AI Article Synopsis
- The study aimed to correlate clinical features and CT imaging for bisphosphonate-related osteonecrosis of the jaws (BRONJ) by analyzing data from eligible ONJ patients who had complete CT scans.
- Findings indicated that 78.3% of BRONJ cases had CT imaging that supported their clinical presentation, with a significant correlation between lesion size on CT and the presence of purulent secretion.
- The research highlighted that a large lesion on CT often suggests the presence of sequestrum, while the intact mandibular canal cortex can help distinguish BRONJ from jaw metastasis.
Article Abstract
The aim of this study was to correlate clinical and computerized tomography (CT) features of bisphosphonate-related osteonecrosis of the jaws (BRONJ). All ONJ patients for whom there was complete CT scan imaging were eligible. Selected clinical parameters retrieved from their medical records were analyzed for correlation with CT parameters. The clinical presentation of BRONJ was supported by findings in CT imaging in 78.3%. The lesion's size on CT correlated with the presence of purulent secretion (p = 0.03). When sequestrum was present, the median lesion's size on CT was relatively big (28 mm, range 21-43 mm). The mandibular canal cortex was never breached. CT has reasonable detection competence for diagnosing BRONJ. Purulent secretion indicates the likelihood that a more extensive involvement will be displayed on CT. A large lesion on CT should raise the index of suspicion for sequestrum. The CT appearance of a continuous cortex of the mandibular canal may serve as a differential parameter between BRONJ and metastasis to the jaw.
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| http://dx.doi.org/10.1007/s00784-009-0311-3 | DOI Listing |
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