Complex radiological diagnosis of facial bones in desomorphine dependence patients on the pre-operative stage of treatment

Complex radiological diagnosis of facial bones in desomorphine dependence patients on the pre-operative stage of treatment

Babkova A.A., Serova N.S., Medvedev Yu.A.

Purpose. To determine the diagnostic efficiency of methods of complex radiological diagnosis (OPG, conventional radiography, MSCT, CBCT) in the evaluation of osteonecrosis in patients on preoperative stage. Methods and materials. Orthopantomography, radiography of the skull, MSCT and CBCT were performed on 108 patients (100%) in the preoperative stage. Also 25 patients (21%) underwent radionuclide diagnostics: planar bone scan, SPECT. Results. The application of complex highly informative radiological methods (MSCT, CBCT, radionuclide diagnostics) in desomorphine dependence patients at the preoperative stage of treatment enables full investigation of character and the prevalence of the pathologi-cal process, to plan further tactics of surgical treatment. Conclusions. Thus the diagnostic efficiency parameters at the preoperative stage for MSCT were: the sensitivity – 98,1%, the specificity – 99,6%, the accuracy – 98,8%, for CBCT were: the sensitivity – 97,3%, the specificity – 99,1%, the accuracy – 98,4%, for orthopanto-mography: the sensitivity – 78,6%, the specificity – 76,3%, the accuracy – 77,4%, for skull x-ray: the sensitivity – 61,1%, the specificity – 59,2%, the accuracy – 60,2%.

1 - I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russian Federation.

Moscow, Russia.

2 -  FSBEI HE A.I.

Yevdokimov MSMSU MOH Russia.

Moscow, Russia

 

Keywords: osteonecrosis, multislice computed tomography, orthopantomography, desomorphine, cone-beam computed tomography, radionuclide diagnostics.


Corresponding author:  Babkova A.A., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Babkova A.A., Serova N.S., Medvedev Yu.A.  Complex radiological diagnosis of facial bones in desomorphine dependence patients on the preoperative stage of treatment. REJR 2019; 9(1):16-26. DOI:10.21569/2222-7415-2019-9-1-16-26.

Received:        19.01.19 Accepted:       06.02.19