Browse > Article

THE RELATIVE SIGNAL INTENSITY OF RETRODISCAL TISSUE IN TMJ USING A T2-WEIGHTED MRI  

Ye, Young-Geun (Div. of Oral & Maxillofacial Surgery, Department of Dentistry, The Catholic University of Korea)
Lee, Sang-Hwa (Div. of Oral & Maxillofacial Surgery, Department of Dentistry, The Catholic University of Korea)
Yoon, Hyun-Joong (Div. of Oral & Maxillofacial Surgery, Department of Dentistry, The Catholic University of Korea)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.27, no.5, 2005 , pp. 457-462 More about this Journal
Abstract
The aim of this study is to evaluate the relative signal intensity of TMJ retrodiscal tissue in T2-weighted MRI as diagnostic marker of temporomandibular disorder(TMD). 58 temporomandibular joints from 29 TMD patients (14 men & 15 women) were evaluated. The relative signal intensity of retrodiscal tissue in T2-weighted MRI was referenced to brain gray matter same size of the region of interest(ROI). The collected data was compared to disc positions (normal, anterior disc displacement with reduction, anterior disc displacement without reduction), the presence of joint effusion. The relative signal intensity of retrodiscal tissue was significantly increased when the disc was displaced without reduction. And the relative signal intensity of retrodiscal tissue was significantly increased when joint effusion was present. The results suggest that evaluating the relative signal intensity of TMJ retrodiscal tissue using a T2-weighted MRI is valuable as a non-invasive tool for diagnosing the procession of TMD.
Keywords
Relative signal intensity; Retrodiscal tissue; T-2 weighted MRI; ROI;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Tasaki MM, Westesson PL, Raubertas RF : Observer variation in interpretation of magnetic resonance images of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 76 : 231, 1993   DOI   ScienceOn
2 Tasaki MM, Westesson PL : Temporomandibular joint: diagnostic accuracy with sagittal and coronal MR imaging. Radiology 186 : 723, 1993   DOI   PUBMED
3 Helm CA, Gillespy T, Sims RE et al : Magnetic resonance imaging of internal derangement of the temporomandibular joint. Radiol Clin North Am 24 : 189, 1986   PUBMED
4 Sakuma K, Sano T, Yamamoto M et al : Does decreased T1 signal intensity in the retrodiscal tissue of the temporomandibular joint reflect increased density of collagen fibers? Dentomaxillofac Radiol 32 : 222, 2003   DOI   ScienceOn
5 Jung JS, Huh WS, Chung H : A study on the changes of MR signal intensity of posterior attachment of the temporomandibular joint. Kor J Maxillofac Plast Reconst 19 : 93, 1997
6 Sano T, Westesson PL, Showa : Magnetic resonance imaging of the temporomandibular joint. Increased T2 signal in the retrodiscal tissue of painful joints. Oral Surg Oral Med Oral Pathol 79 : 511, 1995   DOI   ScienceOn
7 Yoon HJ, Park CH, Kim J : The MRI-Based Comparison of normal- and abnormal-side retrodiscal tissue, and relationship between clinical examination & the MRI findings of retrodiscal tissue in patients with unilateral TMJ internal derangement. Kor J Maxillofac Plast Reconst 28 : 330, 2002
8 Westesson PL : Reliability and validity of imaging diagnosis of temporomandibular joint disorder. Adv Dent Res 7 : 137, 1993   DOI   PUBMED
9 Marguelles RE, Carpentier P, Yung LP et al : Clinical diagnosis compared with findings of magnetic resonance in 242 patients with internal derangement of the TMJ. J Orofac Pain 9 : 244, 1995   PUBMED
10 Emshoff R, Innerhofer K, Rudisch A et al : Clinical versus magnetic resonance imaging findings with internal derangement of the temporomandibular joint: An evaluation of anterior disc displacement without reduction. J Oral Maxillofac Surg 60 : 36, 2002   DOI   ScienceOn
11 Yano K, Sano T, Okano T : A longitudinal study of magnetic resonance(MR) evidence of temporomandibular joint(TMJ) fluid in patients with TMJ disorders. J Craniomandibular Pract 22 : 64, 2004
12 Murakami k, Nishida M, Bessho K et al : MRI evidence of high signal intensity and temporomandibular arthralgia and relating pain. Does the high signal correlate to the pain? Br J Oral and Maxillofac Surg 34 : 220, 1996   DOI   ScienceOn
13 Isberg A, Isacsson G : Tissue reactions associated with internal derangement of the TMJ : A radiographic, cryomorphologic, and histologic study. Acta Odontol Scand 44 : 159, 1986   DOI
14 Hasso AN, Christian EL, Alder ME : The temporomandibular joint. Radiol Cline North Am 27 : 301, 1989
15 Truelove EL, Sommers EE, LeResche L et al : Clinical diagnostic criteria for TMD. New classification permits multiple diagnoses. J Am Dent Assoc 123 : 47, 1992   PUBMED
16 Haley DP, Schiffman EL, Lindgren BR et al : The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain. J Am Dent Assoc 132 : 476, 2001   DOI   PUBMED
17 Okeson J : Sign and symptoms of temporomandibular disorders. In Management of temporomandibular disorders and occlusion, 5th ed. Singapore, Elsevier, 2003, p.187
18 Bertram S, Rudisch A, Innerhofer K et al : Magnetic resonance imaging to diagnose temporomandibular joint internal derangement and osteoarthrosis. J Am Dent Assoc 66 : 75, 2001
19 Westesson P, Paesani D : MR imaging of the TMJ. Oral Surg Oral Med Oral Pathol 76 : 631, 1993   DOI   ScienceOn
20 Emshoff R, Innerhofer K, Rudisch A et al : The biological concept of 'internal derangement and osteoarthrosis'. A diagnostic approach in patients with temporomandibular joint pain. Oral Surg Oral Med Oral Pathol Radiol Endod 93 : 39, 2002   DOI   ScienceOn
21 Holmlund AB, Gynther GW. Reinholt FP : Disk derangement and inflammatory changes in the posterior attachment of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 73 : 9, 1992   DOI   ScienceOn
22 Kurita K, Westesson Pl, Sternby NH : Histologic features of the temporomandibular joint disk and posterior disk attachment : Comparison of symptom-free persons with normally positioned disks and patients with internal derangement. Oral Surg Oral Med Oral Pathol 67 : 635, 1989   DOI   ScienceOn
23 Segami N, Nishimura M, Kaneyama K et al : Does joint effusion on T2 magnatic resonance images reflect synovitis? Comparison of arthroscopic findings in internal derangement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Endod 92 : 341, 2001   DOI   ScienceOn
24 Hall MB, Brown RW, Baugham RA : Histopathologic appearance of the bilaminar zone in internal derangement of the TMJ. Oral Surg Oral Med Oral Pathol 79 : 511, 1995   DOI   ScienceOn
25 Emshoff R, Rudisch A, Innerhofer K et al : Temporomandibular joint internal derangement type III: Relationship to magnetic resonance imaging findings of internal derangement and osteoarthrosis. An intraindividual approach. Int J Oral Maxillofac Surg 30 : 390, 2001   DOI   ScienceOn
26 Westesson PL, Brooks SL : Temporomandibular joint: Relationship between MR evidence of effusion and the presence of pain and disc displacement. Am J Roentogenol 159 : 559, 1992   DOI   ScienceOn
27 Emshoff R, Innerhofer K, Rudisch A et al : Relationship between temporomandibular joint pain and the magnetic resonance imaging finding of internal derangement. Int J Oral Maxillofac Surg 30 : 104, 2001   DOI   ScienceOn