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01-06-2018 | Minisymposium: Juvenile Idiopathic Arthritis

Imaging of temporomandibular joint abnormalities in juvenile idiopathic arthritis with a focus on developing a magnetic resonance imaging protocol

Authors: Elka Miller, Emilio J. Inarejos Clemente, Nikolay Tzaribachev, Saurabh Guleria, Mirkamal Tolend, Arthur B. Meyers, Thekla von Kalle, Jennifer Stimec, Bernd Koos, Simone Appenzeller, Linda Z. Arvidsson, Eva Kirkhus, Andrea S. Doria, Christian J. Kellenberger, Tore A. Larheim

Published in: Pediatric Radiology | Issue 6/2018

Abstract

Inflammation and damage in the temporomandibular joint (TMJ) often develop without clinical symptoms but can lead to severe facial growth abnormalities and impaired health-related quality of life, making early diagnosis of TMJ changes crucial to identify. Inflammatory and osteochondral changes detectable through magnetic resonance imaging (MRI) occur in TMJs of approximately 40% of children with juvenile idiopathic arthritis (JIA), and no other imaging modality or physical method of examination can reliably detect these changes. Therefore contrast-enhanced MRI is the diagnostic standard for diagnosis and interval monitoring of JIA. However the specific usage of MRI for TMJ arthritis is not standardized at present. There is a recognized need for a consensus effort toward standardization of an imaging protocol with required and optional sequences to improve detection of pathological changes and shorten study time. Such a consensus imaging protocol is important for providing maximum information with minimally necessary sequences in a way that allows inter-site comparison of results of clinical trials and improved clinical management. In this paper we describe the challenges of TMJ imaging and present expert-panel consensus suggestions for a standardized TMJ MRI protocol.

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Title: Imaging of temporomandibular joint abnormalities in juvenile idiopathic arthritis with a focus on developing a magnetic resonance imaging protocol
Authors: Elka Miller
Emilio J. Inarejos Clemente
Nikolay Tzaribachev
Saurabh Guleria
Mirkamal Tolend
Arthur B. Meyers
Thekla von Kalle
Jennifer Stimec
Bernd Koos
Simone Appenzeller
Linda Z. Arvidsson
Eva Kirkhus
Andrea S. Doria
Christian J. Kellenberger
Tore A. Larheim
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 6/2018
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-017-4005-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Imaging of temporomandibular joint abnormalities in juvenile idiopathic arthritis with a focus on developing a magnetic resonance imaging protocol

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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