Faculty Collaboration Database

Internal derangement of the temporomandibular joint: detection by single-photon emission computed tomography. Work in progress. Radiology 1983 Nov;149(2):557-61

Date

11/01/1983

Pubmed ID

6226060

DOI

10.1148/radiology.149.2.6226060

Scopus ID

2-s2.0-0020635256 (requires institutional sign-in at Scopus site)   29 Citations

Abstract

The diagnostic accuracy of both planar and single-photon emission computed tomography (SPECT) bone scintigraphy, radionuclide angiography, arthrography, and conventional radiography was evaluated in 36 patients with temporomandibular joint (TMJ) dysfunction undergoing preoperative testing. The sensitivity of SPECT bone scintigraphy (0.94) was comparable with arthrography (0.96) and significantly better than planar bone scintigraphy (0.76), radionuclide angiography (0.35), and transcranial lateral radiographs (0.04). While data for a larger asymptomatic control population are needed, preliminary results give SPECT a diagnostic specificity of 0.70 for internal derangements of the TMJ requiring surgical correction. It is concluded that SPECT bone scintigraphy is a useful noninvasive imaging test to screen for internal derangement of the TMJ.

Author List

Collier BD, Carrera GF, Messer EJ, Ryan DE, Gingrass D, Angell D, Palmer DW, Isitman AT, Hellman RS

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Diphosphonates
Female
Humans
Male
Middle Aged
Radiography
Technetium
Technetium Tc 99m Medronate
Temporomandibular Joint Dysfunction Syndrome
Tomography, Emission-Computed