US Vs MRI in Diagnosis of TMJ Internal Derangement
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
- Кому может быть актуально
- Состояния в реестре: TMJ Internal Derangement. Базовые параметры: Без ограничений · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Список центров уточняется — проверьте первичный протокол.
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Ultrasonographic Assessment in Comparison to MRI in Diagnosis of TMJ Internal Derangement
Обзор
Compare the accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of temporomandibular joint internal derangements.
Подробное описание
Temporomandibular disorders (TMDs) are conditions that affect the temporomandibular joint (TMJ), often leading to pain and dysfunction. The most common cause of TMJ problems is internal derangements.
The term "internal derangements" refers to conditions with the articular disc displaced from its original position on the mandibular condyle.
Disc displacement may occur anteriorly, anterolaterally, laterally, anteromedially, medially, or posteriorly, but the latter is very rare.
Anterior disc displacement (ADD) is the most common ID condition and is usually divided into two categories: with reduction and without reduction. Each category has special features during closed and opened mouth positions. Therefore, the examination should include both positions.
Clinical examination alone isn't enough to diagnose TMJ problems, therefore additional imaging tests are often needed.
Magnetic resonance imaging (MRI) is the gold standard modality, however because of its limited availability, long scan time, and high cost, it is difficult to use MRI as a screening technique.
Ultrasound (US) has been recommended as an alternate diagnostic imaging modality for TMJ problems as it is less costly, non-invasive and capable of providing real-time imaging, presents an alternative diagnostic tool. Thus, the articular disc may be seen as the patient is opening and closing their mouth
Первичные конечные точки
- Comparison between US and MRI in diagnosis of TMJ disc displacement. [Срок оценки: Baseline]
Критерии участия
Критерии включения
- Patients showing signs of TMJ internal derangements
Критерии исключения
- contraindications for MRI such as claustrophobia, heart pacemaker and metallic foreign body carriers.
- patients in which the misaligned images or distortions due to motion artifacts made the interpretation of the MRI unreliable.
- Previously operated TMJ.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Дизайн исследования
- Модель наблюдения
- Другое
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Публикации
- Emshoff R, Kriwanek S, Koller M, et al. Diagnostic accuracy of ultrasound in the assessment of the temporomandibular joint: a comparison with MRI. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics. 2022; 96(6):750-756.
- Salamah T, Harefa GN. Diagnostic value and clinical significance of high-resolution ultrasonography compared to magnetic resonance imaging in diagnosing temporomandibular joint dislocation: a systematic review. Medical Journal of Indonesia. 2024 Mar; 33(1): 29-34.
- Refaat MM, Yousef MI, Torky AA, Sarow ML. Ultrasonography compared to magnetic resonance imaging for the diagnosis of the temporomandibular joint disc displacement: Benha Journal of Applied Sciences. 2021 Nov; 6(6): 133-43.
- Li C, Zhou J, Shi Y, Ye Z, Zhang C, Hou R, Li Z, You M. Diagnostic efficacy of quantitative ultrasonography for anterior disc displacement of the temporomandibular joint. Quant Imaging Med Surg. 2023 Oct 1;13(10):6446-6455. doi: 10.21037/qims-23-401. Epub 2023 Aug 3. PMID 37869327
- Minervini G, Nucci L, Lanza A, Femiano F, Contaldo M, Grassia V. Temporomandibular disc displacement with reduction treated with anterior repositioning splint: a 2-year clinical and magnetic resonance imaging (MRI) follow-up. J Biol Regul Homeost Agents. 2020 Jan-Feb;34(1 Suppl. 1):151-160. DENTAL SUPPLEMENT. PMID 32064850
- Talmaceanu D, Lenghel LM, Bolog N, Buduru S, Leucuta D, Rotar H. High-resolution ultrasound imaging compared to magnetic resonance imaging for temporomandibular joint disorders: An in vivo study. Eur J Radiol. 2020 Nov;132:109291. doi: 10.1016/j.ejrad.2020.109291. Epub 2020 Sep 17. PMID 32980724
- Moturi K. Internal derangements of temporomandibular joint. Temporomandibular Joint Disorders: Principles and Current Practice. 2021;: 189-207.
- Palmer J, Durham J. Temporomandibular disorders. BJA Educ. 2021 Feb;21(2):44-50. doi: 10.1016/j.bjae.2020.11.001. Epub 2020 Dec 24. No abstract available. PMID 33889429
Идентификаторы
NCT: NCT06713356 · TMJ internal derangement