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FältnamnIndikatorerMetadata
00004736naa a2200469 4500
001oai:DiVA.org:uu-508059
003SwePub
008230720s2023 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5080592 URI
024a https://doi.org/10.3390/diagnostics131219862 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Knezevic, Milica Jeremicu Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut
2451 0a High-Field Magnetic Resonance Imaging of the Temporomandibular Joint Low Agreement with Clinical Diagnosis in Asymptomatic Females
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe
650 7a 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
700a Knezevic, Aleksandaru Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Med Rehabil Clin Clin Ctr Vojvodina, Novi Sad 21000, Serbia4 aut
700a Boban, Jasminau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Inst Oncol, Ctr Imaging Diagnost, Sremska Kamenica 21208, Serbia4 aut
700a Maletin, Aleksandrau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut
700a Milekic, Bojanau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Dent Clin Vojvodina, Novi Sad 21000, Serbia4 aut
700a Koprivica, Daniela Djurovicu Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia4 aut
700a Puskar, Tatjanau Univ Novi Sad, Fac Med Novi Sad, Novi Sad 21000, Serbia.;Dent Clin Vojvodina, Novi Sad 21000, Serbia4 aut
700a Semnic, Robertu Uppsala universitet,Radiologi4 aut
710a 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
773t Diagnosticsd : MDPIg 13:12q 13:12x 2075-4418
856u https://doi.org/10.3390/diagnostics13121986y Fulltext
856u https://uu.diva-portal.org/smash/get/diva2:1783414/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-508059
8564 8u https://doi.org/10.3390/diagnostics13121986

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