Dumanlı Didem, Şeker Çiğdem
Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Zonguldak Bülent Ecevit University, Zonguldak 67600, Turkey.
Diagnostics (Basel). 2025 May 2;15(9):1160. doi: 10.3390/diagnostics15091160.
: This study aims to determine the sensitivity, specificity, positive predictive value, and negative predictive value by comparing ultrasonography and panoramic radiography with the gold standard cone beam computed tomography in the diagnosis of osteoarthritic changes in the temporomandibular joint (TMJ) and to determine the distribution of these degenerations in terms of age and gender. : In the study, cone beam computed tomography (CBCT), panoramic radiography, and ultrasonography (USG) images of 143 patients who applied to the Dentomaxillofacial Radiology Department of the Faculty of Dentistry of Zonguldak Bülent Ecevit University with complaints of TMJ were retrospectively examined. : As a result of the analysis, the average age of the patients included in the study was found to be 50.3 ± 14.4. The incidence of degenerative changes was higher in females than in males. The most common degenerative change in both genders was found to be flattening. Of the 143 patients' degenerative changes detected on CBCT, 135 (94.4%) were detected on panoramic radiography and 124 (86.7%) were detected on USG. : The sensitivity rates of ultrasound and panoramic radiography were found to be lower than those of CBCT in detecting degenerative changes.
本研究旨在通过将超声检查和全景放射摄影与颞下颌关节(TMJ)骨关节炎改变诊断的金标准锥形束计算机断层扫描进行比较,来确定其敏感性、特异性、阳性预测值和阴性预测值,并确定这些退变在年龄和性别方面的分布情况。
在该研究中,对143名因颞下颌关节问题到宗古尔达克布伦特·埃杰维特大学牙科学院口腔颌面放射科就诊患者的锥形束计算机断层扫描(CBCT)、全景放射摄影和超声检查(USG)图像进行了回顾性检查。
分析结果显示,纳入研究的患者平均年龄为50.3±14.4岁。女性退变改变的发生率高于男性。在两性中最常见的退变改变是扁平。在CBCT上检测到的143例患者的退变改变中,全景放射摄影检测到135例(94.4%),超声检查检测到124例(86.7%)。
在检测退变改变方面,发现超声和全景放射摄影的敏感性率低于CBCT。