磁共振成像在诊断退行性和炎性颞下颌关节疾病中的疗效：一项系统文献综述。
The efficacy of magnetic resonance imaging in the diagnosis of degenerative and inflammatory temporomandibular joint disorders: a systematic literature review.
作者信息
Limchaichana Napat, Petersson Arne, Rohlin Madeleine
机构信息
Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Oct;102(4):521-36. doi: 10.1016/j.tripleo.2006.02.001. Epub 2006 Apr 24.
OBJECTIVE
To evaluate the evidence for the efficacy of magnetic resonance imaging (MRI) in the diagnosis of disk position and configuration, disk perforation, joint effusion, and osseous and bone marrow changes in the temporomandibular joint.
STUDY DESIGN
A PubMed literature search with specific indexing terms and a hand search were made. Two reviewers assessed the level of evidence of relevant publications as high, moderate, or low. Based on this, the evidence grade for diagnostic efficacy was rated as strong, moderately strong, limited, or insufficient.
RESULTS
The literature search yielded 494 titles, of which 22 were relevant. No publication had a high level of evidence, and 12 had moderate and 10 low levels of evidence. The evidence grade for diagnostic efficacy expressed as sensitivity, specificity, and predictive values was insufficient.
CONCLUSION
That evidence is insufficient emphasizes the need for high-quality studies on the diagnostic efficacy of MRI, incorporating accepted methodologic criteria.
目的
评估磁共振成像（MRI）在诊断颞下颌关节盘位置和形态、盘穿孔、关节积液以及骨质和骨髓变化方面的疗效证据。
研究设计
使用特定索引词在PubMed上进行文献检索并进行手工检索。两名评审员将相关出版物的证据水平评估为高、中或低。据此，将诊断疗效的证据等级评定为强、中等强度、有限或不足。
结果
文献检索得到494个标题，其中22个相关。没有出版物具有高水平证据，12个具有中等水平证据，10个具有低水平证据。以敏感性、特异性和预测值表示的诊断疗效证据等级不足。
结论
证据不足强调了需要开展纳入公认方法学标准的关于MRI诊断疗效的高质量研究。
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