Girondi Camila Miorelli, de Castro Lopes Sérgio Lúcio Pereira, Ogawa Celso Massahiro, Braz-Silva Paulo Henrique, Costa Andre Luiz Ferreira
Department of Stomatology, School of Dentistry, University of São Paulo (USP), São Paulo 05508-220, SP, Brazil.
Department of Diagnosis and Surgery, São José dos Campos School of Dentistry, São Paulo State University (UNESP), São José dos Campos 12245-000, SP, Brazil.
Dent J (Basel). 2024 Mar 21;12(3):82. doi: 10.3390/dj12030082.
The purpose of this study was to identify changes in the temporomandibular joint disc affected by effusion by using texture analysis of magnetic resonance images (MRIs).
A total of 223 images of the TMJ, 42 with joint effusion and 181 without, were analyzed. Three consecutive slices were then exported to MaZda software, in which two oval ROIs (one in the anterior band and another in the intermediate zone of the joint disc) were determined in each slice and eleven texture parameters were calculated by using a gray-level co-occurrence matrix. Spearman's correlation coefficient test was used to assess the correlation between texture variables and to select variables for analysis. The Mann-Whitney test was used to compare the groups.
The significance level was set at 5%, with the results demonstrating that there was no high correlation between the parameter directions. It was possible to observe a trend between the average parameters, in which the group with effusion always had smaller values than the group without effusion, except for the parameter measuring the difference in entropy.
The trend towards lower overall values for the texture parameters suggested a different behavior between TMJ discs affected by effusion and those not affected, indicating that there may be intrinsic changes.
本研究的目的是通过磁共振成像(MRI)的纹理分析来识别受积液影响的颞下颌关节盘的变化。
共分析了223张颞下颌关节图像,其中42张有关节积液,181张无积液。然后将连续的三个切片导出到MaZda软件中,在每个切片中确定两个椭圆形感兴趣区域(一个在前带,另一个在关节盘的中间区),并使用灰度共生矩阵计算11个纹理参数。采用Spearman相关系数检验来评估纹理变量之间的相关性,并选择变量进行分析。使用Mann-Whitney检验比较各组。
显著性水平设定为5%,结果表明参数方向之间没有高度相关性。可以观察到平均参数之间的一种趋势,即除了测量熵差的参数外,有积液组的值总是比无积液组小。
纹理参数总体值较低的趋势表明,受积液影响的颞下颌关节盘与未受影响的颞下颌关节盘之间存在不同的行为,这表明可能存在内在变化。