Validation of the effectiveness of ultrasonography as a diagnostic method for temporomandibular joint disorders and a comparison with MRI and CBCT

Year 2019, , 87 - 95, 30.12.2019

Alaa Alsafadi , Juan Luis Cobo İvan Menéndez-díaz Juan David Muriel Teresa Cobo

https://doi.org/10.35333/ERD.2019.102

Abstract

Objective: The objective of this study was to
compare findings from ultrasonography imaging (USI) of the temporomandibular
joint (TMJ) with those from magnetic resonance imaging (MRI) and cone-beam
computerized tomography (CBCT).

Methods: A total of 102 patients were included in
this study. USI, MRI, and CBCT were performed in the TMJ area for all patients.

Results: USI showed 100% sensitivity (Se), 82.76%
specificity (Sp), 93.15% positive predictive value (PPV), 100% negative
predictive value (NPV) and 94.85% accuracy relative to MRI for identifying anterior
disc displacement (ADD), while the Se, Sp, PPV, NPV, and accuracy were 100% for
identifying joint effusion, relative to MRI. Moreover, USI showed a high
agreement with CBCT, which had 98.08% Se, 94% Sp, 94.44% PPV, 97.92% NPV and 96.08%
accuracy for identifying condylar irregularities, while MRI showed a 100% Se, 56.86% Sp, 69.86% PPV, 100%
NPV, and 78.43% accuracy for detecting condylar irregularities, relative to CBCT.

Conclusions: High-resolution
USI is a useful diagnostic method for detecting TMJ pathologies; USI can
supplement clinical evaluations for patients with temporomandibular joint
disorders (TMDs), and this imaging modality can be used as a diagnostic tool to
identify internal derangement of the TMJ.

Keywords

Temporomandibular joint, Ultrasonography, Articular disc, Disc displacement, Effusion

Supporting Institution

Instituto Asturiano de Odontología

Thanks

The authors would like to thank the Statistical Consulting Unite of the Scientific-Technical Services of the University of Oviedo for the support received in the statistical analysis

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