Magnetic resonance arthrography applied to the diagnosis of intraarticular adhesions of the temporomandibular joint.
The purpose of this study is to investigate the diagnostic accuracy of magnetic resonance arthrography (MRAr) on the diagnosis of intraarticular adhesions of the temporomandibular joint (TMJ). Twenty-four patients (31 joints) diagnosed as internal disorders of TMJ were examined to establish the presence, suspicion or absence of intraarticular adhesions through MRAr according to the MRAr radiographic criteria in a blind fashion, subsequent arthroscopy were performed on all 31 joints. The findings were compared to MRAr with those of arthroscopy. The comparison data were assessed by generating receiver operating characteristic curve (ROC curve) and analyzing the area (Az) under the curve with SPSS11.0 software. The area under the ROC curve was 0.91 (0.86, 0.95), P<0.05. MRAr proves to be an excellent modality to diagnose intraarticular adhesions of TMJ.
Yang
C
C
Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Second Medical University, 200011 Shanghai, PR China. chiyang63@hotmail.com
Zhang
S Y
SY
Wang
X D
XD
Fan
X D
XD
D000293:Adolescent; D000328:Adult; D019540:Area Under Curve; D001175:Arthrography; D001182:Arthroscopy; D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012372:ROC Curve; D012680:Sensitivity and Specificity; D013705:Temporomandibular Joint Disorders / Q000473:pathology*; D000267:Tissue Adhesions / Q000175:diagnosis
D003287:Contrast Media; D019786:Gadolinium DTPA