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Oral Radiology
Published in: Oral Radiology 2/2020

01-04-2020 | Magnetic Resonance Imaging | Original Article

Reliability of diagnostic imaging for degenerative diseases with osseous changes in the temporomandibular joint with special emphasis on subchondral cyst

Authors: Michihito Nozawa, Nobumi Ogi, Yoshiko Ariji, Yoshitaka Kise, Miwa Nakayama, Masako Nishiyama, Munetaka Naitoh, Kenichi Kurita, Eiichiro Ariji

Published in: Oral Radiology | Issue 2/2020

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Abstract

Objectives

The present study aimed to clarify the reliabilities of four characteristic appearances, subchondral cyst, erosion, generalized sclerosis, and osteophyte, for evaluation of degenerative diseases with osseous changes in the temporomandibular joint (TMJ) using panoramic TMJ projection imaging and computed tomography (CT), and to investigate the imaging features of these modalities for subchondral cyst with reference to its magnetic resonance imaging (MRI) features.

Methods

The reliabilities (κ values) of panoramic TMJ projection and CT images were determined by three radiologists for each characteristic appearance of TMJ osseous changes in 146 condyles. The features of cyst-like areas on CT images with agreement among the three radiologists were investigated for size, location, and continuity with the joint space together with MRI signal intensity and surrounding edema-like lesions.

Results

Panoramic TMJ projection images showed moderate and substantial agreements for erosion and osteophyte evaluations, respectively; while CT images showed substantial agreements for subchondral cyst, erosion, and osteophyte evaluations. Cyst-like areas on CT images were predominantly located in the central parts and 69 of 86 (80.2%) areas showed no communication with the joint space. Cyst-like areas with diameters exceeding 2 mm showed high or moderate MRI signal intensities. Edema-like lesions were observed in 10 of 28 (29.4%) condyles.

Conclusions

The reliabilities of panoramic TMJ projection and CT images were clarified for each characteristic appearance. The results support the bone contusion theory for the formation of subchondral cysts in the TMJ. A possible improvement in reliability is suggested relative to MRI findings.
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Metadata
Title
Reliability of diagnostic imaging for degenerative diseases with osseous changes in the temporomandibular joint with special emphasis on subchondral cyst
Authors
Michihito Nozawa
Nobumi Ogi
Yoshiko Ariji
Yoshitaka Kise
Miwa Nakayama
Masako Nishiyama
Munetaka Naitoh
Kenichi Kurita
Eiichiro Ariji
Publication date
01-04-2020
Publisher
Springer Singapore
Published in
Oral Radiology / Issue 2/2020
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-019-00392-3

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