Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Japanese Dental Science Review Pub Date : 2024-01-11 DOI:10.1016/j.jdsr.2023.12.004

Jeremy Lau , Guru O , Saman Warnakulasuriya , Ramesh Balasubramaniam , Agnieszka Frydrych , Omar Kujan

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Abstract

This study presents the results of systematic reviews on adjunctive tools in screening and diagnosis of oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) and to determine if the current literature supports their use as either an adjunctive tool or replacement of gold standard techniques. Systemic reviews and meta-analysis that evaluated adjunctive tools including chemiluminescence, tissue autofluorescence, tissue fluorescence spectroscopy, vital staining and cytology techniques were systematically examined using AMSTAR II. Twenty-seven systematic reviews were included. Five studies had a low quality of evidence, and nine studies had a critically low quality of evidence. This review found limited evidence to recommend chemiluminescence, tissue autofluorescence tools and vital staining as diagnostic tools, but only serve as clinical adjuncts to conventional oral examination. Cytology techniques and narrow-band imaging may be utilised as a non-invasive diagnostic adjunctive tool for the detection of OSCC and the malignant transformation of OPMD. In conclusion, this paper provides evidence on several types of adjunctive tools and provides recommendations on their use in clinical practice. These tools are considered useful as clinical adjuncts but there is insufficient evidence for their use as a diagnostic tool to replace gold standard conventional oral examination and surgical biopsy.

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检测口腔鳞状细胞癌和口腔潜在恶性疾病的辅助工具：系统综述的系统综述

本研究对用于筛查和诊断口腔鳞状细胞癌（OSCC）和口腔潜在恶性疾病（OPMD）的辅助工具进行了系统综述，以确定目前的文献是否支持将其用作辅助工具或替代金标准技术。使用 AMSTAR II 对评估辅助工具（包括化学发光、组织自发荧光、组织荧光光谱、重要染色和细胞学技术）的系统综述和荟萃分析进行了系统研究。共纳入 27 篇系统综述。其中五项研究的证据质量较低，九项研究的证据质量极低。本综述发现，推荐将化学发光、组织自发荧光工具和活力染色作为诊断工具的证据有限，但只能作为常规口腔检查的临床辅助手段。细胞学技术和窄带成像可作为非侵入性诊断辅助工具，用于检测 OSCC 和 OPMD 的恶性转化。总之，本文提供了几种辅助工具的证据，并就其在临床实践中的应用提出了建议。这些工具被认为是有用的临床辅助工具，但目前还没有足够的证据表明它们可用作诊断工具，取代金标准的传统口腔检查和手术活检。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.