Accuratezza diagnostica della Cone Beam Computed Tomography (CBCT) nel rilevare l’invasione ossea del carcinoma orale = Diagnostic accuracy of cone beam computed tomography (CBCT) to detect bone invasion by oral carcinoma

OBJECTIVES. The aim of this study. generawas to analyze the diagnostic accuracy of Cone Beam Computed Tomography (CBCT) with respect other imaging methods for the detection of bone tissue invasion by Oral Squamous Cell Carcinoma (OSCC). MATERIALS AND METHODS. A literature review was carried out of English language studies in PubMed between 1990 and 2014. Sensitivity, specificity, positive (LR+) and negative (LR) likelihood ratio were calculated for each study. Of the 61 collected articles, 7 fulfilled the inclusion criteria. RESULTS AND CONCLUSIONS. The analytic data showed values of LR+ and LR of 14.4 and 0.35 for CT (Computed Tomography), 37.9 and 0.24 for MRI (Magnetic Resonance Imaging), 27.8 and 0.10 for CBCT, 25.5 and 0.06 for SPECT (Single-Photon Emission Computed Tomography), 37.0 and 0.31 for MSCT (Multi-Slice Computed Tomography), 4.8 and 0.36 for OPT (Orthopantomography), respectively. The level of scientific evidence available today is low. Further studies with uniform methodological approach are needed, to better define the impact of CBCT on clinical decision-making.