Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy
Aim: The aim of our study was to analyze magnetic resonance imaging criteria in assessment of TMJ disorders and evaluate the important MRI role in comparison with arthroscopy. Patients and methods: The study was performed on eighty TMJs. TMJs are examined by 1.5 tesla MRI machine using sagittal obli...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2016-06-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X16000036 |
| _version_ | 1819088297393127424 |
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| author | Reda Abdelsamie Alarabawy Hanan Mohamed El Ahwal Mervat Abd El Sattar El Sergany Wael Wagdy Mehrez |
| author_facet | Reda Abdelsamie Alarabawy Hanan Mohamed El Ahwal Mervat Abd El Sattar El Sergany Wael Wagdy Mehrez |
| author_sort | Reda Abdelsamie Alarabawy |
| collection | DOAJ |
| description | Aim: The aim of our study was to analyze magnetic resonance imaging criteria in assessment of TMJ disorders and evaluate the important MRI role in comparison with arthroscopy.
Patients and methods: The study was performed on eighty TMJs. TMJs are examined by 1.5 tesla MRI machine using sagittal oblique T1, PD & T2 weighted images & coronal oblique T1 and PD weighted images. The disk position, configuration, presence or absence of joint effusion, osteo-arthritis and mandibular condyle morphology were assessed. Comparison was done with arthroscopy in 49 joints.
Results: Disk displacement was found in all cases symptomatic 80 joints, 60% bilateral and 40% unilateral. Joint pain and tenderness were the most clinical symptom followed by joint noise/clicking. Thirty-five joints showed anterior disk displacement with reduction, while forty-five joints showed anterior disk displacement without reduction and one of them shows stuck disk in displaced position. MRI has sensitivity of 95, specificity of 88 and accuracy of 94 in comparison with arthroscopy.
Conclusion: MRI is proper diagnostic modality for TMJ disorders due to non invasiveness, excellent soft tissue contrast and multiplaner capabilities. |
| first_indexed | 2024-12-21T21:49:48Z |
| format | Article |
| id | doaj.art-1426450e397048e09f561bf8766e87a0 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-21T21:49:48Z |
| publishDate | 2016-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-1426450e397048e09f561bf8766e87a02022-12-21T18:49:07ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2016-06-0147246747510.1016/j.ejrnm.2016.01.002Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopyReda Abdelsamie Alarabawy0Hanan Mohamed El Ahwal1Mervat Abd El Sattar El Sergany2Wael Wagdy Mehrez3Radiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, EgyptRadiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, EgyptPhysical Medicine, Rheumatology & Rehabilitation Department, Faculty of Medicine, Tanta University, EgyptRadio-diagnosis & Medical Imaging Department, Kafr El Shekh General Hospital, EgyptAim: The aim of our study was to analyze magnetic resonance imaging criteria in assessment of TMJ disorders and evaluate the important MRI role in comparison with arthroscopy. Patients and methods: The study was performed on eighty TMJs. TMJs are examined by 1.5 tesla MRI machine using sagittal oblique T1, PD & T2 weighted images & coronal oblique T1 and PD weighted images. The disk position, configuration, presence or absence of joint effusion, osteo-arthritis and mandibular condyle morphology were assessed. Comparison was done with arthroscopy in 49 joints. Results: Disk displacement was found in all cases symptomatic 80 joints, 60% bilateral and 40% unilateral. Joint pain and tenderness were the most clinical symptom followed by joint noise/clicking. Thirty-five joints showed anterior disk displacement with reduction, while forty-five joints showed anterior disk displacement without reduction and one of them shows stuck disk in displaced position. MRI has sensitivity of 95, specificity of 88 and accuracy of 94 in comparison with arthroscopy. Conclusion: MRI is proper diagnostic modality for TMJ disorders due to non invasiveness, excellent soft tissue contrast and multiplaner capabilities.http://www.sciencedirect.com/science/article/pii/S0378603X16000036Temporo-mandibular jointMagnetic resonance imagingArthroscopy |
| spellingShingle | Reda Abdelsamie Alarabawy Hanan Mohamed El Ahwal Mervat Abd El Sattar El Sergany Wael Wagdy Mehrez Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy The Egyptian Journal of Radiology and Nuclear Medicine Temporo-mandibular joint Magnetic resonance imaging Arthroscopy |
| title | Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy |
| title_full | Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy |
| title_fullStr | Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy |
| title_full_unstemmed | Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy |
| title_short | Magnetic resonance imaging evaluation of temporo-mandibular joint disorders, criterial analysis and significance in comparison with arthroscopy |
| title_sort | magnetic resonance imaging evaluation of temporo mandibular joint disorders criterial analysis and significance in comparison with arthroscopy |
| topic | Temporo-mandibular joint Magnetic resonance imaging Arthroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X16000036 |
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