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Cone-Beam CT, CT and MRI for odontogenic tumors: a narrative review of imaging characteristics Öçbe, Melisa
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 8 No 3 (2024): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v8i3.1284

Abstract

Objectives: This review article aims to examine the role of cone-beam computed tomography (CBCT) in the diagnosis and management of odontogenic tumors. Additionally, it evaluates CBCT's efficacy in the assessment of both benign and malignant odontogenic tumors, including ameloblastoma, odontoma, and odontogenic myxoma. Review: This narrative review provides an in-depth analysis of CBCT imaging characteristics in the most common odontogenic tumors. The review highlights key CBCT features such as localization, peripheral structure, and internal architecture, emphasizing their impact on surrounding tissues. It compares the utility of CBCT with that of CT and MRI for the diagnosis of common odontogenic tumors, focusing on the strengths and weaknesses of each modality. The research questions addressed in this review include how CBCT can enhance diagnostic accuracy, what imaging characteristics are critical for differentiation between benign and malignant tumors, and how CBCT compares with traditional imaging methods in the context of maxillofacial tumor diagnostics. Conclusion: CBCT’s three-dimensional imaging capabilities provide clinicians with enhanced visualization of odontogenic tumor characteristics, aiding in accurate lesion localization, differentiation of tumor types, and treatment planning. CBCT is particularly useful for assessing the internal structure and peripheral boundaries of odontogenic tumors, improving the ability to distinguish between benign and malignant lesions. However, its limitations in soft tissue resolution underscore the continued importance of CT and MRI in comprehensive maxillofacial imaging.
A case presentation and management of a hamartomatous vascular lesion of a patient with kaposi sarcoma Erbalta, Rana; Cengiz, Beyza Nur; Coskunses, Fatih Mehmet; Ocbe, Melisa; Olgac, Vakur
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 9 No 3 (2025): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v9i3.1436

Abstract

Objectives: Intraosseous vascular lesions of the mandible are uncommon and often difficult to diagnose. This report presents the clinical, radiographic, and histopathological findings of such a lesion in an elderly patient with a history of Kaposi sarcoma, emphasizing diagnostic challenges and management considerations. Case Report: A 73-year-old male with a medical history of Kaposi sarcoma was referred for evaluation of an edentulous mandible. Panoramic radiography and cone-beam computed tomography (CBCT) revealed a well-defined hypodense lesion adjacent to the mandibular canal, measuring 41 × 19 × 11 mm. The lesion demonstrated cortical thinning without expansion or perforation. An incisional biopsy revealed vascular lumens, and the final diagnosis was a hamartomatous vascular lesion. Considering the patient’s advanced age and medical condition, conservative management with regular clinical and radiographic follow-up was chosen. Conclusion: Although intraosseous vascular lesions of the mandible are rare, they should be included in the differential diagnosis of radiolucent jaw lesions. Radiographic and histopathological evaluations play a crucial role in diagnosis. In medically compromised or elderly patients, conservative management with close monitoring can be a suitable treatment option.