Luiz Felipe Palma1,2, Ricardo Yudi Tateno2, Cíntia Maria Remondes3, Marcelo Marcucci3, Arthur Rodriguez Gonzalez Cortes2,4. 1. Discipline of Descriptive and Topographic Anatomy, Department of Morphology and Genetics, Federal University of São Paulo, São Paulo, Brazil. 2. MSc Dentistry Program, Ibirapuera University, São Paulo, Brazil. 3. Stomatology and Oral and Maxillofacial Surgery Center, Heliópolis Hospital, São Paulo, Brazil. 4. Department of Dental Surgery, Faculty of Dental Surgery, University of Malta, Msida, Malta.
Abstract
PURPOSE: The purpose of this study was to investigate the impact of radiotherapy on mandibular bone tissue in head and neck cancer patients through an analysis of pixel intensity and fractal dimension values on digital panoramic radiographs. MATERIALS AND METHODS: Thirty patients with radiographic records from before and after 3-dimensional (3D) conformational radiotherapy were selected. A single examiner carried out digital analyses of pixel intensity values and fractal dimensions, with the areas of interest unilaterally located in the right angle medullary region of the mandible below the mandibular canal and posterior to the molar region. RESULTS: Statistically significant decreases were observed in the mean pixel intensity (P=0.0368) and fractal dimension (P=0.0495) values after radiotherapy. CONCLUSION: The results suggest that 3D conformational radiotherapy for head and neck cancer negatively affected the trabecular microarchitecture and mandibular bone mass.
PURPOSE: The purpose of this study was to investigate the impact of radiotherapy on mandibular bone tissue in head and neck cancer patients through an analysis of pixel intensity and fractal dimension values on digital panoramic radiographs. MATERIALS AND METHODS: Thirty patients with radiographic records from before and after 3-dimensional (3D) conformational radiotherapy were selected. A single examiner carried out digital analyses of pixel intensity values and fractal dimensions, with the areas of interest unilaterally located in the right angle medullary region of the mandible below the mandibular canal and posterior to the molar region. RESULTS: Statistically significant decreases were observed in the mean pixel intensity (P=0.0368) and fractal dimension (P=0.0495) values after radiotherapy. CONCLUSION: The results suggest that 3D conformational radiotherapy for head and neck cancer negatively affected the trabecular microarchitecture and mandibular bone mass.
Authors: Maximilian Gottsauner; Clara Fehrer; Steffen Spoerl; Johannes Schuderer; Florian Zeman; Mathias Fiedler; Michael Maurer; Torsten E Reichert; Tobias Ettl Journal: J Clin Med Date: 2022-08-27 Impact factor: 4.964