Evidence map›Paper›PMID 40143569›Full record

SynthesisEuropean endodontic journal2025

Accuracy of Ultrasound Imaging in the Differential Diagnosis of Inflammatory Radicular Cyst and Periapical Granuloma: A Systematic Review and Meta-Analysis of Operative Characteristics.

Nestor Rios Osorio, Oscar Jiménez Peña, Marcela Contreras Ibarra, Marggie Grajales, Rafael Fernández Grisales

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nestor Rios OsorioBiomedical Sciences PhD Programme, Universidad El Bosque, Bogotá, Colombia.
Oscar Jiménez PeñaDepartment of Endodontics, Institución Universitaria Colegios de Colombia UNICOC, Bogotá, Colombia.
Marcela Contreras IbarraDepartment of Endodontics, Institución Universitaria Colegios de Colombia UNICOC, Bogotá, Colombia.
Marggie GrajalesLaser Dentistry Master Programme, European Programme EMDOLA, University of Barcelona, Barcelona, Spain.
Rafael Fernández GrisalesDepartment of Postgraduate Endodontics, CES University, School of Dentistry, Medellin, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review aimed to assess the accuracy of ultrasonic (US) imaging in the differential diagnosis between inflammatory radicular cysts (IRCs) and periapical granulomas (PGs) compared with the histological examination as the reference standard. Scopus, Medline (PubMed), and Web of Science were searched from inception to April 2024. The Methodological quality was assessed using the QUADAS-2 tool. Thirteen cross-sectional studies published between 2003 and 2023 were included in this study. A total sample of 275 patients (one tooth / per patient) comparing ultrasound test vs. histopathological examination was assessed. The summary measures of the US imaging test were: sensitivity= 0.96 [95% CI, 0.93-0.99], specificity= 0.83 [95% CI, 0.76-0.88], LR+ = 3.498 [95% CI, 2.079-5.885], LR- = 0.091 [95% CI, 0.050-0.164], DOR = 65.848 (95% CI, 28.857-150.25) and AUC=0.97 (95% CI, 0.95-1.00). The methodological assessment was variable in all domains and studies. Approximately 90% and 70% of the studies revealed some form of risk of bias concern in the domains -flow and timing-, and -reference standard-, respectively. US imaging can be regarded as a highly accurate and consistent method for IRC vs. PG differential diagnosis. The echotexture features of periapical lesions in US images reflected their histopathological characteristics. (EEJ-2024-09-150).

Indexed as

Periapical GranulomaRadicular CystDiagnosis, DifferentialHumansSensitivity and SpecificityUltrasonography

Identifiers

PMID40143569
PMCPMC11971700

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.