The efficacy of magnetic resonance imaging in the diagnosis of degenerative and inflammatory temporomandibular joint disorders: a systematic literature review.
OBJECTIVE
To evaluate the evidence for the efficacy of magnetic resonance imaging (MRI) in the diagnosis of disk position and configuration, disk perforation, joint effusion, and osseous and bone marrow changes in the temporomandibular joint.


METHODS
A PubMed literature search with specific indexing terms and a hand search were made. Two reviewers assessed the level of evidence of relevant publications as high, moderate, or low. Based on this, the evidence grade for diagnostic efficacy was rated as strong, moderately strong, limited, or insufficient.


RESULTS
The literature search yielded 494 titles, of which 22 were relevant. No publication had a high level of evidence, and 12 had moderate and 10 low levels of evidence. The evidence grade for diagnostic efficacy expressed as sensitivity, specificity, and predictive values was insufficient.


CONCLUSIONS
That evidence is insufficient emphasizes the need for high-quality studies on the diagnostic efficacy of MRI, incorporating accepted methodologic criteria.
Limchaichana
Napat
N
Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden. napat.limchaichana@od.mah.se
Petersson
Arne
A
Rohlin
Madeleine
M
D001853:Bone Marrow / Q000473:pathology; D003657:Decision Making; D006801:Humans; D016013:Likelihood Functions; D008279:Magnetic Resonance Imaging; D015588:Observer Variation; D010003:Osteoarthritis / Q000175:diagnosis*; D010347:Patient Care Planning; D011379:Prognosis; D012372:ROC Curve; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013582:Synovial Fluid; D013704:Temporomandibular Joint / Q000473:pathology; D019224:Temporomandibular Joint Disc / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis*