Department of Radiology, Nihon University School of Dentistry at Matsudo, 2-870-1 Sakaecho-Nishi, Matsudo, Chiba, 271-8587, Japan.
Oral Radiol. 2023 Apr;39(2):242-247. doi: 10.1007/s11282-022-00625-y. Epub 2022 Jun 14.
Magnetic resonance imaging (MRI) is useful for assessing temporomandibular disorders (TMDs). However, few studies have attempted texture analysis of the lateral pterygoid muscle in patients with rheumatoid arthritis (RA). This study aims to investigate the usefulness of MRI texture analysis of the lateral pterygoid muscle of patients with RA of the temporomandibular joint (TMJ).
We analyzed the data from 36 patients (18 non-RA patients and 18 RA patients) who complained of pain and underwent MRI between April 2008 and August 2021. From the MRI scans of these patients, 279 radiomics features were extracted using STIR image data of the ROIs on the lateral pterygoid muscle of patients with RA and analyzed using MaZda ver. 3.3. Seven gray-level co-occurrence matrix features (Sum entropy, Sum variance) were picked up using the Fisher coefficient, for comparison between the RA and non-RA groups. Data analysis was performed using the Mann-Whitney U test A P value of < 0.05 was considered as statistically significant.
All seven lateral pterygoid muscle radiomic features indicated significant differences between the non-RA and RA groups (P < 0.05).
MRI texture analysis shows potential for application in radiomics diagnosis of RA in TMJ.
磁共振成像(MRI)可用于评估颞下颌关节紊乱(TMD)。然而,很少有研究尝试对类风湿关节炎(RA)患者的翼外肌进行纹理分析。本研究旨在探讨 MRI 纹理分析对颞下颌关节(TMJ)RA 患者翼外肌的有用性。
我们分析了 2008 年 4 月至 2021 年 8 月期间因疼痛而接受 MRI 的 36 名患者(18 名非 RA 患者和 18 名 RA 患者)的数据。从这些患者的 MRI 扫描中,使用 RA 患者翼外肌 ROI 的 STIR 图像数据提取了 279 个放射组学特征,并使用 MaZda ver.3.3 进行分析。使用 Fisher 系数选择了 7 个灰度共生矩阵特征(Sum entropy,Sum variance),用于比较 RA 组和非 RA 组。使用 Mann-Whitney U 检验进行数据分析,P 值<0.05 被认为具有统计学意义。
所有 7 个翼外肌放射组学特征均表明 RA 组和非 RA 组之间存在显著差异(P<0.05)。
MRI 纹理分析显示在 TMJ RA 的放射组学诊断中有应用潜力。