Sökning: WFRF:(Semnic Robert) > High-Field Magnetic...
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000 | 04736naa a2200469 4500 | |
001 | oai:DiVA.org:uu-508059 | |
003 | SwePub | |
008 | 230720s2023 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5080592 URI |
024 | 7 | a https://doi.org/10.3390/diagnostics131219862 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Knezevic, Milica Jeremicu Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut |
245 | 1 0 | a High-Field Magnetic Resonance Imaging of the Temporomandibular Joint Low Agreement with Clinical Diagnosis in Asymptomatic Females |
264 | 1 | b MDPI,c 2023 |
338 | a electronic2 rdacarrier | |
520 | a (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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dentistry0 (SwePub)302162 hsv//eng |
653 | a temporomandibular joint | |
653 | a magnetic resonance imaging | |
653 | a high-field MRI | |
653 | a agreement | |
653 | a RDC | |
653 | a TMD | |
653 | a temporomandibular disorders | |
700 | 1 | a Knezevic, Aleksandaru Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Med Rehabil Clin Clin Ctr Vojvodina, Novi Sad 21000, Serbia4 aut |
700 | 1 | a Boban, Jasminau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Inst Oncol, Ctr Imaging Diagnost, Sremska Kamenica 21208, Serbia4 aut |
700 | 1 | a Maletin, Aleksandrau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut |
700 | 1 | a Milekic, Bojanau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Dent Clin Vojvodina, Novi Sad 21000, Serbia4 aut |
700 | 1 | a Koprivica, Daniela Djurovicu Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut |
700 | 1 | a Puskar, Tatjanau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Dent Clin Vojvodina, Novi Sad 21000, Serbia4 aut |
700 | 1 | a Semnic, Robertu Uppsala universitet,Radiologi4 aut |
710 | 2 | a Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbiab Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Med Rehabil Clin Clin Ctr Vojvodina, Novi Sad 21000, Serbia4 org |
773 | 0 | t Diagnosticsd : MDPIg 13:12q 13:12x 2075-4418 |
856 | 4 | u https://doi.org/10.3390/diagnostics13121986y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1783414/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-508059 |
856 | 4 8 | u https://doi.org/10.3390/diagnostics13121986 |
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