Defining the normal appearance of the temporomandibular joints by magnetic resonance imaging with contrast: a comparative study of children with and without juvenile idiopathic arthritis

Autor: Melissa L. Mannion, Matthew L. Stoll, Daniel W. Young, Stuart A. Royal, Randy Q. Cron, Yoginder N. Vaid, Saurabh Guleria
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Adolescent
media_common.quotation_subject
Contrast Media
Arthritis
Gastroenterology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Rheumatology
Internal medicine
medicine
Humans
Immunology and Allergy
Contrast (vision)
Prospective Studies
Child
skin and connective tissue diseases
Prospective cohort study
Retrospective Studies
media_common
030203 arthritis & rheumatology
Temporomandibular Joint
medicine.diagnostic_test
business.industry
lcsh:RJ1-570
Infant
lcsh:Pediatrics
Retrospective cohort study
Magnetic resonance imaging
Juvenile idiopathic arthritis
Temporomandibular Joint Disorders
medicine.disease
Magnetic Resonance Imaging
Arthritis
Juvenile
Temporomandibular joint
medicine.anatomical_structure
Effusion
Child
Preschool
Pediatrics
Perinatology and Child Health
Female
lcsh:RC925-935
business
Research Article
Zdroj: Pediatric Rheumatology Online Journal
Pediatric Rheumatology Online Journal, Vol 16, Iss 1, Pp 1-7 (2018)
ISSN: 1546-0096
DOI: 10.1186/s12969-018-0223-3
Popis: Background Up to 80% of children with juvenile idiopathic arthritis (JIA) develop arthritis involving their temporomandibular joint (TMJ). Recent studies have questioned the sensitivity of an abnormal MRI in the diagnosis of active arthritis. Methods 122 children without arthritis undergoing contrast MRI of the head were prospectively consented to undergo a simultaneous contrast MRI of their TMJs. As a comparison point, the initial MRI of the TMJ of 35 newly diagnosed children with JIA were retrospectively scored. The presence and size of effusion and contrast enhancement were measured in the left TMJ in all subjects. Results 62/122 (51%) controls compared to only 10/35 JIA (29%) patients had an effusion (p = 0.022). Contrast enhancement was present in ≥97% of both groups, although the size of the enhancement was, on average, 0.2 mm larger in controls (1.1 ± 0.24 vs 0.88 ± 0.27 mm, p
Databáze: OpenAIRE
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