Department of Rehabilitation, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
Cranio. 2024 Sep;42(5):513-518. doi: 10.1080/08869634.2021.2015087. Epub 2022 Jan 21.
To evaluate the inter-examiner reliability of the Chinese version of the Axis I diagnoses of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and to compare the consistency between clinical diagnoses and magnetic resonance imaging (MRI).
Sixty-seven individuals were evaluated by three TMD specialists, and 49 underwent MRI examination. Cohen's Kappa coefficient (κ) was used to evaluate the inter-examiner reliability and the consistency between clinical diagnoses and MRI manifestations.
Diagnostic agreement was good to excellent for pain and disc displacement with or without reduction (κ = 0.659-1.000). Agreement between clinical diagnoses and MRI findings was fair to good (κ = 0.400).
Inter-examiner diagnostic reliability using the Chinese version of the DC/TMD Axis I instruments was excellent, especially for arthrogenic TMDs.
评估《颞下颌关节紊乱诊断与治疗标准》（DC/TMD）中文版轴Ⅰ诊断的检查者间信度，并比较临床诊断与磁共振成像（MRI）的一致性。
67 名受试者由 3 位 TMD 专家进行评估，其中 49 名接受 MRI 检查。采用 Cohen's Kappa 系数（κ）评估检查者间信度和临床诊断与 MRI 表现的一致性。
疼痛和伴或不伴复位的关节盘移位的诊断一致性为良好到极好（κ=0.659-1.000）。临床诊断与 MRI 结果的一致性为一般到良好（κ=0.400）。
使用中文版 DC/TMD 轴Ⅰ工具进行的检查者间诊断可靠性极好，特别是对关节源性 TMD 而言。
