Presence Of Carotid Artery Calcification Research Articles

Detection of carotid plaques on panoramic radiographs using deep learning

ObjectivesPanoramic radiographs (PRs) can reveal an incidental finding of atherosclerosis, or carotid artery calcification (CAC), in 3–15% of examined patients. However, limited training in identification of such calcifications among dental professionals results in missed diagnoses. This study aimed to detect CAC on PRs using an artificial intelligence (AI) model based on a vision transformer. Methods6,404 PRs were obtained from one hospital and screened for the presence of CAC based on electronic medical records. CAC was manually annotated with bounding boxes by an oral radiologist and reviewed and revised by three experienced clinicians to achieve consensus. An AI approach based on Faster R-CNN and Swin Transformer was trained and evaluated based on 185 PRs with CAC and 185 PRs without CAC. Reported and replicated diagnostic performances of published AI approaches based on convolutional neural networks (CNNs) were used for comparison. Quantitative evaluation of the performance of the models included precision, F1-score, recall, area-under-the-curve (AUC), and average precision (AP). ResultsThe proposed method based on Faster R-CNN and Swin Transformer achieved a precision of 0.895, recall of 0.881, F1-score of 0.888, AUC of 0.950, and AP of 0.942, surpassing models based on a CNN. ConclusionsThe detection performance of this newly developed and validated model was improved compared to previously reported models. Clinical significanceIntegrating AI models into dental imaging to assist dental professionals in the detection of CAC on PRs has the potential to significantly enhance the early detection of carotid artery atherosclerosis and its clinical management.

Prevalence and Radiographic Features of Head and Neck Soft Tissue Calcifications on Digital Panoramic Radiographs: A Retrospective Study.

Background In this study, we aimed to determine the prevalence and radiographic features of incidental head and neck soft tissue calcifications (STCs) on panoramic imagesand assess their clinical significance. Methodology Following well-established training and calibration procedures, 9,553 digital panoramic radiographs (DPRs) taken between January 1, 2021, and January 31, 22, were retrospectively evaluated. Only obvious calcifications and clear differential diagnoses were considered. The presence, type, side (i.e., unilateral or bilateral), number (single or multiple), and the presence of different calcifications in the same individual were recorded. STCs were recorded according to age and gender. Data were analyzed using the chi-square test and Fisher's exact test using SPSS version 18.0 (IBM Corp., Armonk, NY, USA). Results Overall, 35.8% of the DPRs studied showed the presence of STCs, including ossified stylohyoid complex (OSHC) (10.3%), thyroid cartilage (9.8%), tonsillolith (9.2%), atherosclerotic plaques (5.8%), calcified triticeous cartilage (CTC) (5.1%), sialolith (1.9%), as well as intra-articular (1.3%) and other calcifications (0.1-0.8%), i.e., calcified lymph node, antrolith, rhinolith, phlebolith, and osteoma cutis. STCs were found to be more prevalent in middle-aged patients and in females. A significant relationship was identified between the presence of carotid artery calcification and calcified superior horn of thyroid cartilage (CSHTC), as well as between the presence of CSHTC and CTC. Calcifications were detected either bilaterally (n = 2,003) or unilaterally (n = 2,388); however, OSHC mostly showed bilateral calcifications (8.5%). Conclusions Panoramic radiographs of dental patients reveal the frequent occurrence of STCs in the head and neck region with differing radiographic features. Certain calcifications show gender and age differences. Accurate detection of STCs may guide the identification of potential underlying diseases and help initiate referral to the relevant multidisciplinary teams.

Evaluation of the Incidental Prevalence of Soft Tissue Calcifications in the Neck Region with Cone Beam Computed Tomography

Objective: The aim of this study was to retrospectively evaluate the incidental prevalence of heterotopic soft tissue calcifications in the neck region, on Cone Beam Computed Tomography (CBCT) images, and their relationship with age and sex.
 Methods: A total of 6620 CBCT images were examined. CBCT images of 503 patients aged between 20 and 86 years were included in the study. Patients were grouped into five age groups: 20-30 (N = 132), 31-40 (N = 68), 41-50 (N = 92), 51-60 (N = 104), and 61 and above (N = 107). The images were assessed according to the presence of lymph node calcification, carotid artery calcification, thyroid cartilage, and triticeous cartilage calcification in the neck region. Descriptive statistics, crosstabs, and chi-square tests were used for data analysis. The significance level was set to 0.05
 Results: At least one calcification was detected in 372 (73.9%) patients. The difference between the prevalence of each calcification according to age groups was statistically significant. A significant relationship was found between the presence of carotid artery calcification and the sex variable (p< .05). The presence of other calcifications did not show statistically significant differences associated with sex (p> .05).
 Conclusion: The results of this study showed a significant amount of soft tissue calcification in the neck region. The most common calcifications were thyroid cartilage calcifications, and the least common calcification was lymph node calcification.

Carotid Artery Calcification in Panoramic Radiography and Related Risk Factors

Background and Objectives: The carotid artery calcification (CAC) can be seen in panoramic radiographs that are usually used in dentistry. This study aims to determine the prevalence of CAC in Qom, Iran using panoramic radiographs, and find its related factors. Methods: This is a descriptive cross-sectional study. Panoramic radiographs of 417 patients aged ≥40 years referred to a specialized oral and maxillofacial radiology center in Qom city in 2021 were examined for the presence of CAC and a questionnaire was used to find the related risk factors. The collected data were analyzed in SPSS software, vertion 22 using Chi-square test and t-test. Results: Of 417 participants, 141 (33.8%) were male and 276 (66.2%) were female. The prevalence of CAC was 1.4%. There was a significant association between CAC and history of cardiovascular diseases (P=0.03), but the incidence of CAC had no association with the history of diabetes, smoking, hypertension, cerebrovascular accident, and myocardial infarction (P>0.05). Conclusion: The incidence of CAC is associated with the history of cardiovascular diseases. Further prospective studies with larger sample sizes are recommended.

Prevalence of Carotid Artery Calcification on Digital Panoramic Radiographs in Hemodialysis Patients on Kidney Transplant Waiting List.

The detection of carotid artery calcification at an early stage is important to reduce the effects of cardiovascular disease in patients undergoing hemodialysis. This study sought to evaluate the prevalence of carotid artery calcification from panoramic radiographs of patients who were undergoing hemodialysis and to assess the relationship between such calcification and certain medical and periodontal parameters. We evaluated 120 panoramic radiographs from patients who were undergoing hemodialysis for the presence of carotid artery calcification. Full-mouth periodontal clinical and medical parameters were recorded, and patients were diagnosed on the basis of the new periodontal disease classification. Patient medical records from the same period (the same week) during which the panoramic radiographs were taken were also assessed. Among the 120 participating patients, pano - ramic radiographs from 27 patients (22.5%) showed a uni- or bilaterally radiopaque mass. Of the periodontal clinical parameters investigated for associations between patients with and without carotid artery calcification, there was only a significant difference shown for probing pocket depth (P = .017). No significant differences were found between the groups with and without carotid artery calcification with regard to any other medical or periodontal parameter. In our study group, suspected carotid artery calcifications were detected on panoramic radiographs in about one-fourth of total patients receiving hemodialysis. Because of the significant relationship found between probing pocket depth and carotid artery calcification, the presence of periodontal disease may be associated with calcifications in these patients. Dentists should maintain awareness in detecting these lesions when evaluating panoramic radiographs of patients undergoing hemodialysis.

Assessment of Carotid Artery Calcifications on Digital Panoramic Radiographs and Their Relationship With Periodontal Condition and Cardiovascular Risk Factors

ObjectiveThe main purpose of this study is to determine the presence of carotid artery calcification (CAC) detected on digital panoramic radiographs (DPRs) retrospectively and correlate the findings with cardiovascular risk factors including gender, age, smoking status, hypertension, diabetes, and hyperlipidemia, along with atherosclerotic cardiovascular disease and periodontal status. MethodsThis clinical study is registered at ClinicalTrials.gov as NCT04017078. DPRs, periodontal status and cardiovascular risk factors of 1,101 patients (576 males, 525 females) were evaluated. The patients were grouped based on whether CAC was detected in dental DPRs [CAC (+)] or not [CAC (–)]. Periodontal status was categorised as gingivitis, periodontitis, and gingivitis with reduced periodontium (periodontally stable patient). ResultsOut of 1,101 patients, whose mean age was 42.1 ± 15.5 years and 525 (47.7%) were female, 34 (3.1%) were diagnosed with CAC on DPRs. No significant difference was observed between groups considering gender, hypertension, diabetes, hyperlipidemia, smoking, and periodontal status. Patients aged 40–55 years (n = 398, 36.15%) and patients older than 55 years (n = 222, 20.16%) were associated with CAC (odds ratio = 4.49, 95% confidence interval = 1.65–12.17, P = 0.003; odds ratio = 4.41, 95% confidence interval = 1.33–14.61, P = 0.015, respectively). ConclusionAmong all parameters, only age exhibited significant correlation with an increased risk of carotid calcification. Further studies with prospective designs and larger study populations are needed.

Association between Carotid Artery Calcification and Periodontal Disease Progression in Japanese Men and Women: A Cross-Sectional Study.

Objective: To evaluate the association between alveolar bone loss (ABL) detected on panoramic radiographs and carotid artery calcification (CAC) detected on computed tomography (CT). Methods: The study subjects included 295 patients (mean age ± SD: 64.6 ± 11.8 years) who visited the Matsumoto Dental University Hospital. The rate of ABL and the number of present teeth were measured on panoramic radiographs. Univariate analyses with t-tests and chi-squared tests were performed to evaluate the differences in age, gender, history of diseases, number of present teeth, and the ABL between subjects, with and without CAC. Moreover, multivariate logistic regression analysis, with forward selection and receiver operating characteristic curve (ROC) analysis, was performed. Results: The number of subjects without and with CAC was 174 and 121, respectively. Univariate analyses revealed that CAC was significantly associated with age, hypertension, osteoporosis, number of present teeth, and ABL. Multivariate logistic regression analysis adjusted for covariates revealed that the presence of CAC was significantly associated with ABL (OR = 1.233, 95% CI = 1.167–1.303). In the ROC analysis for predicting the presence of CAC, the the area under the ROC curve was the highest at 0.932 (95% CI = 0.904–0.960) for ABL, which was significant. Conclusions: Our results suggest that the measurement of ABL on panoramic radiographs may be an effective approach to identifying patients with an increased risk of CAC.

Prevalence of Carotid Artery Calcification Detected on Panoramic Radiographs of Patients with a History of Hypertension or Myocardial Infarction

Background: Atherosclerosis is characterized by the deposition of lipids on the internal walls of blood vessels, damaging various tissues of the body by complete or partial occlusion of the vessels. Sometimes the calcified plaques in the carotid artery can be detected on panoramic radiographs, helping the practitioners decrease the risk of Cerebrovascular Accident (CAV). Objective: This study aimed to assess the frequency of Carotid Artery Calcification (CAC) detected in panoramic radiographs of patients with hypertension or myocardial infarction. Methods: A total of 400 panoramic radiographs of patients >40 years of age were evaluated. The images belonged to patients with a history of hypertension or myocardial infarction and healthy individuals referred from the AL Zahra Cardiology Department to Isfahan School of Dentistry and a private oral and maxillofacial imaging center. All the images were evaluated for the presence of CAC. Data were analyzed with SPSS 19, using the Chi-squared test, Fisher's exact test, t-test and ANOVA (α=0.05). Results: The prevalence rate of CAC was 4%. According to the results, there was a significant relationship between CAC and hypertension (P=0.003), with no significant relationship between the prevalence of these lesions, stage of hypertension and myocardial infarction. Conclusion: According to the results, the prevalence of CAC on panoramic radiographs was significant; therefore, it seems that the detection of CAC on panoramic radiographs of patients must be considered by dentists.

CAROTID ARTERY CALCIFICATIONS DETECTED BY CBCT IN PATIENTS WITH A HISTORY OF HYPERTENSION

<h3>Background</h3> One of the most common sites for the formation of vascular calcifications is in the branches of the common carotid artery. More frequently, these are formed by the calcification of existing plaques along the vascular wall. Numerous studies utilizing other modalities have revealed a positive correlation between vascular calcifications and hypertension; however, there is a need for investigation of the incidence of these pathologies using cone beam computed tomography (CBCT) technology and for exploring the factors that influence their presence or detection. <h3>Objective(s)</h3> The aim of this study was to determine the proportion of patients who have a positive history of hypertension and a positive finding of carotid artery calcification (CAC) and to determine if there are factors that predispose certain groups of patients to carotid artery calcifications, including patient age, gender, and history of antihypertensive medication use. <h3>Study Design</h3> This retrospective study focused on 608 randomly selected patients who received dental CBCT imaging studies at Stony Brook School of Dental Medicine. Relevant patient demographic characteristics and medical history were extrapolated from the patients' electronic health records. The data were analyzed for statistical significance using Pearson's correlation and logistic regression. <h3>Results</h3> A total of 608 patient records (mean age = 62.6 years) with equal gender distribution were screened. Of these, 108 (17.76%) cases showed an incidence of CAC. 240 records indicated a positive history of hypertension (HTN), and 87 patient records (36.25%) showed a positive history of HTN and presence of carotid calcification. A strong male predilection (2:1) was observed for the concurrent positive history of HTN and presence of CAC. The mean age for the presence of a CAC in patients with and without HTN were 71.5 and 71.8, respectively. <h3>Discussion/Conclusions</h3> Our findings suggest a significant correlation between history of hypertension and the presence of CAC, with a strong predilection for men. No significant correlation was observed between antihypertensive medications and CAC.

The Relationship between carotid artery calcification and pulp stone among hemodialysis patients: A retrospective study

The aim of this study was to determine the relationship between the presence of carotid artery calcification (CAC) and pulp stone (PS). A total of 60 chronic hemodialysis (HD) patients (30 CAC positive, 30 CAC negative) participated in this study. The mean age of patients was 54.7 ± 16.4 years, and 32 (53%) of them were male. CAC was defined as the presence of heterogeneous nodular opacities in the soft tissue in C3-C4 intervertebral area. Panoramic radiographs of the patients were evaluated for CAC and PS by two oral and maxillofacial radiologists. PS was evaluated in all healthy, decayed, and restored teeth except the third molar teeth, in the coronal, sagittal, and axial planes. The Statistical Package for the Social Sciences (version 20.0; SPSS, Inc., an IBM Company, Chicago, IL, USA) was used. A probability P <0.05 was considered statistically significant. The prevalence of PS in this study was 30% (18 patients) all group. A total of 1324 teeth were analyzed and PS was detected in 237 teeth (17.9%). The occurrence of PS in teeth in CAC-positive group (10 patients, 17.2% of 654 teeth) was similar to that in CAC-negative group (8 patient, 18.3% of 670 teeth). There was no statistical correlation between CAC and PS in chronic HD patients (P = 0.08). In the subgroup analysis, the presence of diabetes (P = 0.003), parathormone level (P = 0.02), calcium × phosphorus product (P = 0.04), and C-reactive protein levels (P = 0.002) were higher, and duration of HD (P = 0.03) was significantly longer in patients with CAC-positive and PS. In chronic HD patients, the presence of PS was not a strong predictor for the presence of CAC.

Presence and associated factors of carotid artery calcification detected by digital panoramic radiography in patients with chronic kidney disease undergoing hemodialysis

The aim of this study was to investigate the presence and associated factors of carotid artery calcification (CAC) in patients with chronic kidney disease (CKD) undergoing hemodialysis. A total of 309 panoramic radiographs of patients with CKD (180 men and 129 women; mean age 43.7 years) undergoing hemodialysis were evaluated by a single radiologist to determine the frequency of CAC. An analysis of associated factors, such as age, sex, time spent in hemodialysis, arterial hypertension, diabetes mellitus, biochemical parameters, and other systemic diseases, was also performed. The presence of CAC in patients with CKD, as determined on the basis of panoramic radiography, was 15.9%. The χ2 test revealed that there was a statistically significant association between certain factors, such as age, sex, and diabetes mellitus, and the presence of CAC (P < .05). Multivariate analysis demonstrated that time spent in hemodialysis was significantly associated with the occurrence of CAC. A significant presence of CAC was detected on digital panoramic radiographs in patients with CKD undergoing hemodialysis. Calcification was more frequent in older patients, women, individuals with diabetes mellitus, and patients who had undergone hemodialysis for longer periods.

C-reactive protein levels and the association of carotid artery calcification with tooth loss.

The relationship between carotid artery calcification (CAC) and tooth loss was investigated and its association with inflammatory mediator levels was evaluated. Ninety-two participants were examined for health and periodontal status. Panoramic radiographs were obtained for CAC identification. C-reactive protein (CRP), intercellular cell adhesion molecule-1 (ICAM-1), and vascular cell adhesion molecule-1 (VCAM-1) levels were measured. Fifteen participants (16.3%) had CAC, 12 (80.0%) of whom were female. Mean age of participants with CAC was 55.3±12.2years, while that of participants without CAC was 48.9±9.4years. Median number of tooth loss in participants with CAC was 11, whereas that of individuals without CAC was 3 (P=0.008). Age and presence of CAC were associated with the number of tooth loss, independent of health status (β=0.452, P=<0.001 and β=0.257, P=0.005). Based on CRP levels, 10 participants (71.4%) were at intermediate risk of coronary heart disease (range, 1.0-2.3μgml-1 ), while four participants (28.6%) were at low risk (<1.0μgml-1 ). CRP, ICAM-1, or VCAM-1 levels were not significantly related to the presence of CAC or tooth loss. Patients with higher tooth loss have a greater prevalence of CAC. Patients with CAC should be referred for medical consultation.

Osteoporosis, osteoporotic fractures, and carotid artery calcification detected on panoramic radiographs in Japanese men and women

We investigated the association among diagnosed osteoporosis, osteoporotic fractures, and carotid artery calcification (CAC) detected on panoramic radiographs. Additionally, we assessed whether osteoporosis or fractures could be predicted by an incidental finding of CAC. One thousand twenty-one patients participated in this study. Patients completed a structured questionnaire. Logistic regression analysis adjusted for covariates was used to calculate the odds ratio (95% confidence interval) for diagnosed osteoporosis or fractures according to the presence of CAC. Extended receiver operating characteristic (ROC) curve analysis was used to clarify whether osteoporosis or fractures were predicted by the detection of CAC. The odds ratios for diagnosed osteoporosis or fracture associated with CAC were 1.82 (1.02-3.24) and 0.77 (0.33-1.77), respectively. The areas under the ROC curves for identifying patients with osteoporosis or fractures according to the detection of CAC were 0.54 and 0.50, respectively. CAC may not be useful for identifying Japanese individuals with osteoporosis or those at risk of fracture, although the presence of CAC was significantly associated with a history of diagnosed osteoporosis without osteoporotic fractures.

Prevalence of carotid artery calcification in postmenopausal women and its correlation with atherogenic risk factors.

Aim:The aim of the present study was to determine the prevalence of carotid artery calcification (CAC) in postmenopausal females on panoramic radiographs and to study the correlation of CAC with possible risk factors such as hypertension, osteoporosis, and hypercholesterolemia, among others.Materials and Methods:Totally, 1214 panoramic radiographs of postmenopausal females attending the Department of Oral Medicine and Radiology were examined for the presence of CAC. The subjects were also assessed for the presence of various risk factors and the possible correlation to CAC. Statistical analysis was done using Chi-square test, and P < 0.05 was considered to be statistically significant.Results:Two hundred and seventy-eight postmenopausal females presented with CAC and a prevalence of 22.9%. These patients presented with a medical history that was laden with risk factors, of which hypertension (71.2%) was the most common risk factor. Hypertension, hypercholesterolemia, osteoporosis, and obesity were significantly (P < 0.05) related to the presence of CAC while age, diabetes, and smoking were not significantly (P > 0.05) related to CAC.Conclusion:The incidental finding of CAC on panoramic radiographs during the routine dental examination can provide life-saving information for the identification of postmenopausal females who are at a higher risk for stroke. Oral clinicians should, therefore, record a proper medical history of such patients to identify the atherogenic risk factors and refer such patients to the physician for careful evaluation and conformation of the disease.

The correlation of carotid artery calcification on panoramic radiographs and determination of carotid artery atherosclerosis with ultrasonography.

To investigate the association of carotid artery calcification (CAC) on panoramic radiographs and determine carotid artery atherosclerosis with ultrasonography. The study included 4050 subjects aged 50 years and older. Panoramic radiographs for the presence of CAC were interpreted. Common carotid artery intima-media thickness (CCA-IMT), carotid bulb IMT (CB-IMT), carotid plaques, and the diameter of the common carotid artery (CCA-diameter) were measured by using ultrasonography. CB-IMT was significantly greater in male subjects with CAC than in those without CAC. CCA-diameter was significantly greater in subjects with CAC than in those without CAC in both genders. However, there was no significant difference in CCA-IMT. CAC was associated with carotid plaque (for men, odds ratio [OR] 2.14; 95% confidence interval [CI] 1.01-3.36; for women, OR 1.19; 95% CI 0.84-1.67). CAC on panoramic radiographs was positively associated with IMT and plaque in men and positively associated with carotid diameter in both sexes. CAC on panoramic radiographs was positively associated with carotid atherosclerosis.

Prevalence of carotid artery calcification on panoramic radiographs in patients with renal stones

To determine the prevalence of carotid artery calcification (CAC) detected in routine dental radiography (PRs) in patients with kidney stones (KSs) and to investigate the relationship between CAC-atherosclerosis and KSs. Materials and methods: A total of 108 patients with renal stones were included in the present study. A history of renal colic, with confirmed hematuria and voiding of the calculus, radiographic evidence of KSs, or previous surgical and endoscopic removal of KSs, was used to define the nephrolithiasis. KS patients were evaluated by PR in terms of the presence of CAC. Subjects with either unilateral or bilateral CAC on these radiographs were identified. Results: Of the 108 patients included in the data analysis, 18 (16.6%) were detected as having CAC upon PR; of these, there were 8 males (11.5% of all males) and 10 females (25.6% of all females) (P > 0.05). There was no significant difference between the patients with CAC and the patients without CAC in any aspect of biochemical parameters, and also in the history of predisposing factors (P > 0.05). The CAC prevalence (16.6%) was significantly higher in patients with KSs when compared to the normal population (5.06%) in our previous study (P > 0.05). Conclusion: Our study shows that CAC is significantly higher in patients with KSs when compared to the normal population. This study may draw the attention of clinicians to the fact that patients with KSs should be evaluated further for atherosclerosis and treated for vascular risk factors.

Can dental pulp calcification serve as a diagnostic marker for carotid artery calcification in patients with renal diseases?

The aim of this study was to determine the relationship between the presence of pulp calcification and carotid artery calcification on dental panoramic radiographs in end-stage renal disease (ESRD) patients on haemodialysis and renal transplant recipients. A total of 60 nephrology patients (29 haemodialysis patients and 31 renal transplant recipients) participated in this study. For all patients, both panoramic and periapical radiographs were evaluated twice by three examiners to determine the presence or absence of narrowing of the dental pulps and pulp stones in pulp chambers and canals. The kappa coefficient was used for intervariable agreement, and interexaminer reliability was evaluated by the intraclass correlation coefficient. Panoramic radiographs were also evaluated to determine carotid calcification. Ultrasound examination confirmed radiographic findings of carotid calcification on panoramic radiographs. Carotid calcifications were detected in 11 patients (6 haemodialysis patients and 5 transplant recipients). 48 patients (22 haemodialysis patients, 26 transplanted recipients) had dental pulp narrowing, and 8 patients (5 haemodialysis patients, 3 transplant recipients) had pulp stones. There was no statistical relation between pulp narrowing and carotid artery calcification (CAC) in the haemodialysis patient group and renal transplant recipients. There was also no statistical relation between pulp stones and CAC in haemodialysis patients and renal transplant recipients. In our study, no relationship was found between the presence of pulpal calcification and CAC in ESRD patients on haemodialysis and renal transplant recipients. Therefore, the presence of pulp calcification does not seem to serve as a diagnostic marker for carotid atherosclerosis.

Diagnostic accuracy of panoramic radiography in the detection of calcified carotid artery

The purpose of this study was to assess the diagnostic accuracy of the panoramic radiograph in the detection of carotid artery calcification using CT as the gold standard. 110 dental patients (average age 65.2 years, range 50-82 years) with both panoramic radiographs and CT scans available were selected for the evaluation of carotid artery calcification. Two oral and maxillofacial radiologists interpreted the panoramic radiographs for the presence of carotid artery calcification. CT scans were independently interpreted by a neuroradiologist. The accuracy of panoramic radiographs in the detection of carotid artery calcification was 62.3%. The sensitivity and the specificity were 22.2% and 90.0%, respectively. Panoramic radiography has a moderate diagnostic accuracy in the detection of carotid artery calcification, but the sensitivity is low.

Can the presence of carotid artery calcification on panoramic radiographs predict the risk of vascular diseases among 80-year-olds?

The purpose of this study was to evaluate whether subsequent vascular diseases and related death could be predicted by the presence of carotid artery calcification detected on panoramic radiographs among elderly persons. We evaluated 659 panoramic radiographs from 262 male and 397 female 80-year-old subjects and their general medical examination data to assess the relationship between the presence of carotid artery calcification and vascular disease risk at baseline examination. Of these subjects, the occurrence of vascular diseases within 5 years after baseline examination was examined in 191 subjects. Further, the causes of death were examined in 108 subjects who died within 5 years after baseline examination. There was a significant difference in the history of past vascular diseases among subjects with and without carotid artery calcifications; however, no significant difference in the occurrence of subsequent vascular diseases was found among them. Further, there was no significant difference in the occurrence of vascular disease-related death within 5 years after baseline examination among subjects with and without carotid artery calcifications (P = 0.719). Our results suggest that the presence of carotid artery calcifications on panoramic radiographs may be related to the history of past vascular diseases; however, this is not a useful marker for subsequent vascular diseases and related death among 80-year-olds.

P-19. 高齢者においてパノラマX線写真上で検出される頸動脈の石灰化は血管障害の続発と関係があるのか?(ポスター展示発表,第66回九州歯科学会総会講演抄録)

P-19. 高齢者においてパノラマX線写真上で検出される頸動脈の石灰化は血管障害の続発と関係があるのか?(ポスター展示発表,第66回九州歯科学会総会講演抄録)