The Mandibular Cortex on Radiographs as a Tool for Osteoporosis Risk Assessment: The OSTEODENT Project

Journal of Clinical Densitometry

Volumn 10, Issue 2, 2007, Pages 138-146

  Horner, Keith ^a   Karayianni, Kety ^b   Mitsea, Anastasia ^b   Berkas, Leonidas ^b   Mastoris, Michael ^b   Jacobs, Reinhilde ^c   Lindh, Christina ^d   van der Stelt, Paul ^e   Marjanovic, Elizabeth ^f   Adams, Judith ^f   Pavitt, Susan ^a   Devlin, Hugh ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF ATHENS   (Greece)

^c DEPARTMENT OF IMAGING AND PATHOLOGY   (Belgium)

^d MALMÖ UNIVERSITY   (Sweden)

^e UNIVERSITY OF AMSTERDAM   (Netherlands)

^f UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Osteoporosis; panoramic; radiography; ROC curve; sensitivity and specificity; X ray diagnosis

Indexed keywords

ADULT; AGED; ANALYTIC METHOD; ARTICLE; BONE DENSITOMETRY; COMPARATIVE STUDY; CONTROLLED STUDY; DIAGNOSTIC TEST; DUAL ENERGY X RAY ABSORPTIOMETRY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; OSTEOPOROSIS; PANORAMIC RADIOGRAPHY; PRIORITY JOURNAL; RADIODIAGNOSIS; RECEIVER OPERATING CHARACTERISTIC; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

ABSORPTIOMETRY, PHOTON; AGED; BELGIUM; BONE DENSITY; DIAGNOSIS, DIFFERENTIAL; FEMALE; GREAT BRITAIN; GREECE; HUMANS; INCIDENCE; MANDIBLE; MIDDLE AGED; OSTEOPOROSIS, POSTMENOPAUSAL; RADIOGRAPHY, PANORAMIC; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; SEVERITY OF ILLNESS INDEX; SWEDEN;

EID: 34247594225     PISSN: 10946950     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jocd.2007.02.004     Document Type: Article

References (28)

1. Klemetti E., Kolmakov S., and Kroger H. Pantomography in assessment of the osteoporosis risk group. Scand J Dent Res. 102 (1994) 68-72
2. Taguchi A., Tanimoto K., Suei Y., Otani K., and Wada T. Oral signs as indicators of possible osteoporosis in elderly women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 80 (1995) 612-616
3. Taguchi A., Suei Y., Ohtsuka M., Otani K., Tanimoto K., and Ohtaki M. Usefulness of panoramic radiography in the diagnosis of postmenopausal osteoporosis in women. Width and morphology of inferior cortex of mandible. Dentomaxillofac Radiol 25 (1996) 263-267
4. Horner K., and Devlin H. The relationships between two indices of mandibular bone quality and bone mineral density measured by dual energy x-ray absorptiometry. Dentomaxillofac Radiol 27 (1998) 17-21
5. Bollen A.M., Taguchi A., Hujoel P.P., and Hollender L.G. Case-control study on self-reported osteoporotic fractures and mandibular cortical bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90 (2000) 518-524
6. Drozdzowska B., Pluskiewicz W., and Tarnawska B. Panoramic-based clinical indices in relation to mandibular bone mineral density and skeletal status assessed by dual energy X-ray absorptiometry and quantitative ultrasound. Dentomaxillofac Radiol 31 (2002) 361-367
7. Nakamoto T., Taguchi A., Ohtsuka M., et al. Dental panoramic radiograph as a tool to detect postmenopausal women with low bone mineral density: untrained general dental practitioners' diagnostic performance. Osteoporos Int 14 (2003) 659-664
8. Taguchi A., Suei Y., Sanada M., et al. Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis. AJR Am J Roentgenol 183 (2004) 1755-1760
9. White S.C., Taguchi A., Kao D., et al. Clinical and panoramic predictors of femur bone mineral density. Osteoporos Int 16 (2005) 339-346
10. Halling A., Rutger Persson G., Berglund J., Johansson O., and Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int 16 (2005) 999-1003
11. Ledgerton D., Horner K., Devlin H., and Worthington H.V. Radiomorphometric indices of the mandible in a British population. Dentomaxillofac Radiol 28 (1999) 173-181
12. Jowitt N., MacFarlane T., Devlin H., Klemetti E., and Horner K. The reproducibility of the mandibular cortical index. Dentomaxillofac Radiol 28 (1999) 141-144
13. Devlin C.V., Horner K., and Devlin H. Variability in measurement of radiomorphometric indices by general dental practitioners. Dentomaxillofac Radiol 30 (2001) 120-125
14. Orwoll E.S., and Oviatt S.K. Longitudinal precision of dual-energy x-ray absorptiometry in a multicenter study. The Nafarelin/Bone Study Group. J Bone Miner Res 6 (1991) 191-197
15. Pearson J., Dequeker J., Henley M., et al. European semi-anthropomorphic spine phantom for the calibration of bone densitometers-assessment of precision, stability and accuracy-the European Quantitation of Osteoporosis Study-Group. Osteoporos Int 5 (1995) 174-184
16. Looker A., Wahner H., Dunn W., et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporos Int 8 (1998) 468-489
17. WHO Study Group. 1984 Assessment of fracture risk and its implication to screening for postmenopausal osteoporosis. WHOTechnical Report. Volume 843. World Health Organisation, Geneva.
18. Sedrine W.B., Chevallier T., Zegels B., et al. Development and assessment of the Osteoporosis Index of Risk (OSIRIS) to facilitate selection of women for bone densitometry. Gynecol Endrocrinol 16 (2002) 245-250
19. Karayianni K., Horner K., Mitsea A., et al. Accuracy in osteoporosis diagnosis of a combination of mandibular cortical width measurement on dental panoramic radiographs and a clinical risk index (OSIRIS): the OSTEODENT project. Bone 40 (2007) 223-229
20. Richy F., Gourlay M., Ross P.D., et al. Validation and comparative evaluation of the osteoporosis self-assessment tool (OST) in a Caucasian population from Belgium. Q J Med 97 (2004) 39-46
21. European Commission. 2004 Radiation Protection 136. European guidelines on radiation protection in dental radiology. Office for Official Publications of the European Communities, Luxembourg, 59.
22. Hilgers R.A. Distribution-free confidence bounds for ROC curves. Methods Inf Med 30 (1991) 96-101
23. Hanley J.A., and McNeil B.J. A method of comparing the areas under receiver-operating characteristic curves derived from the same cases. Radiology 148 (1983) 839-843
24. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 20 (1960) 37-46
25. Landis J.R., and Koch G.G. The measurement of observer agreement for categorical data. Biometrics 33 (1977) 159-174
26. Devlin H., Allen P.D., Graham J., et al. Automated osteoporosis risk assessment by dentists: a new pathway to diagnosis. Bone 40 (2007) 835-842
27. Lee K., Taguchi A., Ishii K., et al. Visual assessment of the mandibular cortex on panoramic radiographs to identify postmenopausal women with low bone mineral densities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100 (2005) 226-231
28. Sutthiprapaporn P., Taguchi A., Nakamoto T., et al. Diagnostic performance of general dental practitioners after lecture in identifying post-menopausal women with low bone mineral density by panoramic radiographs. Dentomaxillofac Radiol 35 (2006) 249-252