Investigation shows panoramic radiographs can reliably detect osteoporosis in patients, suggesting a practical diagnostic tool using the Ramus Index.
Objective: To investigate the reliability of panoramic radiographs in detecting osteoporosis disease. Material and Methods: Three hundred patients, regardless of gender, were included, aged between 40 and 50 years. One hundred fifty patients had confirmed systemic osteoporosis by DXA scan (experimental group), while the other 150 patients had no history of osteoporosis (Healthy control group). The study used the Ramus Index to calculate the grey mean values on panoramic images, which correlates with bone mineral density (BMD) compared with the data of dual-energy X-ray absorptiometry (DXA) as the gold standard reference. Results: The findings demonstrated that panoramic images and the Ramus Index were a reliable indicator of osteoporosis (p<0.001) (80% sensitivity, 90% specificity, and 85% accuracy). Conclusion: Quantitative grey-level evaluation of panoramic images demonstrated diagnostic validity.
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Hussein Haleem Jasim (2025) studied this question.
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