{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:57:25Z","timestamp":1790600245949,"version":"4.1.0"},"reference-count":25,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>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\u2013January 2022; field of view: 11 cm \u00d7 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 &lt; 0.001) and reduced dentition compared to full dentition (&gt;24 teeth vs full dentition IRR = 1.91; p &lt; 0.001 and \u226424 teeth vs full dentition IRR = 2.17; p &lt; 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.<\/jats:p>","DOI":"10.3390\/diagnostics16193152","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:35:59Z","timestamp":1790595359000},"page":"3152","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"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"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9018-3486","authenticated-orcid":false,"given":"Oliver","family":"Heidepriem","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Werner For\u00dfmann Krankenhaus, Rudolph-Breitscheid-Str. 100, 16225 Eberswalde, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3672-0283","authenticated-orcid":false,"given":"Saskia","family":"Preissner","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Meikel","family":"Vesper","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Werner For\u00dfmann Krankenhaus, Rudolph-Breitscheid-Str. 100, 16225 Eberswalde, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Susanne","family":"Nahles","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4987-2913","authenticated-orcid":false,"given":"Max","family":"Heiland","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9174-6435","authenticated-orcid":false,"given":"Sameh","family":"Attia","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Oral Medicine and Oral Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, A\u00dfmannshauser Str. 4-6, 14197 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9278-2203","authenticated-orcid":false,"given":"Kirstin","family":"Vach","sequence":"additional","affiliation":[{"name":"Center for Data Science, Eberswalde University for Sustainable Development, Schicklerstr. 5, 16225 Eberswalde, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"}]},{"given":"Moritz","family":"Hertel","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"conceptualization","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/j.ijom.2009.02.028","article-title":"Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: A systematic review of the literature","volume":"38","author":"Casselman","year":"2009","journal-title":"Int. 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