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Evaluation of Common Diagnostic Errors in Panoramic Radiographs and Interobserver Agreement in Error Identification    
Yazarlar (7)
Yasin Yaşa
Ordu Üniversitesi, Türkiye
Dr. Öğr. Üyesi Dilek ÇOBAN Dr. Öğr. Üyesi Dilek ÇOBAN
Kafkas Üniversitesi, Türkiye
Furkan Özbey
Afyonkarahisar Sağlık Bilimleri Üniversitesi, Türkiye
Tunahan Tuna
Türkiye
Büşra Nur Gökkurt Yılmaz
Türkiye
Zerrin Ünal Erzurumlu
Ordu Üniversitesi, Türkiye
Elif Sadık
Ordu Üniversitesi, Türkiye
Devamını Göster
Özet
Aim: Panoramic radiography is frequently used in dental practice as an imaging technique that provides an extensive view of facial anatomical structures. Achieving high-quality radiographic images requires precise positioning and technique. This study aims to evaluate the quality of panoramic radiographs, to identify common errors that compromise diagnostic adequacy, and to analyze interobserver agreement levels concerning these errors. Material and Method: A study analyzed 947 panoramic radiographs from the archive of Ordu University based on nine specific error criteria. Four research assistants evaluated the diagnostic quality of each image, classifying them as “excellent,” “diagnostically acceptable,” or “unacceptable.” Inter-observer agreement was measured with kappa statistics, and overall agreement was evaluated using the Fleiss κ test. Results: The rate of incorrect radiographs was 66.1% to 78.8%, with the most common error criterion differing for each observer. The least common error was the chin tipped too low for observers 1 and 2, and the patient positioned forward for observers 3 and 4. The highest inter-observer agreement was observed regarding the presence of foreign objects on the radiographs, while the lowest agreement occurred in cases where the patient was positioned too far back. Overall, the diagnostic quality of the panoramic radiographs was rated as “acceptable,” with scores ranging from 60.5% to 69.5%. The Fleiss Kappa analysis indicated fair agreement among the four observers in assessing radiographic quality (k=0.252). Conclusion: This study demonstrates that errors in panoramic radiography significantly impact image quality and diagnostic accuracy, highlighting the need for standardization, the use of various imaging models, and enhanced training in radiographic education.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale
Dergi Adı Medical Records
Dergi ISSN 2687-4555
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili Türkçe
Basım Tarihi 01-2025
Cilt No 7
Sayı 1
Sayfalar 114 / 119
Doi Numarası 10.37990/medr.1562670
Makale Linki https://doi.org/10.37990/medr.1562670