دورية أكاديمية

MRI of Temporomandibular Joint Disorders: A Comparative Study of 0.55 T and 1.5 T MRI

التفاصيل البيبلوغرافية
العنوان: MRI of Temporomandibular Joint Disorders: A Comparative Study of 0.55 T and 1.5 T MRI
المؤلفون: Kopp, Markus, Wiesmueller, Marco, Buchbender, Mayte, Kesting, Marco, Nagel, Armin M., May, Matthias S., Uder, Michael, Roemer, Frank W., Heiss, Rafael
المصدر: Investigative Radiology ; volume 59, issue 3, page 223-229 ; ISSN 1536-0210 0020-9996
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2024
الوصف: Objectives Temporomandibular disorders (TMDs) are common and may cause persistent functional limitations and pain. Magnetic resonance imaging (MRI) at 1.5 and 3 T is commonly applied for the evaluation of the temporomandibular joint (TMJ). No evidence is available regarding the feasibility of modern low-field MRI for the assessment of TMDs. The objective of this prospective study was to evaluate the image quality (IQ) of 0.55 T MRI in direct comparison with 1.5 T MRI. Materials and Methods Seventeen patients (34 TMJs) with suspected intraarticular TMDs were enrolled, and both 0.55 and 1.5 T MRI were performed on the same day. Two senior readers independently evaluated the IQ focusing on the conspicuity of disc morphology (DM), disc position (DP), and osseous joint morphology (OJM) for each joint. We analyzed the IQ and degree of artifacts using a 4-point Likert scale (LS) at both field strengths. A fully sufficient IQ was defined as an LS score of ≥3. Nonparametric Wilcoxon test for related samples was used for statistical comparison. Results The median IQ for the DM and OJM at 0.55 T was inferior to that at 1.5 T (DM: 3 [interquartile range {IQR}, 3–4] vs 4 [IQR, 4–4]; OJM: 3 [IQR, 3–4] vs 4 [IQR 4–4]; each P < 0.001). For DP, the IQ was comparable (4 [IQR 3–4] vs 4 [IQR 4–4]; P > 0.05). A sufficient diagnostic IQ was maintained for the DM, DP, and OJM in 92% of the cases at 0.55 T and 100% at 1.5 T. Minor image artifacts (LS score of ≥3) were more prevalent at 0.55 T (29%) than at 1.5 T (12%). Conclusions Magnetic resonance imaging of the TMJ at 0.55 T yields a lower IQ than does MRI at 1.5 T but maintains sufficient diagnostic confidence in the majority of patients. Further improvements are needed for reliable clinical application.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1097/rli.0000000000001008
DOI: 10.1097/RLI.0000000000001008
الإتاحة: https://doi.org/10.1097/rli.0000000000001008Test
حقوق: http://creativecommons.org/licenses/by-nc-nd/4.0Test/
رقم الانضمام: edsbas.ABFC48C2
قاعدة البيانات: BASE