3.0-T磁共振成像检测颞下颌关节骨质异常的诊断可靠性

Diagnostic reliability of 3.0-T MRI for detecting osseous abnormalities of the temporomandibular joint.

作者信息

Sawada Kunihiko, Amemiya Toshihiko, Hirai Shigenori, Hayashi Yusuke, Suzuki Toshihiro, Honda Masahiko, Sisounthone Johnny, Matsumoto Kunihito, Honda Kazuya

机构信息

Department of Oral and Maxillofacial Radiology, Nihon University School of Dentistry.

Division of Advanced Dental Treatment, Dental Research Center, Nihon University School of Dentistry.

出版信息

J Oral Sci. 2018;60(1):137-141. doi: 10.2334/josnusd.16-0838.

DOI:10.2334/josnusd.16-0838

PMID:29576573

Abstract

We compared the diagnostic reliability of 3.0-T magnetic resonance imaging (MRI) for detection of osseous abnormalities of the temporomandibular joint (TMJ) with that of the gold standard, cone-beam computed tomography (CBCT). Fifty-six TMJs were imaged with CBCT and MRI, and images of condyles and fossae were independently assessed for the presence of osseous abnormalities. The accuracy, sensitivity, and specificity of 3.0-T MRI were 0.88, 1.0, and 0.73, respectively, in condyle evaluation and 0.91, 0.75, and 0.95 in fossa evaluation. The McNemar test showed no significant difference (P > 0.05) between MRI and CBCT in the evaluation of osseous abnormalities in condyles and fossae. The present results indicate that 3.0-T MRI is equal to CBCT in the diagnostic evaluation of osseous abnormalities of the mandibular condyle.

摘要

我们将3.0-T磁共振成像（MRI）用于检测颞下颌关节（TMJ）骨异常的诊断可靠性与金标准锥形束计算机断层扫描（CBCT）进行了比较。对56个TMJ进行了CBCT和MRI成像，并对髁突和关节窝图像独立评估骨异常情况。在髁突评估中，3.0-T MRI的准确性、敏感性和特异性分别为0.88、1.0和0.73，在关节窝评估中分别为0.91、0.75和0.95。McNemar检验显示，在评估髁突和关节窝的骨异常方面，MRI和CBCT之间无显著差异（P>0.05）。目前的结果表明，在诊断评估下颌髁突骨异常方面，3.0-T MRI与CBCT相当。