe.2002.126026.
  11. Rozylo-kalinowska I, Brodzisz A, Galkowska E, et al. Application of Doppler ultrasonography in congenital vascular lesions of head and neck. Dentomaxillofac Radiol 2002;3:2–6. DOI: 10.1038/sj/dmfr/4600650.
  12. Shintani S, Yoshihama Y, Ueyama Y, et al. The usefulness of intraoral ultrasonography in the evaluation of oral cancer. Int J Oral Maxillofac Surg 2001;30(2):139–143. DOI: 10.1054/ijom.2000.0035.
  13. Rajendran N, Sundaresan B. Efficacy of ultrasound and colour power Doppler as a monitoring tool in the healing of endodontic periapical lesions. J Endod 2007; 33: 181–191. DOI: 10.1016/j.joen.2006.07.020.
  14. Vinod Vijay Shankar, M Venkateswarlu. Utility of ultrasonography as adjunct to diagnosis in certain orofacial lesions over the clinical and radiological evaluation. J Indian Acad Oral Med Radiol 2009;21:12–16. DOI: 10.4103/0972-1363.57772.
  15. Celia C, Miguel P, Bagdn Jose V, et al. Relationship between histological diagnosis and evolution of 70 periapical lesions at 12 months treated by periapical surgery. J Oral Maxillofac Surg 2008;66:1606–1609. DOI: 10.1016/j.joms.2007.12.014.
  16. Raghav N, Reddy SS, Giridhar AG, et al. Comparison of the efficacy of conventional radiography, digital radiography, and ultrasound in diagnosing periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110(3):379–385. DOI: 10.1016/j.tripleo.2010. 04.039.
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