DentaScan as an accurate method of predicting mandibular invasion in patients with squamous cell carcinoma of the oral cavity.
OBJECTIVE
To determine the diagnostic accuracy of a dental computed tomographic software program, DentaScan, in assessing mandibular bone invasion in patients with squamous cell carcinoma (SCC) of the oral cavity clinically fixed to the mandible.


METHODS
Retrospective chart review.


METHODS
Academic tertiary care medical center.


METHODS
Thirty-six consecutive patients underwent DentaScan imaging of the mandible prior to composite resection for tumor ablation. All patients included in this review had SCC of the oral cavity clinically fixed to the mandible. A final histopathology report specifically addressing the presence or absence of bone invasion was available for each patient.


RESULTS
The diagnostic accuracy for DentaScan in this study was as follows: sensitivity, 95%; specificity, 79%; positive predictive value, 87%; and negative predictive value, 92%.


CONCLUSIONS
DentaScan is an accurate method of preoperative evaluation for mandibular invasion in patients with SCC of the oral cavity.
Brockenbrough
John M
JM
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153, USA. brockenb@hotmail.com
Petruzzelli
Guy J
GJ
Lomasney
Laurie
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging* / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging* / Q000473:pathology*; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012984:Software; D014057:Tomography, X-Ray Computed / Q000379:methods*