Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?

Context: Imaging examinations afford more consistent details than clinical evaluation in the investigation process and make the differential diagnosis of temporomandibular joint (TMJ) disorders (TMDs) easier. Aims: This study aimed to check agreement among professionals from different fields of work...

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Main Authors: Juliana Andréa Corrêa Travessas, Mathias Pante Fontana, Priscila Fernanda Da Silveira, Mariana Boessio Vizzotto, Heraldo Luis Dias Da Silveira, Nadia Assein Arús
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Oral and Maxillofacial Radiology
Subjects:
Online Access:http://www.joomr.org/article.asp?issn=2321-3841;year=2018;volume=6;issue=1;spage=9;epage=13;aulast=Travessas
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author Juliana Andréa Corrêa Travessas
Mathias Pante Fontana
Priscila Fernanda Da Silveira
Mariana Boessio Vizzotto
Heraldo Luis Dias Da Silveira
Nadia Assein Arús
author_facet Juliana Andréa Corrêa Travessas
Mathias Pante Fontana
Priscila Fernanda Da Silveira
Mariana Boessio Vizzotto
Heraldo Luis Dias Da Silveira
Nadia Assein Arús
author_sort Juliana Andréa Corrêa Travessas
collection DOAJ
description Context: Imaging examinations afford more consistent details than clinical evaluation in the investigation process and make the differential diagnosis of temporomandibular joint (TMJ) disorders (TMDs) easier. Aims: This study aimed to check agreement among professionals from different fields of work evaluating TMDs using magnetic resonance imaging (MRI) and based on ten diagnoses criteria: Position, shape and recapture of joint disk, joint mobility, degenerative changes, bone changes, condyle position, effusion, intramedullary edema, and avascular necrosis. Methods: An oral and maxillofacial radiologist, a medical radiologist, and a dental surgeon specialized in TMD and orofacial pain interpreted 152 MRI taken from 76 patients. A scenario simulating daily activities was devised, which neither calibration nor discussion of criteria was assessed. Interobserver agreement was measured using the Kappa coefficient. Results: Poor agreement was observed in avascular necrosis; a slight agreement was recorded in form and position of the joint disk, condyle position, effusion; fair agreement in TMJ mobility and disk recapture; moderate to almost perfect agreement in condylar changes, degenerative changes, and intramedullary edema. Conclusion: Professionals from different areas that interpret TMJ disorders using MRI did not agree on the diagnoses, especially for the soft-tissue changes.
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spelling doaj.art-c39ce7417ad1456c96b28963b659e4f82022-12-21T16:58:43ZengWolters Kluwer Medknow PublicationsJournal of Oral and Maxillofacial Radiology2321-385X2018-01-016191310.4103/jomr.jomr_1_18Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?Juliana Andréa Corrêa TravessasMathias Pante FontanaPriscila Fernanda Da SilveiraMariana Boessio VizzottoHeraldo Luis Dias Da SilveiraNadia Assein ArúsContext: Imaging examinations afford more consistent details than clinical evaluation in the investigation process and make the differential diagnosis of temporomandibular joint (TMJ) disorders (TMDs) easier. Aims: This study aimed to check agreement among professionals from different fields of work evaluating TMDs using magnetic resonance imaging (MRI) and based on ten diagnoses criteria: Position, shape and recapture of joint disk, joint mobility, degenerative changes, bone changes, condyle position, effusion, intramedullary edema, and avascular necrosis. Methods: An oral and maxillofacial radiologist, a medical radiologist, and a dental surgeon specialized in TMD and orofacial pain interpreted 152 MRI taken from 76 patients. A scenario simulating daily activities was devised, which neither calibration nor discussion of criteria was assessed. Interobserver agreement was measured using the Kappa coefficient. Results: Poor agreement was observed in avascular necrosis; a slight agreement was recorded in form and position of the joint disk, condyle position, effusion; fair agreement in TMJ mobility and disk recapture; moderate to almost perfect agreement in condylar changes, degenerative changes, and intramedullary edema. Conclusion: Professionals from different areas that interpret TMJ disorders using MRI did not agree on the diagnoses, especially for the soft-tissue changes.http://www.joomr.org/article.asp?issn=2321-3841;year=2018;volume=6;issue=1;spage=9;epage=13;aulast=TravessasDiagnostic imagingmagnetic resonance imagingobserver variationtemporomandibular joint
spellingShingle Juliana Andréa Corrêa Travessas
Mathias Pante Fontana
Priscila Fernanda Da Silveira
Mariana Boessio Vizzotto
Heraldo Luis Dias Da Silveira
Nadia Assein Arús
Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
Journal of Oral and Maxillofacial Radiology
Diagnostic imaging
magnetic resonance imaging
observer variation
temporomandibular joint
title Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
title_full Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
title_fullStr Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
title_full_unstemmed Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
title_short Does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging?
title_sort does professional background influence in temporomandibular joint tissues evaluation by magnetic resonance imaging
topic Diagnostic imaging
magnetic resonance imaging
observer variation
temporomandibular joint
url http://www.joomr.org/article.asp?issn=2321-3841;year=2018;volume=6;issue=1;spage=9;epage=13;aulast=Travessas
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