Toluidine blue color perception in identification of oral mucosal lesions

Toluidine blue color perception in identification of oral mucosal lesions

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Pelin Güneri ,Joel B. Epstein ,Selin Ergün ,Hayal Boyacioًlu
  • چاپ و سال / کشور: 2010

Description

The objective of this study is to examine observer agreement on the rank of the color tones after toluidine blue staining of a mucosal lesion. Cohort study with repeated measures is the design of the study. Twenty observers ranked and scored 8 specified areas on the color images of a lesion before and after toluidine blue application in two sessions. Inter and intra-observer variations were analyzed with Cohen’s kappa. The L* (the blackwhite axis), a* (red-green axis), and b* (yellow-blue axis) values were measured and set as the gold standards. Intra and inter-observer agreements were ê=0.86 and ê=0.854. All color parameters were effective on the color ranking order (pL*=0.00, pa*=0.007, pb*=0.00), although L* and b* were more effective on the ranking of the samples than a*. Areas that appeared pale blue visually had a significant blue component, but the observers were confused with the effect of whiteness of the area in clinical decision making.
Clin Oral Invest (2011) 15:337–345 DOI 10.1007/s00784-010-0398-6 Received: 12 October 2009 / Accepted: 18 February 2010 / Published online: 25 March 2010
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