Assessment Of the Role of Cone Beam Computed Tomography in Diagnosing Space Occupying Lesions in Maxillary Sinus
Main Article Content
Keywords
Cone Beam Computed Tomography, Space occupying lesions, maxillary sinus
Abstract
Introduction: Cone Beam Computed Tomography (CBCT) is an advanced imaging modality with high clinical applications and represents a radical change for dental and maxillofacial radiology. It can visualize 3D structures and can provide precise information about complex anatomical structures.The aim of the study is to assess the role of CBCT in diagnosing space occupying lesions in maxillary sinus.
Methodology: A retrospective CBCT images were collected that were taken from 2021-2022.A total of 250 CBCT images were evaluated. The results obtained were processed using SPSS software and descriptive statistical analysis was made.
Results: The frequency of space occupying lesions observed in our study were mucosal thickening (66.0%), mucous retention cysts (10.1%) , antral polyps( 5.6%) and mucormycosis (3.2%).
Conclusion: Mucosal thickening was the most frequently observed abnormality (66.0%). The incidental maxillary sinus abnormalities are highly prevalent in the asymptomatic dental patients,hence oral radiologists should be aware of these incidental findings and comprehensively evaluate the entire captured CBCT volume, which can help in early diagnosis, treatment and follow-up of the patient.
References
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3. Sarment D. Cone Beam Computed Tomography: Oral and Maxillofacial Diagnosis and Applications. John Wiley & Sons; 2013. 4. Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function. Clin Oral Implants Res 2011;22:78–82.
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8. McGowan DA, Baxter PW, James J. The Maxillary Sinus and Its Dental Implications. John Wright; 1993.
9. Surathu N, Flanagan D, Surathu N, Nittla PP. A CBCT Assessment of the Incidence and Location of the Lingual Foramen in the Anterior Mandible. J Oral Implantol 2022;48:92–8.
10. J PC, Marimuthu T, C K, Devadoss P, Kumar SM. Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study. Clin Implant Dent Relat Res 2018;20:531–4.
11. Vijayakumar Jain S, Muthusekhar MR, Baig MF, Senthilnathan P, Loganathan S, Abdul Wahab PU, et al. Evaluation of Three-Dimensional Changes in Pharyngeal Airway Following Isolated Lefort One Osteotomy for the Correction of Vertical Maxillary Excess: A Prospective Study. J Maxillofac Oral Surg 2019;18:139–46.
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9f692b48cc234b7 Department of Oral Medicine and Radiology, College of Dentistry, Jouf University, Aljouf, Sakaka, Saudi Arabia; Department of Oral Medicine and Radiology, Saveetha Dental College and University, Chennai, Tamil Nadu, India; Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Japan; Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia; Department of Prosthodontics, College of Dentistry, Jouf University, Saudi Arabia; Department of Pedodontics, College of Dentistry, Jouf University, Saudi Arabia; Department of Orthodontics, College of Dentistry, Jouf University, Saudi Arabia Patil, S.R., Department of Oral Medicine and Radiology, College of Dentistry, Jouf University, Aljouf, Sakaka, Saudi Arabia; Maragathavalli, G., Department of Oral Medicine and Radiology, Saveetha Dental College and University, Chennai, Tamil Nadu, India; Araki, K., Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Japan; Al-Zoubi, I.A., Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia; Sghaireen, M.G., Department of Prosthodontics, College of Dentistry, Jouf University, Saudi Arabia; Gudipaneni, R.K., Department of Pedodontics, College of Dentistry, Jouf University, Saudi Arabia; Alam, M.K., Department of Orthodontics, College of Dentistry, Jouf University, Saudi Arabia Patil, S.R.; Department of Oral Medicine and Radiology, Aljouf, Saudi Arabia; email: drpsantosh@gmail.com Association of Support to Oral Health Research (APESB) 15190501 English Pesqui. Bras. Odontopediatria Clin. Integr. Article Final All Open Access, Gold Scopus 2-s2.0-85053458566.
14. Website n.d. Jeevanandan G., Thomas E. 55329513500;57214105762; Volumetric analysis of hand, reciprocating and rotary instrumentation techniques in primary molars using spiral computed tomography: An in vitro comparative study 2018 European Journal of Dentistry 12 1 21 26 36 10.4103/ejd.ejd_247_17 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044225074&doi=10.4103%2fejd.ejd_247_17&partnerID=40&md5=e86d5a600d5be592b93b2e0a06dbfdd8 Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India; Department of Paedodontia, Dr. Sunny Medical Centre, Sharjah, United Arab Emirates Jeevanandan, G., Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India; Thomas, E., Department of Paedodontia, Dr. Sunny Medical Centre, Sharjah, United Arab Emirates Jeevanandan, G.; Department of Paediatric and Preventive Dentistry, India; email: helloganz@gmail.com Medknow Publications 13057456 English Eur. J. Dent. Article Final All Open Access, Hybrid Gold, Green Scopus 2-s2.0-85044225074.
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Department of Prosthodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India Verma, P.; Department of Orthodontics and Dentofacial Orthopedics, India; email: purva812@gmail.com Taylor and Francis Ltd. 13440241 English Orthod. Waves Article Final Scopus 2-s2.0-85108282317.
17. Tulsani M, Rohinikumar S, Maiti S, Nesappan T. Impact of Level of Crestal Placement on Marginal Bone Loss: A Retrospective Institutional Study. J Long Term Eff Med Implants 2020;30:227–32.
18. Website n.d. Rajakeerthi R., Nivedhitha M.S.B. 57204153596;55856695500; Use of cone beam computed tomography to identify the morphology of maxillary and mandibular premolars in Chennai population [Uso de tomografia computadorizada de feixe cônico para identificar a morfologia de pré-molares maxilares e mandibulares na população Chennai] 2019 Brazilian Dental Science 22 1 55 62 5 10.14295/bds.2018.v22i1.1673 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064501534&doi=10.14295%2fbds.2018.v22i1.1673&partnerID=40&md5=4088f31ea04a81b514932bb8cb9e8f04 Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India Rajakeerthi, R., Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India; Nivedhitha, M.S.B., Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India Universidade Estadual Paulista, Institute of Science and Technology of Sao Jose dos Campos 21786011 English Braz. Dent. Sci. Article Final Scopus 2-s2.0-85064501534.
19. Prasad AS, Sivakumar A. ATM technique - a novel radiographic technique to assess the position of buccal shelf implants. Dentomaxillofac Radiol 2022;51:20210346.
20. Sreenivasagan S, Sivakumar A. CBCT comparison of buccal shelf bone thickness in adult Dravidian population at various sites, depths and angulation - A retrospective study. Int Orthod 2021;19:471–9.
21. Website n.d. Kachhara S., Nallaswamy D., Ganapathy D., Ariga P. 57202264812;57221603719;57188879082;39360908000; Comparison of the CBCT, CT, 3D printing, and CAD-CAM Milling options for the most accurate root form duplication required for the root analogue implant (RAI) protocol 2021 Journal of Indian Academy of Oral Medicine and Radiology 33 2 141 145 1 10.4103/jiaomr.jiaomr_244_20 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109168479&doi=10.4103%2fjiaomr.jiaomr_244_20&partnerID=40&md5=21b9088876acc839be9d24f1b637633e Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India Kachhara, S., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Nallaswamy, D., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Ganapathy, D., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Ariga, P., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India Kachhara, S.; Department of Prosthodontics and Implant Dentistry, 162, Poonamallee High Road, Tamil Nadu, India; email: drsbk25@gmail.com Wolters Kluwer Medknow Publications 9721363 English J. Indian Acad. Oral Med. Radiol. Article Final All Open Access, Gold Scopus 2-s2.0-85109168479.
22. Alotaibi FDR, Aldyael DRO, AlSogaian DRM, AlGamdi DRK. Prevalence of incidental maxillary sinus pathologies in dental patients at paadi using cone-beam computed tomography (cbct) n.d. https://doi.org/10.26226/morressier.5d3880b93ceb062ea26e4dd1.
23. Gracco A, Parenti SI, Ioele C, Bonetti GA, Stellini E. Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study. The Korean Journal of Orthodontics 2012;42:329. https://doi.org/10.4041/kjod.2012.42.6.329.
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2. Maestre-Ferrín L, Galán-Gil S, Carrillo-García C, Peñarrocha-Diago M. Radiographic findings in the maxillary sinus: comparison of panoramic radiography with computed tomography. Int J Oral Maxillofac Implants 2011;26:341–6.
3. Sarment D. Cone Beam Computed Tomography: Oral and Maxillofacial Diagnosis and Applications. John Wiley & Sons; 2013. 4. Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function. Clin Oral Implants Res 2011;22:78–82.
5. Scarfe WC, Angelopoulos C. Maxillofacial Cone Beam Computed Tomography: Principles, Techniques and Clinical Applications. Springer; 2018.
6. Bósio JA, Tanaka O, Rovigatti E, de Gruner SK. The incidence of maxillary sinus retention cysts in orthodontic patients. World J Orthod 2009;10:e7–8.
7. Rege ICC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 2012;12:30.
8. McGowan DA, Baxter PW, James J. The Maxillary Sinus and Its Dental Implications. John Wright; 1993.
9. Surathu N, Flanagan D, Surathu N, Nittla PP. A CBCT Assessment of the Incidence and Location of the Lingual Foramen in the Anterior Mandible. J Oral Implantol 2022;48:92–8.
10. J PC, Marimuthu T, C K, Devadoss P, Kumar SM. Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study. Clin Implant Dent Relat Res 2018;20:531–4.
11. Vijayakumar Jain S, Muthusekhar MR, Baig MF, Senthilnathan P, Loganathan S, Abdul Wahab PU, et al. Evaluation of Three-Dimensional Changes in Pharyngeal Airway Following Isolated Lefort One Osteotomy for the Correction of Vertical Maxillary Excess: A Prospective Study. J Maxillofac Oral Surg 2019;18:139–46.
12. Kavarthapu A, Thamaraiselvan M. Assessing the variation in course and position of inferior alveolar nerve among south Indian population: A cone beam computed tomographic study. Indian J Dent Res 2018;29:405–9.
13. Website n.d. Patil S.R., Maragathavalli G., Araki K., Al-Zoubi I.A., Sghaireen M.G., Gudipaneni R.K., Alam M.K. 55550332800;25960216500;7402551622;56631777500;55659655400;56114993800;7401492628; Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study 2018 Pesquisa Brasileira em Odontopediatria e Clinica Integrada 18 1 e4133 58 10.4034/PBOCI.2018.181.87 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053458566&doi=10.4034%2fPBOCI.2018.181.87&partnerID=40&md5=21828747366b14e5b
9f692b48cc234b7 Department of Oral Medicine and Radiology, College of Dentistry, Jouf University, Aljouf, Sakaka, Saudi Arabia; Department of Oral Medicine and Radiology, Saveetha Dental College and University, Chennai, Tamil Nadu, India; Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Japan; Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia; Department of Prosthodontics, College of Dentistry, Jouf University, Saudi Arabia; Department of Pedodontics, College of Dentistry, Jouf University, Saudi Arabia; Department of Orthodontics, College of Dentistry, Jouf University, Saudi Arabia Patil, S.R., Department of Oral Medicine and Radiology, College of Dentistry, Jouf University, Aljouf, Sakaka, Saudi Arabia; Maragathavalli, G., Department of Oral Medicine and Radiology, Saveetha Dental College and University, Chennai, Tamil Nadu, India; Araki, K., Division of Radiology, Department of Oral Diagnostic Sciences, Showa University School of Dentistry, Japan; Al-Zoubi, I.A., Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia; Sghaireen, M.G., Department of Prosthodontics, College of Dentistry, Jouf University, Saudi Arabia; Gudipaneni, R.K., Department of Pedodontics, College of Dentistry, Jouf University, Saudi Arabia; Alam, M.K., Department of Orthodontics, College of Dentistry, Jouf University, Saudi Arabia Patil, S.R.; Department of Oral Medicine and Radiology, Aljouf, Saudi Arabia; email: drpsantosh@gmail.com Association of Support to Oral Health Research (APESB) 15190501 English Pesqui. Bras. Odontopediatria Clin. Integr. Article Final All Open Access, Gold Scopus 2-s2.0-85053458566.
14. Website n.d. Jeevanandan G., Thomas E. 55329513500;57214105762; Volumetric analysis of hand, reciprocating and rotary instrumentation techniques in primary molars using spiral computed tomography: An in vitro comparative study 2018 European Journal of Dentistry 12 1 21 26 36 10.4103/ejd.ejd_247_17 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85044225074&doi=10.4103%2fejd.ejd_247_17&partnerID=40&md5=e86d5a600d5be592b93b2e0a06dbfdd8 Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India; Department of Paedodontia, Dr. Sunny Medical Centre, Sharjah, United Arab Emirates Jeevanandan, G., Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India; Thomas, E., Department of Paedodontia, Dr. Sunny Medical Centre, Sharjah, United Arab Emirates Jeevanandan, G.; Department of Paediatric and Preventive Dentistry, India; email: helloganz@gmail.com Medknow Publications 13057456 English Eur. J. Dent. Article Final All Open Access, Hybrid Gold, Green Scopus 2-s2.0-85044225074.
15. Rekow D. Digital Dentistry: A Comprehensive Reference and Preview of the Future. 2018.
16. Website n.d. B P., Jain R.K., Verma P., Tiwari A., Shankar S. 57226853969;56292105000;57218775521;57219228974;57220577594; Computerized occlusal analysis of two different removable retainers used during retention phase- A Randomized controlled trial 2021 Orthodontic Waves 80 3 125 133 6 10.1080/13440241.2021.1942611 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108282317&doi=10.1080%2f13440241.2021.1942611&partnerID=40&md5=1aa7ccd30aadea33f1f99476e8a8bb44 Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Department of Prosthodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India B, P., Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Jain, R.K., Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Verma, P., Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Tiwari, A., Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India; Shankar, S.,
Department of Prosthodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Chennai, Tamil Nadu, India Verma, P.; Department of Orthodontics and Dentofacial Orthopedics, India; email: purva812@gmail.com Taylor and Francis Ltd. 13440241 English Orthod. Waves Article Final Scopus 2-s2.0-85108282317.
17. Tulsani M, Rohinikumar S, Maiti S, Nesappan T. Impact of Level of Crestal Placement on Marginal Bone Loss: A Retrospective Institutional Study. J Long Term Eff Med Implants 2020;30:227–32.
18. Website n.d. Rajakeerthi R., Nivedhitha M.S.B. 57204153596;55856695500; Use of cone beam computed tomography to identify the morphology of maxillary and mandibular premolars in Chennai population [Uso de tomografia computadorizada de feixe cônico para identificar a morfologia de pré-molares maxilares e mandibulares na população Chennai] 2019 Brazilian Dental Science 22 1 55 62 5 10.14295/bds.2018.v22i1.1673 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064501534&doi=10.14295%2fbds.2018.v22i1.1673&partnerID=40&md5=4088f31ea04a81b514932bb8cb9e8f04 Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India Rajakeerthi, R., Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India; Nivedhitha, M.S.B., Department of Conservative Dentistry and Endodontics, Saveetha Dental College – Saveetha Institute of Medical and Technical Sciences, Chennai, India Universidade Estadual Paulista, Institute of Science and Technology of Sao Jose dos Campos 21786011 English Braz. Dent. Sci. Article Final Scopus 2-s2.0-85064501534.
19. Prasad AS, Sivakumar A. ATM technique - a novel radiographic technique to assess the position of buccal shelf implants. Dentomaxillofac Radiol 2022;51:20210346.
20. Sreenivasagan S, Sivakumar A. CBCT comparison of buccal shelf bone thickness in adult Dravidian population at various sites, depths and angulation - A retrospective study. Int Orthod 2021;19:471–9.
21. Website n.d. Kachhara S., Nallaswamy D., Ganapathy D., Ariga P. 57202264812;57221603719;57188879082;39360908000; Comparison of the CBCT, CT, 3D printing, and CAD-CAM Milling options for the most accurate root form duplication required for the root analogue implant (RAI) protocol 2021 Journal of Indian Academy of Oral Medicine and Radiology 33 2 141 145 1 10.4103/jiaomr.jiaomr_244_20 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109168479&doi=10.4103%2fjiaomr.jiaomr_244_20&partnerID=40&md5=21b9088876acc839be9d24f1b637633e Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India Kachhara, S., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Nallaswamy, D., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Ganapathy, D., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India; Ariga, P., Department of Prosthodontics and Implant Dentistry, Saveetha Dental College, Tamil Nadu, Chennai, India Kachhara, S.; Department of Prosthodontics and Implant Dentistry, 162, Poonamallee High Road, Tamil Nadu, India; email: drsbk25@gmail.com Wolters Kluwer Medknow Publications 9721363 English J. Indian Acad. Oral Med. Radiol. Article Final All Open Access, Gold Scopus 2-s2.0-85109168479.
22. Alotaibi FDR, Aldyael DRO, AlSogaian DRM, AlGamdi DRK. Prevalence of incidental maxillary sinus pathologies in dental patients at paadi using cone-beam computed tomography (cbct) n.d. https://doi.org/10.26226/morressier.5d3880b93ceb062ea26e4dd1.
23. Gracco A, Parenti SI, Ioele C, Bonetti GA, Stellini E. Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study. The Korean Journal of Orthodontics 2012;42:329. https://doi.org/10.4041/kjod.2012.42.6.329.
24. Yeung AWK, Tanaka R, Khong P-L, von Arx T, Bornstein MM. Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT). Clinical Oral Investigations 2018;22:1175–83. https://doi.org/10.1007/s00784-017-2206-z.Pazera P, Bornstein MM, Pazera A, Sendi P, Katsaros C. Incidental maxillary sinus findings in orthodontic patients: a radiographic analysis
using cone-beam computed tomography (CBCT). Orthodontics & Craniofacial Research 2011;14:17–24. https://doi.org/10.1111/j.1601-6343.2010.01502.x.
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May 13, 2023
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Chenchulakshmi G, & Arvind Muthukrishnan. (2023). Assessment Of the Role of Cone Beam Computed Tomography in Diagnosing Space Occupying Lesions in Maxillary Sinus. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 204-210. https://doi.org/10.47750/jptcp.2023.30.10.025
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Chenchulakshmi G, & Arvind Muthukrishnan. (2023). Assessment Of the Role of Cone Beam Computed Tomography in Diagnosing Space Occupying Lesions in Maxillary Sinus. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 204-210. https://doi.org/10.47750/jptcp.2023.30.10.025