{
  "abstract": "Objectives: This study aimed to assess the prevalence, anatomical distribution, and clinical relevance of incidental findings in large-field cone beam computed tomography (CBCT) scans and to identify patient-related predictors associated with their occurrence. Methods: We conducted a retrospective analysis of 203 patients in a single center who were undergoing CBCT (June 2020-January 2022; field of view: 11 cm × 10 cm) for routine diagnostics or preoperative planning. Findings were categorized by clinical relevance, mapped relative to the primary region of interest (ROI), and analyzed via logistic/Poisson regression for demographic/clinical associations. Results: Incidental findings occurred in 79.3% of the patients, with 89.6% outside the ROI. Dental/sinusoidal airway findings were the most common. Increasing age (OR = 1.11; p < 0.001) and reduced dentition compared to full dentition (>24 teeth vs full dentition IRR = 1.91; p < 0.001 and ≤24 teeth vs full dentition IRR = 2.17; p < 0.001) were significant predictors for relevant incidental findings. Other clinical factors showed elevated but non-significant risk estimates. CBCT indication did not predict the occurrence of incidental findings. Conclusions: Incidental findings in large-volume CBCT scans are common and frequently located outside the primary ROI. Age and reduced dentition were identified as potential predictors. While these findings may support a more individualized approach to CBCT volume selection, any expansion of the field of view must adhere to established radiation protection principles. Prospective studies are needed to further define risk-adapted imaging strategies.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Oral and Maxillofacial Surgery, Werner Forßmann Krankenhaus, Rudolph-Breitscheid-Str. 100, 16225 Eberswalde, Germany.",
    "Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.",
    "Department of Periodontology, Oral Medicine and Oral Surgery, Charité-Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany.",
    "Center for Data Science, Eberswalde University for Sustainable Development, Schicklerstr. 5, 16225 Eberswalde, Germany."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Oliver Heidepriem",
      "orcid": "0009-0007-9018-3486"
    },
    {
      "affs": [
        1
      ],
      "name": "Saskia Preissner",
      "orcid": "0000-0002-3672-0283"
    },
    {
      "affs": [
        0
      ],
      "name": "Meikel Vesper"
    },
    {
      "affs": [
        1
      ],
      "name": "Susanne Nahles"
    },
    {
      "affs": [
        1
      ],
      "name": "Max Heiland",
      "orcid": "0000-0002-4987-2913"
    },
    {
      "affs": [
        2
      ],
      "name": "Sameh Attia",
      "orcid": "0000-0002-9174-6435"
    },
    {
      "affs": [
        3
      ],
      "name": "Kirstin Vach",
      "orcid": "0000-0001-9278-2203"
    },
    {
      "affs": [
        1
      ],
      "name": "Moritz Hertel",
      "orcid": "0000-0003-4399-1468"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9mxag52gwr4nv.bib",
  "cited_by": 0,
  "doi": "10.3390/diagnostics16193152",
  "fulltext_url": "https://europepmc.org/articles/PMC13664283",
  "id": "9mxag52gwr4nv",
  "issns": [
    "2075-4418"
  ],
  "landing_url": "https://europepmc.org/article/MED/42882307",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3504|Dental Radiography and Imaging"
    ]
  ],
  "openalex": "W7214667563",
  "pdf_url": "https://europepmc.org/articles/PMC13664283?pdf=render",
  "pmcid": "PMC13664283",
  "pmid": "42882307",
  "published": "2026-09-28",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/9mxag52gwr4nv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:16Z",
      "native_id": "MED:42882307",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42882307"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Incidental Findings on Large-Field-of-View Cone Beam Computed Tomography Scans: Prevalence, Anatomical Distribution and Predictors of Clinical Relevance in a Retrospective Analysis of 203 Patients.",
  "title_text": "Incidental Findings on Large-Field-of-View Cone Beam Computed Tomography Scans: Prevalence, Anatomical Distribution and Predictors of Clinical Relevance in a Retrospective Analysis of 203 Patients.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:16Z",
  "url": "https://research.draconitic.com/paper/9mxag52gwr4nv",
  "venue": "Diagnostics (Basel, Switzerland)",
  "versions": []
}