歯学部学生における下顎骨エナメル上皮腫と角化嚢胞性歯原性腫瘍の鑑別診断に関する教育効果

Objective: To clarify the educational effect of a lecture on differential imaging features comparing ameloblastomas and keratocystic odontogenic tumors of the mandibles presented to dental students.Methods: Panoramic and CT images of 10 ameloblastomas and 10 keratocystic odontogenic tumors were rand...

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Published inShika Hoshasen Vol. 50; no. 3; pp. 27 - 38
Main Authors 木瀬, 祥貴, 内藤, 宗孝, 有地, 榮一郎, 森田, 光子, 勝又, 明敏, 有地, 淑子, 泉, 雅浩, 後藤, 真一
Format Journal Article
LanguageJapanese
Published 特定非営利活動法人 日本歯科放射線学会 2010
Japanese Society for Oral and Maxillofacial Radiology
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ISSN0389-9705
2185-6311
DOI10.11242/dentalradiology.50.27

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Abstract Objective: To clarify the educational effect of a lecture on differential imaging features comparing ameloblastomas and keratocystic odontogenic tumors of the mandibles presented to dental students.Methods: Panoramic and CT images of 10 ameloblastomas and 10 keratocystic odontogenic tumors were randomly presented 114 dental students. Test scores, correct answer ratios, identification index, and understanding of the imaging features contributing to a correct diagnosis were serially evaluated before and after the lecture on the differential imaging features comparing the two types of tumors.Results: The mean and standard deviation of the scoring ratios of dental students diagnosing these lesions on panoramic and CT images were 48.8 ± 10.8% and 52.5 ± 12.9%, respectively. After the lecture on the differential imaging features comparing the two tumors, the scoring ratios improved significantly. After the lecture, both the numbers of patients whose images were correctly diagnosed and the identification indices increased. The lecture also increased the number of imaging features recognized as contributing to the correct diagnosis.Conclusion: A lecture on the differential imaging features comparing ameloblastomas and keratocystic odontogenic tumors of the mandibles contributed to the improvement of imaging diagnosis skills among dental students.
AbstractList Objective: To clarify the educational effect of a lecture on differential imaging features comparing ameloblastomas and keratocystic odontogenic tumors of the mandibles presented to dental students.Methods: Panoramic and CT images of 10 ameloblastomas and 10 keratocystic odontogenic tumors were randomly presented 114 dental students. Test scores, correct answer ratios, identification index, and understanding of the imaging features contributing to a correct diagnosis were serially evaluated before and after the lecture on the differential imaging features comparing the two types of tumors.Results: The mean and standard deviation of the scoring ratios of dental students diagnosing these lesions on panoramic and CT images were 48.8 ± 10.8% and 52.5 ± 12.9%, respectively. After the lecture on the differential imaging features comparing the two tumors, the scoring ratios improved significantly. After the lecture, both the numbers of patients whose images were correctly diagnosed and the identification indices increased. The lecture also increased the number of imaging features recognized as contributing to the correct diagnosis.Conclusion: A lecture on the differential imaging features comparing ameloblastomas and keratocystic odontogenic tumors of the mandibles contributed to the improvement of imaging diagnosis skills among dental students.
Author 後藤, 真一
泉, 雅浩
勝又, 明敏
木瀬, 祥貴
有地, 榮一郎
内藤, 宗孝
有地, 淑子
森田, 光子
Author_FL Naitoh Munetaka
Ariji Eiichiro
Goto Masakazu
Izumi Masahiro
Morita Mitsuko
Kise Yoshitaka
Ariji Yoshiko
Katsumata Akitoshi
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  fullname: Izumi Masahiro
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  fullname: Naitoh Munetaka
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  fullname: Ariji Eiichiro
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References 9. Hayashi K, Tozaki M, Sugisaki M, Yoshida N, Fukuda K, Tanabe H. Dynamic multislice helical CT of ameloblastoma and odontogenic keratocyst: correlation between contrast enhancement and angiogenesis. J Comput Assist Tomogr. 2002; 26: 922-926.
18. McIvor J. The radiological features of ameloblastoma. Clin Radiol. 1974; 25: 237-242.
4. Maurette PE, Jorge J, de Moraes M. Conservative treatment protocol of odontogenic keratocyst: a preliminary study. J Oral Maxillofac Surg. 2006; 64: 379-383.
14. Tozaki M, Hayashi K, Fukuda K. Dynamic multislice helical CT of maxillomandibular lesions: distinction of ameloblastomas from other cystic lesions. Radiat Med. 2001; 19: 225-230.
3. Carlson ER, Marx RE. The ameloblastoma: primary, curative surgical management. J Oral Maxillofac Surg. 2006; 64: 484-494.
16. Ameloblastoma. Odontogenic keratocyst (Primordial cyst). In: Kramer IRH, Pindborg JJ, Shear M. ed. Histological Typing of odontogenic tumours. 2nd ed. Berlin: Springer Verlag; 1992: 11-14, 35-36.
1. Gardner DG, Heikinheimo K, Shear M, Philipsen HP, Coleman H. Ameloblastoma. Philipsen HP. Keratocystic odontogenic tumour. In: Barnes L, Eveson JW, Reichart P, Sidransky D. ed. Pathology and genetics of head and neck tumors. Lyon: IARC Press; 2005: 296-300, 306-307.
7. 谷本啓二,藤田 實,和田卓郎,古跡孝和,藤原政男,上村修一郎.下顎枝に発生したOdontogenic keratocystのX線像の特徴―Meloblastomaとの鑑別を主として―.歯科放射線.1982;21:237-245
20. van Rensburg LJ, Nortjé CJ, Thompson IO. Correlating imaging and histopathology of an odontogenic keratocyst in the nevoid basal cell carcinoma syndrome. Dentomaxillofac Radiol. 1997; 26: 195-199.
17. Eversole LR, Rovin S. Differential radiographic diagnosis of lesions of the jawbones. Radiology. 1972; 105: 277-284.
19. Hertzanu Y, Mendelsohn DB, Cohen M. Computed tomography of mandibular ameloblastoma. J Comput Assist Tomogr. 1984; 8: 220-223.
6. Kawai T, Murakami S, Kishino M, Matsuya T, Sakuda M, Fuchihata H. Diagnostic imaging in two cases of recurrent maxillary ameloblastoma: comparative evaluation of plain radiographs, CT and MR images. Br J Oral Maxillofac Surg. 1998; 36: 304-310.
13. Sumi M, Ichikawa Y, Katayama I, Tashiro S, Nakamura T. Diffusion-weighted MR imaging of ameloblastomas and keratocystic odontogenic tumors: differentiation by apparent diffusion coefficients of cystic lesions. AJNR Am J Neuroradiol. 2008; 29: 1897-1901.
11. Han MH, Chang KH, Lee CH, Na DG, Yeon KM, Han MC. Cystic expansile masses of the maxilla: differential diagnosis with CT and MR. AJNR Am J Neuroradiol. 1995; 16: 333-338.
5. Weber AL. Imaging of cysts and odontogenic tumors of the jaw. Definition and classification. Radiol Clin North Am. 1993; 31: 101-120.
8. Minami M, Kaneda T, Yamamoto H, Ozawa K, Itai Y, Ozawa M, et al. Ameloblastoma in the maxillomandibular region: MR imaging. Radiology. 1992; 184: 389-393.
12. Crusoé-Rebello I, Oliveira C, Campos PS, Azevedo RA, dos Santos JN. Assessment of computerized tomography density patterns of ameloblastomas and keratocystic odontogenic tumors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 604-608.
15. Ariji Y, Morita M, Katsumata A, Sugita Y, Naitoh M, Goto M, Izumi M, Kise Y, Shimozato K, Kurita K, Maeda H, Ariji E. Imaging features contributing to the diagnosis of ameloblastomas and keratocystic odontogenic tumors: logistic regression analysis. Dentomaxillofac Radiol. 2011; in press.
2. Yoshiura K, Higuchi Y, Ariji Y, Shinohara M, Yuasa K, Nakayama E, et al. Increased attenuation in odontogenic keratocysts with computed tomography: a new finding. Dentomaxillofac Radiol. 1994; 23: 138-142.
10. Minami M, Kaneda T, Ozawa K, Yamamoto H, Itai Y, Ozawa M, et al. Cystic lesions of the maxillomandibular region: MR imaging distinction of odontogenic keratocysts and ameloblastomas from other cysts. AJR Am J Roentgenol. 1996; 166: 943-949.
References_xml – reference: 2. Yoshiura K, Higuchi Y, Ariji Y, Shinohara M, Yuasa K, Nakayama E, et al. Increased attenuation in odontogenic keratocysts with computed tomography: a new finding. Dentomaxillofac Radiol. 1994; 23: 138-142.
– reference: 5. Weber AL. Imaging of cysts and odontogenic tumors of the jaw. Definition and classification. Radiol Clin North Am. 1993; 31: 101-120.
– reference: 1. Gardner DG, Heikinheimo K, Shear M, Philipsen HP, Coleman H. Ameloblastoma. Philipsen HP. Keratocystic odontogenic tumour. In: Barnes L, Eveson JW, Reichart P, Sidransky D. ed. Pathology and genetics of head and neck tumors. Lyon: IARC Press; 2005: 296-300, 306-307.
– reference: 9. Hayashi K, Tozaki M, Sugisaki M, Yoshida N, Fukuda K, Tanabe H. Dynamic multislice helical CT of ameloblastoma and odontogenic keratocyst: correlation between contrast enhancement and angiogenesis. J Comput Assist Tomogr. 2002; 26: 922-926.
– reference: 15. Ariji Y, Morita M, Katsumata A, Sugita Y, Naitoh M, Goto M, Izumi M, Kise Y, Shimozato K, Kurita K, Maeda H, Ariji E. Imaging features contributing to the diagnosis of ameloblastomas and keratocystic odontogenic tumors: logistic regression analysis. Dentomaxillofac Radiol. 2011; in press.
– reference: 7. 谷本啓二,藤田 實,和田卓郎,古跡孝和,藤原政男,上村修一郎.下顎枝に発生したOdontogenic keratocystのX線像の特徴―Meloblastomaとの鑑別を主として―.歯科放射線.1982;21:237-245.
– reference: 13. Sumi M, Ichikawa Y, Katayama I, Tashiro S, Nakamura T. Diffusion-weighted MR imaging of ameloblastomas and keratocystic odontogenic tumors: differentiation by apparent diffusion coefficients of cystic lesions. AJNR Am J Neuroradiol. 2008; 29: 1897-1901.
– reference: 4. Maurette PE, Jorge J, de Moraes M. Conservative treatment protocol of odontogenic keratocyst: a preliminary study. J Oral Maxillofac Surg. 2006; 64: 379-383.
– reference: 10. Minami M, Kaneda T, Ozawa K, Yamamoto H, Itai Y, Ozawa M, et al. Cystic lesions of the maxillomandibular region: MR imaging distinction of odontogenic keratocysts and ameloblastomas from other cysts. AJR Am J Roentgenol. 1996; 166: 943-949.
– reference: 11. Han MH, Chang KH, Lee CH, Na DG, Yeon KM, Han MC. Cystic expansile masses of the maxilla: differential diagnosis with CT and MR. AJNR Am J Neuroradiol. 1995; 16: 333-338.
– reference: 18. McIvor J. The radiological features of ameloblastoma. Clin Radiol. 1974; 25: 237-242.
– reference: 16. Ameloblastoma. Odontogenic keratocyst (Primordial cyst). In: Kramer IRH, Pindborg JJ, Shear M. ed. Histological Typing of odontogenic tumours. 2nd ed. Berlin: Springer Verlag; 1992: 11-14, 35-36.
– reference: 3. Carlson ER, Marx RE. The ameloblastoma: primary, curative surgical management. J Oral Maxillofac Surg. 2006; 64: 484-494.
– reference: 8. Minami M, Kaneda T, Yamamoto H, Ozawa K, Itai Y, Ozawa M, et al. Ameloblastoma in the maxillomandibular region: MR imaging. Radiology. 1992; 184: 389-393.
– reference: 17. Eversole LR, Rovin S. Differential radiographic diagnosis of lesions of the jawbones. Radiology. 1972; 105: 277-284.
– reference: 19. Hertzanu Y, Mendelsohn DB, Cohen M. Computed tomography of mandibular ameloblastoma. J Comput Assist Tomogr. 1984; 8: 220-223.
– reference: 6. Kawai T, Murakami S, Kishino M, Matsuya T, Sakuda M, Fuchihata H. Diagnostic imaging in two cases of recurrent maxillary ameloblastoma: comparative evaluation of plain radiographs, CT and MR images. Br J Oral Maxillofac Surg. 1998; 36: 304-310.
– reference: 12. Crusoé-Rebello I, Oliveira C, Campos PS, Azevedo RA, dos Santos JN. Assessment of computerized tomography density patterns of ameloblastomas and keratocystic odontogenic tumors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 604-608.
– reference: 20. van Rensburg LJ, Nortjé CJ, Thompson IO. Correlating imaging and histopathology of an odontogenic keratocyst in the nevoid basal cell carcinoma syndrome. Dentomaxillofac Radiol. 1997; 26: 195-199.
– reference: 14. Tozaki M, Hayashi K, Fukuda K. Dynamic multislice helical CT of maxillomandibular lesions: distinction of ameloblastomas from other cystic lesions. Radiat Med. 2001; 19: 225-230.
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SubjectTerms Ameloblastoma
Education
Keratocystic odontogenic tumor
Logistic regression
エナメル上皮腫
ロジスティック回帰
教育
角化嚢胞性歯原性腫瘍
Title 歯学部学生における下顎骨エナメル上皮腫と角化嚢胞性歯原性腫瘍の鑑別診断に関する教育効果
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