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High-Field Magnetic Resonance Imaging of the Temporomandibular Joint Low Agreement with Clinical Diagnosis in Asymptomatic Females
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- Knezevic, Milica Jeremic (författare)
- Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia
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- Knezevic, Aleksandar (författare)
- Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Med Rehabil Clin Clin Ctr Vojvodina, Novi Sad 21000, Serbia
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- Boban, Jasmina (författare)
- Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Inst Oncol, Ctr Imaging Diagnost, Sremska Kamenica 21208, Serbia
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- Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia;Med Rehabil Clin Clin Ctr Vojvodina, Novi Sad 21000, Serbia (creator_code:org_t)
- MDPI, 2023
- 2023
- Engelska.
- Ingår i: Diagnostics. - : MDPI. - 2075-4418. ; 13:12
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- (1) Background: The aim of this study was to investigate the agreement between a clinical diagnosis based on research diagnostic criteria/temporomandibular disorders (RDC/TMD) and high-field magnetic resonance imaging (MRI) findings of temporomandibular joints (TMJs) in asymptomatic females. (2) Methods: A prospective study on 100 females (200 TMJs) was performed, using clinical examinations (RDC/TMD) and same-day MRIs of TMJs on a 3T MR unit. The inclusion criteria were as follows: females, age > 18, the presence of upper and lower incisors, and an understanding of the Serbian language. Descriptive statistics (means and standard deviations) and ANOVA with a post hoc Tukey test for differences among the patient subgroups was performed. The agreement between the clinical and MRI findings was determined using Cohen's kappa coefficient (k < 0.21 slight, 0.21-0.4 fair, 0.41-0.6 moderate, 0.61-0.8 substantial, and 0.81-1 almost perfect). The statistical significance was set at p & LE; 0.05. (3) Results: Normal findings were observed in 86.7%, disc dislocation (DD) was observed in 9.2%, and arthralgia/osteoarthritis/osteoarthrosis was observed in 2.6% of TMJs using RDC/TMD. On the MRI, normal findings were observed in 50.5%, disc dislocation was observed in 16.3%, and arthralgia/osteoarthritis/osteoarthrosis was observed in 23.5% of TMJs. The anterior DD with reduction showed fair agreement of the clinical and MRI findings (k = 0.240, p < 0.001) compared with the DD without reduction (k = 0.355, p < 0.001). Both showed high specificity (94.9% and 99.4%) but low sensitivity (24.2% and 25.0%). The sensitivity in osteoarthritic changes was low (4.8%), but the specificity remained high (96.2%). (4) Conclusions: The sensitivity of the clinical examination remains low compared with 3T MRI, especially in osteoarthritic changes and anterior DD with reduction. However, the number of false positive diagnoses using RDC/TMD is low in asymptomatic patients. RDC/TMD remains a sensible method for establishing a clinical diagnosis and avoiding the overtreatment of asymptomatic patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Nyckelord
- temporomandibular joint
- magnetic resonance imaging
- high-field MRI
- agreement
- RDC
- TMD
- temporomandibular disorders
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Knezevic, Milica ...
- Knezevic, Aleksa ...
- Boban, Jasmina
- Maletin, Aleksan ...
- Milekic, Bojana
- Koprivica, Danie ...
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- Puskar, Tatjana
- Semnic, Robert
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