Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification

Objective To assess the influence of subjective enhancement of brightness and contrast of digital panoramic radiographs on the detection of soft tissue calcifications. Materials and Methods In this observational study, 500 digital panoramic radiographs were evaluated by two examiners in consensus, w...

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Veröffentlicht in:Oral diseases 2019-10, Vol.25 (7), p.1809-1814
Hauptverfasser: Moreira‐Souza, Larissa, Michels, Mariane, Lagos de Melo, Larissa Pereira, Oliveira, Matheus Lima, Asprino, Luciana, Freitas, Deborah Queiroz
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container_end_page 1814
container_issue 7
container_start_page 1809
container_title Oral diseases
container_volume 25
creator Moreira‐Souza, Larissa
Michels, Mariane
Lagos de Melo, Larissa Pereira
Oliveira, Matheus Lima
Asprino, Luciana
Freitas, Deborah Queiroz
description Objective To assess the influence of subjective enhancement of brightness and contrast of digital panoramic radiographs on the detection of soft tissue calcifications. Materials and Methods In this observational study, 500 digital panoramic radiographs were evaluated by two examiners in consensus, who scored the images for the presence of calcifications for each right and left side of the image. After 30 days, all images were revaluated under subjective manipulation of digital brightness and contrast. Calcifications were classified based on the diagnostic hypothesis: sialolith, tonsillolith, calcified atheroma, phlebolith, rhinolith, maxillary sinus antrolith, synovial chondromatosis, lymph node calcification, stylohyoid ligament, triticeous cartilage, or/and upper horn of thyroid cartilage calcification. For intra‐examiner agreement, 20% of the sample was reevaluated. The Kappa test and McNemar test were used (α = 0.05). Results In original images, calcifications were observed in 44.2% of the patients, and in enhanced images, this number was 70.8%. Many calcifications were detected only in enhanced images, mainly in the diagnostic hypotheses of calcified atheroma and stylohyoid ligament. Intra‐examiner agreement was excellent for the detection of soft tissue calcifications (0.82) and for the classification (0.81). Conclusion Subjective enhancement of brightness and contrast alters the detection of soft tissue calcifications in digital panoramic radiograph.
doi_str_mv 10.1111/odi.13148
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Materials and Methods In this observational study, 500 digital panoramic radiographs were evaluated by two examiners in consensus, who scored the images for the presence of calcifications for each right and left side of the image. After 30 days, all images were revaluated under subjective manipulation of digital brightness and contrast. Calcifications were classified based on the diagnostic hypothesis: sialolith, tonsillolith, calcified atheroma, phlebolith, rhinolith, maxillary sinus antrolith, synovial chondromatosis, lymph node calcification, stylohyoid ligament, triticeous cartilage, or/and upper horn of thyroid cartilage calcification. For intra‐examiner agreement, 20% of the sample was reevaluated. The Kappa test and McNemar test were used (α = 0.05). Results In original images, calcifications were observed in 44.2% of the patients, and in enhanced images, this number was 70.8%. Many calcifications were detected only in enhanced images, mainly in the diagnostic hypotheses of calcified atheroma and stylohyoid ligament. Intra‐examiner agreement was excellent for the detection of soft tissue calcifications (0.82) and for the classification (0.81). Conclusion Subjective enhancement of brightness and contrast alters the detection of soft tissue calcifications in digital panoramic radiograph.</description><identifier>ISSN: 1354-523X</identifier><identifier>EISSN: 1601-0825</identifier><identifier>DOI: 10.1111/odi.13148</identifier><identifier>PMID: 31206959</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Brightness ; Calcification ; Calcification (ectopic) ; calcinosis ; Calcinosis - diagnostic imaging ; Cartilage ; dental digital radiography ; Dentistry ; Female ; Humans ; Lymph nodes ; Male ; Maxillary sinus ; Middle Aged ; Neck ; panoramic ; pathologic calcification ; Pharyngeal Diseases ; radiographic image enhancement ; Radiography ; Radiography, Dental, Digital ; Radiography, Panoramic - methods ; Radiography, Panoramic - standards ; Thyroid</subject><ispartof>Oral diseases, 2019-10, Vol.25 (7), p.1809-1814</ispartof><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd. All rights reserved</rights><rights>2019 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd. All rights reserved.</rights><rights>Copyright © 2019 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-97613d0fa98a7a577bf041222c2bdd27a8dfae6bbe7da679a68f10f0ab6d6ef73</citedby><cites>FETCH-LOGICAL-c3538-97613d0fa98a7a577bf041222c2bdd27a8dfae6bbe7da679a68f10f0ab6d6ef73</cites><orcidid>0000-0002-8054-8759 ; 0000-0002-6722-3183 ; 0000-0002-1425-5966</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fodi.13148$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fodi.13148$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31206959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira‐Souza, Larissa</creatorcontrib><creatorcontrib>Michels, Mariane</creatorcontrib><creatorcontrib>Lagos de Melo, Larissa Pereira</creatorcontrib><creatorcontrib>Oliveira, Matheus Lima</creatorcontrib><creatorcontrib>Asprino, Luciana</creatorcontrib><creatorcontrib>Freitas, Deborah Queiroz</creatorcontrib><title>Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification</title><title>Oral diseases</title><addtitle>Oral Dis</addtitle><description>Objective To assess the influence of subjective enhancement of brightness and contrast of digital panoramic radiographs on the detection of soft tissue calcifications. Materials and Methods In this observational study, 500 digital panoramic radiographs were evaluated by two examiners in consensus, who scored the images for the presence of calcifications for each right and left side of the image. After 30 days, all images were revaluated under subjective manipulation of digital brightness and contrast. Calcifications were classified based on the diagnostic hypothesis: sialolith, tonsillolith, calcified atheroma, phlebolith, rhinolith, maxillary sinus antrolith, synovial chondromatosis, lymph node calcification, stylohyoid ligament, triticeous cartilage, or/and upper horn of thyroid cartilage calcification. For intra‐examiner agreement, 20% of the sample was reevaluated. The Kappa test and McNemar test were used (α = 0.05). Results In original images, calcifications were observed in 44.2% of the patients, and in enhanced images, this number was 70.8%. Many calcifications were detected only in enhanced images, mainly in the diagnostic hypotheses of calcified atheroma and stylohyoid ligament. Intra‐examiner agreement was excellent for the detection of soft tissue calcifications (0.82) and for the classification (0.81). Conclusion Subjective enhancement of brightness and contrast alters the detection of soft tissue calcifications in digital panoramic radiograph.</description><subject>Adult</subject><subject>Aged</subject><subject>Brightness</subject><subject>Calcification</subject><subject>Calcification (ectopic)</subject><subject>calcinosis</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Cartilage</subject><subject>dental digital radiography</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph nodes</subject><subject>Male</subject><subject>Maxillary sinus</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>panoramic</subject><subject>pathologic calcification</subject><subject>Pharyngeal Diseases</subject><subject>radiographic image enhancement</subject><subject>Radiography</subject><subject>Radiography, Dental, Digital</subject><subject>Radiography, Panoramic - methods</subject><subject>Radiography, Panoramic - standards</subject><subject>Thyroid</subject><issn>1354-523X</issn><issn>1601-0825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1rFTEUQINYbK0u_AMScFMX0-bjJZlZaqu1UOimgrtwJ7npy2Ne8kwySP99p77aRcFsbuAeDpdDyAfOTvnyzrKPp1zyVf-KHHHNeMd6oV4vf6lWnRLy1yF5W-uGMW4GKd6QQ8kF04Majgh-LfFu3RLWSiF56nJqBWqj4DdzbVtMrdKYwjRjckjbGmkBH_Ndgd06OuqxoWsxJ5oDrTk02mKtM1IHk4shOnhcviMHAaaK75_mMfn5_dvt-Y_u-uby6vzLdeekkn03GM2lZwGGHgwoY8bAVlwI4cTovTDQ-wCoxxGNB20G0H3gLDAYtdcYjDwmJ3vvruTfM9Zmt7E6nCZImOdqhViJnmvF9IJ-eoFu8lzScp0VkmmmlTBqoT7vKVdyrQWD3ZW4hXJvObOP7e3S3v5tv7Afn4zzuEX_TP6LvQBne-BPnPD-_yZ7c3G1Vz4AfC6PhQ</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Moreira‐Souza, Larissa</creator><creator>Michels, Mariane</creator><creator>Lagos de Melo, Larissa Pereira</creator><creator>Oliveira, Matheus Lima</creator><creator>Asprino, Luciana</creator><creator>Freitas, Deborah Queiroz</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8054-8759</orcidid><orcidid>https://orcid.org/0000-0002-6722-3183</orcidid><orcidid>https://orcid.org/0000-0002-1425-5966</orcidid></search><sort><creationdate>201910</creationdate><title>Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification</title><author>Moreira‐Souza, Larissa ; Michels, Mariane ; Lagos de Melo, Larissa Pereira ; Oliveira, Matheus Lima ; Asprino, Luciana ; Freitas, Deborah Queiroz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-97613d0fa98a7a577bf041222c2bdd27a8dfae6bbe7da679a68f10f0ab6d6ef73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Brightness</topic><topic>Calcification</topic><topic>Calcification (ectopic)</topic><topic>calcinosis</topic><topic>Calcinosis - diagnostic imaging</topic><topic>Cartilage</topic><topic>dental digital radiography</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph nodes</topic><topic>Male</topic><topic>Maxillary sinus</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>panoramic</topic><topic>pathologic calcification</topic><topic>Pharyngeal Diseases</topic><topic>radiographic image enhancement</topic><topic>Radiography</topic><topic>Radiography, Dental, Digital</topic><topic>Radiography, Panoramic - methods</topic><topic>Radiography, Panoramic - standards</topic><topic>Thyroid</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira‐Souza, Larissa</creatorcontrib><creatorcontrib>Michels, Mariane</creatorcontrib><creatorcontrib>Lagos de Melo, Larissa Pereira</creatorcontrib><creatorcontrib>Oliveira, Matheus Lima</creatorcontrib><creatorcontrib>Asprino, Luciana</creatorcontrib><creatorcontrib>Freitas, Deborah Queiroz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Oral diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira‐Souza, Larissa</au><au>Michels, Mariane</au><au>Lagos de Melo, Larissa Pereira</au><au>Oliveira, Matheus Lima</au><au>Asprino, Luciana</au><au>Freitas, Deborah Queiroz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification</atitle><jtitle>Oral diseases</jtitle><addtitle>Oral Dis</addtitle><date>2019-10</date><risdate>2019</risdate><volume>25</volume><issue>7</issue><spage>1809</spage><epage>1814</epage><pages>1809-1814</pages><issn>1354-523X</issn><eissn>1601-0825</eissn><abstract>Objective To assess the influence of subjective enhancement of brightness and contrast of digital panoramic radiographs on the detection of soft tissue calcifications. Materials and Methods In this observational study, 500 digital panoramic radiographs were evaluated by two examiners in consensus, who scored the images for the presence of calcifications for each right and left side of the image. After 30 days, all images were revaluated under subjective manipulation of digital brightness and contrast. Calcifications were classified based on the diagnostic hypothesis: sialolith, tonsillolith, calcified atheroma, phlebolith, rhinolith, maxillary sinus antrolith, synovial chondromatosis, lymph node calcification, stylohyoid ligament, triticeous cartilage, or/and upper horn of thyroid cartilage calcification. For intra‐examiner agreement, 20% of the sample was reevaluated. The Kappa test and McNemar test were used (α = 0.05). Results In original images, calcifications were observed in 44.2% of the patients, and in enhanced images, this number was 70.8%. Many calcifications were detected only in enhanced images, mainly in the diagnostic hypotheses of calcified atheroma and stylohyoid ligament. Intra‐examiner agreement was excellent for the detection of soft tissue calcifications (0.82) and for the classification (0.81). Conclusion Subjective enhancement of brightness and contrast alters the detection of soft tissue calcifications in digital panoramic radiograph.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31206959</pmid><doi>10.1111/odi.13148</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8054-8759</orcidid><orcidid>https://orcid.org/0000-0002-6722-3183</orcidid><orcidid>https://orcid.org/0000-0002-1425-5966</orcidid></addata></record>
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ispartof Oral diseases, 2019-10, Vol.25 (7), p.1809-1814
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source MEDLINE; Access via Wiley Online Library
subjects Adult
Aged
Brightness
Calcification
Calcification (ectopic)
calcinosis
Calcinosis - diagnostic imaging
Cartilage
dental digital radiography
Dentistry
Female
Humans
Lymph nodes
Male
Maxillary sinus
Middle Aged
Neck
panoramic
pathologic calcification
Pharyngeal Diseases
radiographic image enhancement
Radiography
Radiography, Dental, Digital
Radiography, Panoramic - methods
Radiography, Panoramic - standards
Thyroid
title Brightness and contrast adjustments influence the radiographic detection of soft tissue calcification
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