Oesterreich F U, Jend-Rossmann I, Jend H H, Triebel H J
Rofo. 1987 Jan;146(1):13-7. doi: 10.1055/s-2008-1048433.
SPECT examination of the TMJ using 99m Tc-MDP was performed in 43 patients with arthrographically proven anterior dislocation of the disc and in 30 normals. The results were evaluated visually and also in a semi-quantitative manner that took account of relative 99m Tc activity in the TMJ and of the age of the patient. In the presence of arthrographically proven anterior, but reversible, disc dislocation, the semi-quantitative method proved positive in 75% of cases (28 cases). In joints with fixed anterior dislocation (29 cases), bone changes were demonstrated in 86%. Visual evaluation was positive in 50% of reversible, and in 72% of non-reversible dislocations. Semi-quantitative SPECT of the TMJ is excellent for demonstrating bone reaction resulting from TMJ dysfunction and for indicating the severity of the joint abnormality.
对43例经关节造影证实为盘前移位的患者及30名正常人进行了使用99m锝-亚甲基二膦酸盐（99m Tc-MDP）的颞下颌关节单光子发射计算机断层扫描（SPECT）检查。对结果进行了视觉评估，并采用半定量方式评估，该方式考虑了颞下颌关节中99m锝的相对活性以及患者的年龄。在经关节造影证实为盘前移位但可复性的情况下，半定量方法在75%的病例（28例）中显示为阳性。在不可复性盘前移位的关节（29例）中，86%出现了骨质改变。视觉评估在50%的可复性移位及72%的不可复性移位中显示为阳性。颞下颌关节的半定量SPECT在显示颞下颌关节功能障碍引起的骨质反应及指示关节异常的严重程度方面表现出色。
