The correlation of research diagnostic criteria for temporomandibular disorders and magnetic resonance imaging: a study of diagnostic accuracy
| Autor: | Eloisa Maria Mello Santiago Gebrim, C. A Yamaguchi, Marcio Katsuyoshi Mukai, Carlos Gil, Claudia da Costa Leite, Regina Lúcia Elia Gomes, Edmund Chada Baracat, Alessandra Pucci Mantelli Galhardo, Wanderley Marques Bernardo, José Maria Soares |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Research Diagnostic Criteria Magnetic resonance imaging Gold standard (test) Likelihood ratios in diagnostic testing Pathology and Forensic Medicine Temporomandibular joint ESTUDOS PROSPECTIVOS stomatognathic diseases medicine.anatomical_structure Predictive value of tests Physical therapy medicine Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Surgery Oral Surgery Medical diagnosis Nuclear medicine business Prospective cohort study human activities |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2012.10.020 |
| Popis: | Objective.The aim of this study was to evaluate the performance of research diagnostic criteria for temporomandibular disorders (RDC/TMD) as a diagnostic test for temporomandibular joint problems using magnetic resonance imaging (MRI) as the gold standard. Study Design.Sixty-seven women were assessed with RDC/TMD (2 examiners) and underwent MRI examination (3.0 T). Images were evaluated by 2 independent radiologists blinded to the clinical diagnoses. Results were analyzed by the Catmaker system. Results.Of the 67 patients, 44 were diagnosed with temporomandibular disorders (TMD) according to RDC/TMD, but 21 (32%) of the diagnoses were not confirmed by MRI. The RDC/TMD sensitivity was 83.0%, specificity was 53.0%, and the positive likelihood ratio was 1.77, whereas the negative likelihood ratio was 0.32 (P!0.16). Conclusions.Our data suggest that RDC/TMD is a good research tool, but the high rate of false-positive results limits its use in clinical practice. (Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:277-284) |
| Databáze: | OpenAIRE |
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