MRI alone versus MRI-CBCT registered images to evaluate temporomandibular joint internal derangement
Autor: | Mohammed A.Q. Al-Saleh, Hollis Lai, Brian Nebbe, Jacob L. Jaremko, Noura A. Alsufyani, Paul W. Major, Manuel O. Lagravère |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Cone beam computed tomography medicine.medical_specialty Image registration Condyle 030218 nuclear medicine & medical imaging Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine stomatognathic system Image Interpretation Computer-Assisted medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) medicine.diagnostic_test business.industry Reproducibility of Results Magnetic resonance imaging 030206 dentistry Cone-Beam Computed Tomography Temporomandibular Joint Disorders Magnetic Resonance Imaging Sagittal plane Temporomandibular joint Derangement medicine.anatomical_structure Coronal plane Female Surgery Radiology Oral Surgery Nuclear medicine business Software |
Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 122:638-645 |
ISSN: | 2212-4403 |
DOI: | 10.1016/j.oooo.2016.07.024 |
Popis: | Objective To evaluate the effect of magnetic resonance imaging–cone beam computed tomography (MRI-CBCT) image registration on inter- and intraexaminer consistency when evaluating temporomandibular joint (TMJ) internal derangement compared to MRI alone. Methods MRI and CBCT images of 25 patients (50 TMJs) were obtained and coregistered using mutual-information rigid image registration via Mirada XD software. Two experienced radiologists independently and blindly evaluated two types of images (MRI alone and MRI-CBCT registered images) at two different times (T1 and T2) for TMJ internal derangement, based on sagittal and coronal articular disc position in relation to the head of the condyle and the posterior slope of the articular eminence. Results The intraexaminer consistency with MRI alone (examiner 1 = 0.85 [0.74-0.92]; examiner 2 = 0.91 [0.84-0.95]) was lower than for the MRI-CBCT registered images (examiner 1 = 0.95 [0.91-0.97]; examiner 2 = 0.97 [0.96-0.99]). The interexaminer consistency of evaluating internal derangement with MRI alone (0.52 [0.18-0.73] at T1; 0.71 [0.45-0.84] at T2) was lower than for the MRI-CBCT registered images (0.97 [0.95-0.98] at T1; 0.98 [0.96-0.99] at T2). When disc position classification was dichotomized to normal versus anteriorly displaced, intraexaminer agreement for the two examiners was 0.52 and 0.63 for MRI alone, but was 0.91 and 0.92 for MRI-CBCT registered images. Interexaminer agreement for MRI alone was 0.29 at T1 and 0.42 at T2, but was 0.96 at both examination times for MRI-CBCT registered images. Conclusion The MRI-CBCT registered images improved intra- and interexaminer consistency in the evaluation of internal derangement of TMJ. |
Databáze: | OpenAIRE |
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