The diagnostic value of the native fluorescence visualization device for early detection of premalignant/malignant lesions of the oral cavity

Amirchaghmaghi, Maryam and Mohtasham, Nooshin and Delavarian, Zahra and Taghi Shakeri, Mohammad and Hatami, Masoud and Mosannen Mozafari, Pegah (2018) The diagnostic value of the native fluorescence visualization device for early detection of premalignant/malignant lesions of the oral cavity. Photodiagnosis and Photodynamic Therapy, 21. pp. 19-27. ISSN 15721000

Preview

Text The diagnostic value of the native fluorescence visualization device for early.pdf Download (448kB) | Preview

Abstract

Purpose The present study aimed to determine the diagnostic value of a native fluorescence visualization device in the identification of oral malignant/dysplastic lesions. Methods This study involved 45 patients who had oral lesions that were suspected to be malignant, potentially malignant, or benign. The patients visited the Oral Medicine Department of the Mashhad Dental School. The sensitivity, specificity, positive and negative predictive values, and likelihood ratio of this device were determined. Results The histopathological assessment of samples showed 9 cases of oral squamous cell carcinoma and 12 lesions with dysplasia. Ten samples of dysplastic lesions and all malignant lesions appeared dark or red/orange when examined with the native fluorescence visualization device. In 90% of the dysplastic/malignant lesions, the label-free fluorescence results were positive. The sensitivity, specificity, and positive and negative predictive values of this device were 90%, 15%, 40%, and 71%, respectively. Conclusions The native fluorescence visualization device can be used in specialized centers as an adjunctive device to increase the sensitivity of a clinical examination, but is not capable of distinguishing benign lesions from malignant and dysplastic ones due to its low specificity

Actions (login required)

View Item