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      IDIOS: An innovative index for evaluating dental imaging-based osteoporosis screening indices

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          Abstract

          Purpose

          The goal of this study was to develop a new index as an objective reference for evaluating current and newly developed indices used for osteoporosis screening based on dental images. Its name; IDIOS, stands for Index of Dental-imaging Indices of Osteoporosis Screening.

          Materials and Methods

          A comprehensive PubMed search was conducted to retrieve studies on dental imaging-based indices for osteoporosis screening. The results of the eligible studies, along with other relevant criteria, were used to develop IDIOS, which has scores ranging from 0 (0%) to 15 (100%). The indices presented in the studies we included were then evaluated using IDIOS.

          Results

          The 104 studies that were included utilized 24, 4, and 9 indices derived from panoramic, periapical, and computed tomographic/cone-beam computed tomographic techniques, respectively. The IDIOS scores for these indices ranged from 0 (0%) to 11.75 (78.32%).

          Conclusion

          IDIOS is a valuable reference index that facilitates the evaluation of other dental imaging-based osteoporosis screening indices. Furthermore, IDIOS can be utilized to evaluate the accuracy of newly developed indices.

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          Most cited references123

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          Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group.

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            Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis.

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              A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results.

              The objective of this paper is to present a new type of volumetric CT which uses the cone-beam technique instead of traditional fan-beam technique. The machine is dedicated to the dento-maxillo-facial imaging, particularly for planning in the field of implantology. The main characteristics of the unit are presented with reference to the technical parameters as well as the software performance. Images obtained are reported as various 2D sections of a volume reconstruction. Also, measurements of the geometric accuracy and the radiation dose absorbed by the patient are obtained using specific phantoms. Absorbed dose is compared with that given off by spiral CT. Geometric accuracy, evaluated with reference to various reconstruction modalities and different spatial orientations, is 0.8-1% for width measurements and 2.2% for height measurements. Radiation dose absorbed during the scan shows different profiles in central and peripheral axes. As regards the maximum value of the central profile, dose from the new unit is approximately one sixth that of traditional spiral CT. The new system appears to be very promising in dentomaxillo-facial imaging and, due to the good ratio between performance and low cost, together with low radiation dose, very interesting in view of large-scale use of the CT technique in such diagnostic applications.
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                Author and article information

                Journal
                Imaging Sci Dent
                Imaging Sci Dent
                ISD
                Imaging Science in Dentistry
                Korean Academy of Oral and Maxillofacial Radiology
                2233-7822
                2233-7830
                September 2016
                20 September 2016
                : 46
                : 3
                : 185-202
                Affiliations
                [1 ]Department of Oral Medicine, Faculty of Dentistry, Damascus University, Damascus, Syria.
                [2 ]Department of Oral Medicine, Faculty of Dentistry, Syrian Private University, Damascus, Syria.
                [3 ]Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia.
                [4 ]Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ibb University, Ibb, Yemen.
                [5 ]Department of Periodontology, Faculty of Dentistry, Damascus University, Damascus, Syria.
                Author notes
                Correspondence to: Prof. Imad Barngkgei. Department of Oral Medicine, Faculty of Dentistry, Damascus University, Mazzeh Highway, Damascus, Syrian Arab Republic. Tel) 963-93-2785-671, Fax) 963-11-212-4757, imadbarn@ 123456gmail.com
                Article
                10.5624/isd.2016.46.3.185
                5035724
                27672615
                8c5e1dd3-969a-4a9a-8847-27d1ac242fd5
                Copyright © 2016 by Korean Academy of Oral and Maxillofacial Radiology

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 September 2015
                : 13 October 2015
                : 11 December 2015
                Funding
                Funded by: Faculty of Dentistry, Damascus University;
                Categories
                Original Article

                Dentistry
                radiography, dental,diagnosis,absorptiometry, photon,osteoporosis
                Dentistry
                radiography, dental, diagnosis, absorptiometry, photon, osteoporosis

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