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Differentiation of osteosarcoma from osteomyelitis using microarchitectural analysis on panoramic radiographs

Cited 2 time in Web of Science Cited 2 time in Scopus
Authors

Jung, Ji-Hun; Huh, Kyung-Hoe; Yong, Tae-Hoon; Kang, Ju-Hee; Kim, Jo-Eun; Yi, Won-Jin; Heo, Min-Suk; Lee, Sam-Sun

Issue Date
2022-12
Publisher
Nature Publishing Group
Citation
Scientific Reports, Vol.12 No.1, p. 12339
Abstract
Diagnosing osteosarcoma (OS) is very challenging and OS is often misdiagnosed as osteomyelitis (OM) due to the nonspecificity of its symptoms upon initial presentation. This study investigated the possibility of detecting OS-induced trabecular bone changes on panoramic radiographs and differentiating OS from OM by analyzing fractal dimensions (FDs) and degrees of anisotropy (DAs). Panoramic radiographs of patients with histopathologically proven OS and OM of the jaw were obtained. A total of 23 patients with OS and 40 patients with OM were enrolled. To investigate whether there was a microarchitectural difference between OS lesions and normal trabecular areas in each patient, two regions of interest (ROIs) were located on the CT images. Three microarchitectural parameters (box-counting FD, fast Fourier transform-based FD, and DA) were calculated. For both OS and OM, significant differences were found for all three microarchitectural parameters. Compared to normal trabecular bone, trabecular bone affected by OS and OM became isotropic and more complex. When comparing OS and OM, a statistically significant difference was found only in DA. Trabecular bones affected by OS became more isotropic than those affected by OM. Microarchitectural analysis, especially DA, could be useful for detecting OS-induced trabecular alterations and differentiating OS from OM.
ISSN
2045-2322
URI
https://hdl.handle.net/10371/184781
DOI
https://doi.org/10.1038/s41598-022-16504-9
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