Comparison of high-resolution MRI and SPECT bone scintigraphy for noninvasive imaging of the temporomandibular joint. J Nucl Med 1987 Aug;28(8):1268-74
Date
08/01/1987Pubmed ID
3497237Scopus ID
2-s2.0-0023628997 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
Prospective evaluation by magnetic resonance imaging (MRI) and both single photon emission computed tomography (SPECT) and planar bone scintigraphy was undertaken in 31 temporomandibular joints (TMJs) of 21 symptomatic patients. When compared with the results of subsequent arthrography, MRI (0.88) was more sensitive than SPECT (0.76) or planar (0.56) scintigraphy for detection of internal derangement of the TMJ. A diagnostic sensitivity of 0.96 was achieved when the results of either MRI or SPECT was considered evidence of internal joint derangement. Five symptomatic TMJs, clinically thought to be abnormal, were positive on SPECT but showed no evidence of anterior disk displacement at the time of arthrography. In such instances, SPECT may be detecting functionally significant altered joint mechanics that are not evident on anatomic imaging of the TMJ.
Author List
Krasnow AZ, Collier BD, Kneeland JB, Carrera GF, Ryan DE, Gingrass D, Sewall S, Hellman RS, Isitman AT, Froncisz WMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Female
Humans
Magnetic Resonance Spectroscopy
Male
Middle Aged
Technetium Tc 99m Medronate
Temporomandibular Joint Dysfunction Syndrome
Tomography, Emission-Computed
