An Interesting Incidental Finding on Cone Beam Computed Tomography Examination

Yıl 2017, Sayı: 1, 42 - 45, 01.01.2017

Halil Tolga Yüksel , Gökçe Yüksel

https://doi.org/10.21306/jids.2017.1.32

Öz

purpose of using it for anjiography procedure. In 1990s some developments and modifications was done on this technique to use for assesment of maxillofacial region. Although nowadays clinicians use CBCT mostly for presurgical assessment of implant surgery, it is also used for detection of relationship mandibular canal and root of third molar, mostly. Incidental findings on CBCT became more important with increasing number of CBCT surveys for radiological assessment. In this paper, we presented an incidental finding that was detected on CBCT survey in 47 year-old systemically healtly female patient. This incidental finding was milimetric and scattered densities in intracranial space located as extraaxially as the residue of a myelography procedure that was made years ago

Anahtar Kelimeler

Myelography, Cone Beam CT, Incidental finding

Konik Işınlı Bilgisayarlı Tomografi Uygulamasında Karşılaşılan İlginç Tesadüfi Bulgu

Öz

Konik Işınlı Bilgisayarlı Tomografi KIBT ilk olarak anjiografide kullanılma amacı ile 1982 yılında keşfedilmiştir. 1990’lı yıllarda maksillofasiyal yapıları görüntüleme amacı ile modifiye edilmiştir. Şimdiki yıllarda ise KIBT uygulamaları diş hekimliğinde başta implant planlaması ve 20 yaş dişi mandibular kanal ilişkisinin tayini olmak üzere birçok alanda rutin bir radyografik teknik halini almıştır. Radyolojik olarak kullanımı arttıkça KIBT’de karşılaşılan rastlantısal bulgular da önem kazanmıştır. Bu raporda 47 yaşında sistemik olarak sağlıklı bir kadın hastada KIBT uygulamasında karşılaşılan rastlantısal bir bulgu sunulmuştur. Bu rastlantısal bulgu, yıllar önce elde edilen bir myelografi tetkiğinin kalıntısı olarak intrakranial boşlukta, ekstraaksiyal alanda ve KIBT’de inceleme alanına giren dağınık milimetrik hiperdansitelerdir

Anahtar Kelimeler

Myelografi, Konik Işınlı Bilgisarlı Tomografi, Tesadüfi Bulgu

Kaynakça

• 1. Harorlı A. Ağız, Diş ve Çene Radyolojisi: Nobel Tıp Kitabevleri; 2014.
• 2. Kau CH, Bozic M, English J, Lee R, Bussa H, Ellis RK. Conebeam computed tomography of the maxillofacial region-- an update. The international journal of medical robotics + computer assisted surgery : MRCAS. 2009;5(4):366-80.
• 3. White SC. Cone-beam imaging in dentistry. Health physics. 2008;95(5):628-37.
• 4. Kau CH, Richmond S, Palomo JM, Hans MG. Threedimensional cone beam computerized tomography in orthodontics. Journal of orthodontics. 2005;32(4):282-93.
• 5. Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. Dose reduction in maxillofacial imaging using low dose Cone Beam CT. European journal of radiology. 2005;56(3):413-7.
• 6. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. Journal (Canadian Dental Association). 2006;72(1):75-80.
• 7. Sukovic P. Cone beam computed tomography in craniofacial imaging. Orthodontics & craniofacial research. 2003;6 Suppl 1:31-6; discussion 179-82.
• 8. Aktan AM. Güngor E. CM, Isman O. Diş Hekimliğinde Konik Işınlı Bilgisayarlı Tomografi Kullanımı. Atatürk Üniv Diş Hek Fak Derg. 2015;25(1):71-6.
• 9. Edwards R, Alsufyani N, Heo G, Flores-Mir C. The frequency and nature of incidental findings in large-field cone beam computed tomography scans of an orthodontic sample. Progress in orthodontics. 2014;15(1):37.
• 10. Berland LL, Silverman SG, Gore RM, Mayo-Smith WW, Megibow AJ, Yee J, et al. Managing incidental findings on abdominal CT: white paper of the ACR incidental findings committee. Journal of the American College of Radiology : JACR. 2010;7(10):754-73.
• 11. Edwards R, Altalibi M, Flores-Mir C. The frequency and nature of incidental findings in cone-beam computed tomographic scans of the head and neck region: a systematic review. Journal of the American Dental Association (1939). 2013;144(2):161-70.
• 12. Carter L, Farman AG, Geist J, Scarfe WC, Angelopoulos C, Nair MK, et al. American Academy of Oral and Maxillofacial Radiology executive opinion statement on performing and interpreting diagnostic cone beam computed tomography. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2008;106(4):561-2.
• 13. Horner K, Islam M, Flygare L, Tsiklakis K, Whaites E. Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dento maxillo facial radiology. 2009;38(4):187-95.
• 14. Kanikadaley V, Residual Intradural Oil-based Contrast Agent: A Case Report. Gulf Medical Journal 2015; 4(S1):: 29-35
• 15. Drage N, Rogers S, Greenall C, Playle R. Incidental findings on cone beam computed tomography in orthodontic patients. Journal of orthodontics. 2013;40(1):29-37.
• 16. Pette GA, Norkin FJ, Ganeles J, Hardigan P, Lask E, Zfaz S, et al. Incidental findings from a retrospective study of 318 cone beam computed tomography consultation reports. The International journal of oral & maxillofacial implants. 2012;27(3):595-603.
• 17. Price JB, Thaw KL, Tyndall DA, Ludlow JB, Padilla RJ. Incidental findings from cone beam computed tomography of the maxillofacial region: a descriptive retrospective study. Clinical oral implants research. 2012;23(11):1261-8.
• 18. Caglayan F, Tozoglu U. Incidental findings in the maxillofacial region detected by cone beam CT. Diagnostic and interventional radiology (Ankara, Turkey). 2012;18(2):159-63.
• 19. Kuijpers MA, Pazera A, Admiraal RJ, Berge SJ, Vissink A, Pazera P. Incidental findings on cone beam computed tomography scans in cleft lip and palate patients. Clinical oral investigations. 2014;18(4):1237-44.